Job Opportunity

Bilingual Medical Case Manager - Shelby County

BlueCross BlueShield of Tennessee
85 N Danny Thomas Blvd
Memphis
, Tennessee
38103
(901) 544-2111
Location:Memphis
Hours:Full-Time
Contact:Keyonna Jones
Category: Health Industry
Posted:Jun 20, 2024
Updated:Jun 22, 2024

Manages member care and progress for cases with multiple levels of risk.

Responsibilities

  • Supporting utilization management functions for more complex and non-routine cases as needed. Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs. Overseeing highly complex cases identified through various mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefits Performing the essential activities of case management: assessment: planning, implementation, coordinating, monitoring, outcomes and evaluation. Digital positions must have the ability to effectively communicate via digital channels and offer technical support; typing and grammar skills assessment is required for these positions, in addition to standard Windows Testing. Effective 7/22/13: This Position requires an 18-month commitment before posting for other internal positions.

Experience Requirements

  • 3 years – Clinical experience required 5 years – Experience in the health care industry Various immunizations &/or associated medical tests may be required for this position. For Select Community & Katie Beckett: 2 years’ experience in IDD for Select Community is required

Education Requirements

  • Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.

 

For more information, contact Keyonna at keyonna_jones@bcbst.com.

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