- 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.
- 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.
- 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
- Currently has a Certified Case Manager (CCM) credential or must obtain certification within 2 years of hire.
- For Select Community & Katie Beckett: In addition to CCM, Certification in Developmental Disabilities Nursing (CDDN) is required at hire, or must be attained within 3 years.
- Excellent oral and written communication skills
- PC Skills required (Basic Microsoft Office and E-Mail)
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Case Management Specialist
1 day ago
The Salvation Army USA Southern Territory Johnson City, United StatesThe Case Management Specialist provides strengths-based case management services to families experiencing poverty. The person in this position interviews, accepts, and provides comprehensive, long-term, structured, complex, family coaching services for an assigned caseload of cli ...
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AmplifyHealth Case Manager
4 days ago
BlueCross BlueShield of Tennessee Johnson City, United StatesManages member care and progress for cases with multiple levels of risk. · Job Description: · Job Responsibilities · Supporting utilization management functions for more complex and non-routine cases as needed. · Serving as a liaison between members, providers and internal/extern ...
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dcs case management assistant
2 weeks ago
State of Tennessee Johnson City, United States· Job Information · State of Tennessee Job Information · Opening Date/Time 05/07/2024 12:00AM Central Time Closing Date/Time 05/13/2024 11:59PM Central Time Salary (Monthly) $3, $4,858.00 Salary (Annually) $38, $58,296.00 Job Type Full-Time City, State Location Johnson City, T ...
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Employment and Housing Case Manager
2 weeks ago
Shelter House Iowa Iowa City, United StatesJob Type · Full-time · Description · Housing is a human right, and no one believes that more than you. · Housing Case Managers work doggedly every day to ensure folks in our community can get around external barriers to get into their homes. · Key Responsibilities: · 1. Key ...
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Employment and Housing Case Manager
2 weeks ago
Shelter House Iowa Iowa City, United StatesJob Type · Full-time · Description · Housing is a human right, and no one believes that more than you. Housing Case Managers work doggedly every day to ensure folks in our community can get around external barriers to get into their homes. · Key Responsibilities: · 1. Key Resp ...
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Hospice Nurse Case Manager
1 week ago
Iowa City Hospice Iowa City, IA, United StatesJob Type · Full-time · Description · Iowa City Hospice is growing and we are excited to add one more full time Nurse Case Manager to our team. · What lead you to become a nurse?Did you visualize having one on one time to provide individualized, compassionate and engaged care to e ...
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Hospice Nurse Case Manager
1 week ago
Iowa City Hospice Iowa City, United StatesJob Description · Job DescriptionDescription:Iowa City Hospice is growing and we are excited to add one more full time Nurse Case Manager to our team. · What lead you to become a nurse?Did you visualize having one on one time to provide individualized, compassionate and engaged c ...
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Criminal Justice Case Manager II
1 week ago
Frontier Health Johnson City, United StatesJOB TITLE Case Manager II - Criminal Justice Program · SUMMARY: · Selected candidates will provide professional case management services using evidence based assessment and treatment planning as a guide to assist clients in addressing social determinants of health, closing HEDIS ...
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Case Manager/Care Coordinator, BHMA
2 weeks ago
Care Management Ambulatory Johnson City, United StatesCase Manager/Care Coordinator, BHMA (FT) 8a-5p, Care Management · Job ID: 004D6I · INTEGRATED SOLUTIONS HLTH NTWK · Nursing - Care Management Ambulatory · Full-time (scheduled 72 hrs or more per pay period) - Day · Job Description · SCOPE OF POSITION · The Case Manager/Care C ...
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Home Health Nurse; Case Manager
1 week ago
Iowa City Hospice Iowa City, IA, United StatesJob Type · Full-time, Part-time · Description · The Visiting Nurse Association is growing and needing to add one more highly skilled and compassionate Home Health Nurse Case Manager to our team. As a home health nurse case manager, you will be responsible for providing quality he ...
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Case Manager/Care Coordinator, BHMA
1 week ago
Care Management Ambulatory Johnson City, United StatesCase Manager/Care Coordinator, BHMA (FT) 8a-5p - Johnson City, TN Job ID: 004FUV INTEGRATED SOLUTIONS HLTH NTWK Other Clinical - Care Management Ambulatory Full-time (scheduled 72 hrs or more per pay period) - DayJob Description SCOPE OF POSITIONThe Case Manager/Care Coordinator, ...
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Case Manager/Care Coordinator, BHMA
1 week ago
Care Management Ambulatory Johnson City, United StatesCase Manager/Care Coordinator, BHMA (FT) 8a-5p - Johnson City, TN · Job ID: 004FUV · INTEGRATED SOLUTIONS HLTH NTWK · Other Clinical - Care Management Ambulatory · Full-time (scheduled 72 hrs or more per pay period) - Day · Job Description · SCOPE OF POSITION · The Case Manag ...
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Case Manager/Care Coordinator, BHMA
3 weeks ago
Care Management Ambulatory Johnson City, United StatesCase Manager/Care Coordinator, BHMA (FT) 8a-5p, Care Management Job ID: 004D6I INTEGRATED SOLUTIONS HLTH NTWK Nursing - Care Management Ambulatory Full-time (scheduled 72 hrs or more per pay period) - DayJob Description SCOPE OF POSITIONThe Case Manager/Care Coordinator provides ...
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Permanent Supportive Housing Case Manager
4 days ago
Shelter House Iowa Iowa City, United StatesYou are great with people, committed to harm reduction, and you all-caps CARE. Shelter House's Permanent Supportive Housing (PSH) facilities work with tenants in a trauma-informed environment. They help folks access supportive services, coordinate transportation to off-site appoi ...
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Home Health Nurse Case Manager
5 days ago
Iowa City Hospice Iowa City, United StatesJob Description · Job DescriptionDescription:The Visiting Nurse Association is growing and we are adding one more Nurse Case Manager to our team. A successful home health nurse case manager enjoys providing quality healthcare services to patients in their homes. This role will in ...
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VNA Home Health RN Case Manager
1 week ago
Iowa City Hospice Iowa City, United StatesJob Description · Job DescriptionDescription:The Visiting Nurse Association is seeking a highly skilled and compassionate Home Health Nurse Case Manager to join our team. As a home health nurse case manager, you will be responsible for providing quality healthcare services to pat ...
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Ballad Health Johnson City, United States*Job Title:* · RN - Patient Resource Manager (FT) 8a-5p, Case Management - Johnson City, TN · *Job Code:* · MSHA000AOK · *Location:* · JOHNSON CITY MEDICAL CENTER, Johnson City, TN · *Position Type:* · Full-time (scheduled 72 hrs or more per pay period) · *Job Definition* ...
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LPN for Private Duty Care
2 weeks ago
Elk Valley Health Services, LLC Johnson City, United States Full timeWe are hiring for a Pediatric Private Duty LPN in the Johnson City, TN area to work days, nights and weekends. Case Specific Enhanced Pay Rates are available with 6-12 shifts. We offer flexible scheduling, weekly pay and a loyalty bonus after your first 300 worked hours . · Elk V ...
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Health Home Supervisor
3 weeks ago
United Methodist Homes Johnson City, United StatesOverview: · ***: · The supervisor of the Health Home will manage and provide oversight to Care managers to assure delivery of care coordination services according to Health Home Policy and monitor services delivered to assure successful outcomes. The Supervisor will also carry a ...
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Community Outreach Specialist
2 weeks ago
Family Enrichment Network, Inc. Johnson City, United StatesThe Nutrition Outreach Specialist will develop and implement comprehensive recruitment activities for potentially eligible Supplemental Nutrition Assistance Program (SNAP) Broome County applicants. · **Minimum Qualifications**: Associate's Degree in Human Services or related fiel ...
FEP Medical Case Manager - Johnson City, United States - BlueCross BlueShield of Tennessee
Description
Description
:Job Responsibilities
Job Qualifications
License
Experience
Skills\Certifications
Job Specific Requirements:
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Preferred Skills:
Number of Openings Available:
1Worker Type:
EmployeeCompany:
BCBST BlueCross BlueShield of Tennessee, Inc.Remote-First Statement:
BCBST is a remote-first organization with many employees working primarily from their homes. Each position within the company is classified as either fully remote, partially remote, or office based.
BCBST hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense. If the applicant moves to Chattanooga, TN, they may be eligible for relocation benefits.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST is an Equal Opportunity employer (EEO), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made. BCBST will take affirmative action to recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
Tobacco-Free Hiring Statement
To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test. An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotine and/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results.
Resources to help individuals discontinue the use of tobacco/nicotine products include or 1-800-QUIT-NOW.
FEP Medical Case Manager professionals in Iowa City
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Riley Adelmund
Behavior Data Technician
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Brooklyn Frederes
Fourth Year Student at the University of Iowa.