Join Our Behavioral Health Transition of Care Team!

We’re seeking a dedicated Care Manager to support BlueCare members during critical transitions. In this role, you’ll work closely with local Acute Inpatient Psychiatric facility in the Murfreesboro area, to collaborate with treatment teams and assist with discharge planning. You’ll help members navigate next steps, whether finding appropriate care after discharge or accessing behavioral health resources and provide telephonic follow-up to ensure continuity of care post-discharge. It's important to note that the caseload is fluid, adapting to changes in facility admissions and referrals, and so schedule changes are a possibility. Comprehensive training and shadowing will set you up for success in this rewarding role!

Please note: Due to location requirements, candidates must be within 25 miles of Murfreesboro, Tennessee.

What You’ll Do

• Conduct onsite visits to local Acute Inpatient Psychiatric facility in the Murfreesboro area. This is at a minimum of twice weekly to support discharge planning.
• Participate in treatment team meetings, sharing insights on member cases and collaborating on care strategies.
• Assist members in finding appropriate care or resources post-discharge, including behavioral health services.
• Provide telephonic follow-up to ensure members have what they need for successful recovery.
• Maintain a caseload while balancing onsite visits and remote support.
• Collaborate with providers and internal teams to meet member needs and resolve challenges.

Ideal Preferences

• Ability to adapt to change in a fast-paced environment.
• Assertive communicator who speaks up when support or process improvements are needed.

Job 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.
• Perform case management activities in community settings including face to face with members as required.
• Various immunizations and/or associated medical tests may be required for this position.
• Testing/Assessments will be required for Digital positions.

Job Qualifications

License

• Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master's level or above) (Ph.D., LCSW/LMSW, LLP, MHC, LPC, etc.) required. RN may hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.

Experience

• 3 years - Clinical behavioral health / substance use disorder experience required
• 1 year - Must be knowledgeable about community care resources and levels of behavioral health care available.

Skills\Certifications

• Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
• Independent, Sound decision-making and problem-solving skills
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills
• Strong analytical skills
• Positive relationship building skills and ability to engage and motivate health behaviors in diverse populations
• Ability to quickly identify and prioritize member needs and provide structured and focused support and interventions
• Experience with Motivational Interviewing Techniques and Adult Learning Styles

Number of Openings Available

1

Worker Type:

Employee

Company:

VSHP Volunteer State Health Plan, Inc

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will 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.