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Care Transition Case Manager
BlueCross BlueShield of Tennessee. Support members with complex healthcare needs through safe, effective discharge planning and coordinated post-acute care .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management activities, including assessment, planning, and coordination of healthcare delivery for members with complex needs. Proficient in collaborating with healthcare teams and utilizing digital communication tools to enhance patient care and outcomes.
Highest-signal resume keywords
Registered Nurse (RN) LicenseClinical ExperienceCase ManagementCommunication SkillsUtilization Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Case Management ActivitiesAssessmentPlanningImplementationCoordinationMonitoringOutcomes EvaluationDischarge PlanningComplex Care CoordinationDigital Literacy
Soft Skills
Effective CommunicationCollaborationProblem-SolvingInterpersonal SkillsTechnical Support
Tools & Technologies
Microsoft OfficeEmail
Certifications & Qualifications
Registered Nurse (RN) License
Industry Keywords
HealthcarePost-Acute CareUtilization ManagementIDD ExperienceNurse Licensure Compact Law
About the role
Key responsibilities & impact- Support members with complex healthcare needs through safe, effective discharge planning and coordinated post-acute care
- Partner with members, hospital staff, physicians, specialists, and internal care teams to identify needs, remove barriers to care, and connect members with resources
- Conduct face-to-face visits with members in area hospitals
- Collaborate with hospital care teams on discharge planning
- Coordinate services supporting transitions from acute care settings to home and community-based care
- Support utilization management functions for complex and non-routine cases as needed
- Serve as a liaison between members, providers, and internal/external customers in coordination of healthcare delivery and benefits programs
- Oversee highly complex cases to ensure effective interventions and efficient utilization of benefits
- Perform case management activities including assessment, planning, implementation, coordination, monitoring, outcomes, and evaluation
- Communicate effectively via digital channels and offer technical support
Requirements
What you’ll need- 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
- For Select Community & Katie Beckett: 2 years experience in IDD for Select Community is required
- Excellent oral and written communication skills
- PC Skills required (Basic Microsoft Office and E-Mail)
- Candidates need to live within 50 miles of Memphis, TN
- Sponsorship is not available for this role
- This job requires digital literacy assessment
- Various immunizations and/or associated medical tests may be required for this position
Benefits
Comp & perks- Employee position
- Various immunizations and/or associated medical tests may be required for this position