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Case Manager
BlueCross BlueShield of Tennessee. Support members with complex healthcare needs through safe 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 care for members with complex healthcare needs. Proficient in collaborating with healthcare teams and utilizing effective communication skills to support transitions from acute care to home and community-based care.
Highest-signal resume keywords
Registered Nurse (RN) LicenseCase ManagementClinical ExperienceHealthcare Industry ExperienceCommunication Skills
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 EvaluationUtilization ManagementDischarge PlanningResource Connection
Soft Skills
CollaborationProblem SolvingInterpersonal SkillsDigital Communication
Tools & Technologies
Microsoft OfficeEmail CommunicationDigital Literacy
Certifications & Qualifications
Active RN License in TennesseeNurse Licensure Compact Law Compliance
Industry Keywords
HealthcarePost-Acute CareIDD ExperienceMember SupportTransitions of Care
About the role
Key responsibilities & impact- Support members with complex healthcare needs through safe discharge planning and coordinated post-acute care
- Conduct face-to-face member visits in area hospitals
- Collaborate with hospital staff, physicians, specialists, facility staff, and internal care teams
- Identify member needs, remove barriers to care, and connect members with appropriate resources
- Reduce gaps in care and support members through transitions from acute care to home and community-based care
- Support utilization management functions for complex and non-routine cases
- Serve as a liaison between members, providers, and internal/external customers
- Oversee complex cases and implement interventions to ensure efficient benefits utilization
- Perform case management activities including assessment, planning, implementation, coordination, monitoring, outcomes, and evaluation
Requirements
What you’ll need- Registered Nurse (RN) with an active license in Tennessee, or a license in the state of residence if participating in the Nurse Licensure Compact Law
- 3 years of clinical experience required
- 5 years of experience in the health care industry
- For Select Community & Katie Beckett: 2 years of experience in IDD for Select Community required
- Excellent oral and written communication skills
- Basic Microsoft Office and email skills
- Ability to live within 50 miles of Knoxville, TN
- Ability to travel to Knoxville-area hospitals at least one day per week
- Sponsorship is not available for this role
- Ability to communicate effectively via digital channels and provide technical support
- Digital literacy assessment required
- Valid driver's license, compliant auto insurance, and acceptable motor vehicle record if routinely operating a company, personal, or rental vehicle for company business
Benefits
Comp & perks- Full-time employee position
- Potential requirement for various immunizations and/or associated medical tests