Fep Case Manager

BlueCross BlueShield of Tennessee

Chattanooga, TN, US
Fully remote
Telephonic member engagement
Complex member situations
Proactive problem-solving
BlueCross BlueShield of Tennessee is seeking a Registered Nurse with case management experience to provide support for members with acute care needs and chronic health conditions in a fully remote role. The ideal candidate should have a strong background in health insurance, telephonic member engagement, and preferably hold a Certified Case Manager (CCM) credential

Job Summary

  • This role focuses on supporting members with acute care needs and chronic health conditions, ensuring they receive timely, coordinated, and effective care.
  • Our ideal candidate is energized by engaging and supporting members through empathetic listening, clear communication, and proactive problem-solving.
  • This is an opportunity to make a meaningful impact every day by helping individuals lead healthier, more fulfilling lives through comprehensive care management.

Matching Summary

Match Score: 85

BlueCross BlueShield of Tennessee is seeking a Registered Nurse with case management experience to provide support for members with acute care needs and chronic health conditions in a fully remote role. The ideal candidate should have a strong background in health insurance, telephonic member engagement, and preferably hold a Certified Case Manager (CCM) credential.

Skills & Requirements

Must-have

  • telephonic member engagement
  • complex member situations
  • proactive problem-solving
  • comprehensive care management
  • utilization management functions

Nice-to-have

  • compassionate Registered Nurse
  • empathetic listening
  • reassuring voice
  • meaningful connections
  • exceptional service

Key Requirements

  • Registered Nurse (RN) license
  • 3 years clinical experience
  • 5 years healthcare industry experience
  • Certified Case Manager (CCM) credential preferred
  • FEP experience a plus

Work Rights

Not specified

Tailored Resume

Cover Letter