[Hiring] Digital Case Manager @BlueCross BlueShield of Tennessee

Role Description

BlueCross BlueShield of Tennessee (BCBST) is seeking a dedicated and experienced Nurse Case Manager to join the team! This nurse will play a key role in managing members with newly diagnosed oncology conditions and Type 1 Diabetes, ensuring timely and effective interventions, comprehensive health education, and appropriate utilization of benefits. The ideal candidate will demonstrate strong clinical judgment to:

• Identify care needs
• Coordinate multidisciplinary resources and referrals
• Provide consistent follow-up to support optimal outcomes

Success in this role requires the ability to:

• Manage a high volume of cases while maintaining strong attention to detail
• Effectively prioritize competing demands
• Remain accountable for long-term results

Strong communication skills—both digital and telephonic—along with technical proficiency and digital literacy, are essential. The ideal candidate will bring a background in:

• Oncology
• Acute inpatient
• Hospice
• Med surg
• ICU
• Case management (inpatient or telephonic) experience

Note:

• This position requires an 18-month commitment before pursuing other internal opportunities.
• Although we are based in Chattanooga, TN, this is a fully remote role.
• Sponsorship is not available for this position.
• At BCBST, we foster a culture where innovation is encouraged, including the responsible use of AI-enabled tools to support everyday work.

Qualifications

• 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 of clinical experience required.
• 5 years of 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).

Requirements

• 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.
• This job requires digital literacy assessment.
• Various immunizations and/or associated medical tests may be required for this position.
• Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions.

Benefits

• Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis will be automatically enrolled into the BCBST Driver Safety Program.
• The employee will also be required to adhere to the guidelines set forth through the program, including maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements, and maintaining an acceptable motor vehicle record (MVR).

Company Description

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.