Behavioral Health Case Manager, Hybrid, Murfreesboro

Behavioral Health Case Manager for Transitions of Care

The Behavioral Health Case Manager for Transitions of Care is dedicated to proactive engagement with members admitted to Acute Inpatient Psychiatric facilities. This role involves coordinating care to address immediate behavioral health needs and overcoming barriers to discharge from inpatient care. The goal is to reduce readmissions and adverse events through patient education, support, and connection to outpatient services.

To excel in this role, you should meet all licensing requirements, have experience in behavioral health within inpatient or outpatient settings, and be knowledgeable about strategies for effective care linkage, patient education, and reducing readmissions.

This hybrid position involves telephonic outreach and weekly visits to local Acute Inpatient Psychiatric facilities in the Murfreesboro area. The caseload is fluid, adapting to changes in facility admissions and referrals.

Please note this role will require in person visits with members. In order to be considered, candidates must be willing to travel and will ideally be within 25 miles of Murfreesboro, Tennessee.

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

Experience

Skills / Certifications

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.

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.

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