Bcbst

Healthcare

BHCaseManager-ICF

$60–85k ~AI est. Johnson City, Tennessee, United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“BH Case Manager- ICF at Bcbst. Skills: Case management, Care coordination, IDD population support, Member advocacy. Support utilization management. Serve as liaison”

What You'll Achieve.

Ensure effective care coordination; Ensure member advocacy; Ensure effective implementation of interventions; Ensure efficient utilization of benefits

Industry & Context.

Healthcare
Problems you'll solve

Sound decision-making; Problem-solving; Analytical skills; Quickly identify needs; Prioritize member needs

Eligibility Requirements

Reside in Tennessee, Member visits required, Hybrid role

What They're Looking For.

Must Have

3 years clinical behavioral health experience, 1 year community care resources knowledge, Current active unrestricted TN RN license, Master's level or above behavioral health license

Nice to Have

Experience supporting IDD population, Experience with Motivational Interviewing, Experience with Adult Learning Styles

What You'll Do.

Support utilization management

Oversee complex cases

Perform case management activities

Perform case management in community settings

Face to face with members

How You'll Work.

Team & Collaboration

Specialized team; Members; Caregivers; Providers

Communication Scope

Oral communication; Written communication

Full Job Description

Our **BlueCare** team at BCBST is looking to hire a **Behavioral Health Case Manager** to support members within the Intellectual and Developmental Disability (IDD) population to join their team! In this role, you will work collaboratively as part of a specialized team focused on ICF/IID support and build ongoing, trusted relationships with members, their caregivers, and providers to ensure effective care coordination and strong member advocacy. Services include a hybrid of remote and member visits at the ICF provider homes, supporting members specifically in the Northeast region the state of Tennessee. You will also manage a set caseload of long-term members to address ongoing care coordination needs. To be successful in this role, in addition to meeting the core job requirements, you will bring prior case management or care coordination experience, with experience supporting the IDD population strongly preferred. You are open to learning and able to be trained to support IDD members if your direct experience is limited, and you are comfortable managing a consistent caseload with diverse and complex needs. Strong organizational skills and the ability to work independently in a fully remote environment are essential for success in this role. **Additional Notes** * Candidates will need to reside in the state of Tennessee. * This is a hybrid role, that will require member visits to ICF provider homes. * 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. As roles become more advanced, employees are expected to leverage AI, guided by established workflows, templates, and policies, to improve how we serve our members **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 h

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