Case Manager

Role Overview

• Support utilization management functions for more complex and non-routine cases as needed
• Serve as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs
• Oversee highly complex cases identified through various mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefits
• Perform case management activities in community settings including face to face with members as required

Requirements

• Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master's level or above) (Ph.D., LCSW/LMSW, LLP, MHC, LPC, etc.) required
• 3 years
• Clinical behavioral health / substance use disorder experience required
• 1 year
• Must be knowledgeable about community care resources and levels of behavioral health care available
• Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)

Benefits

• Health insurance
• 401(k) matching
• Flexible work arrangements
• Professional development