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.
Experience with Motivational Interviewing Techniques and Adult Learning Styles
Skills\Certifications
Currently has a Certified Case Manager (CCM) credential or must obtain certification within 2 years of hire.
Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
Independent, Sound decision-making and problem-solving skills
Excellent oral and written communication skills
Strong interpersonal and organizational skills
Strong analytical skills
Positive relationship building skills and ability to engage and motivate health behaviors in diverse populations
Ability to quickly identify and prioritize member needs and provide structured and focused support and interventions
*The definition for "routine basis" is defined as daily, weekly or at regularly schedule times.
Number of Openings Available
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, 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 characteris
Benefits
Health insuranceRemote work options
Additional Information
BlueCross BlueShield of Tennessee (BCBST) is seeking a skilled and compassionate Behavioral Health Case Manager to join the FEP Population Health team.
This role supports members with behavioral health needs and conditions , ensuring they receive timely, coordinated, and high‑quality care. Team members play a critical role in guiding individuals through complex behavioral health situations while delivering a compassionate and seamless member experience.
The ideal candidate brings a strong background in behavioral health and telephonic member engagement, with FEP experience considered a valuable asset. They are energized by meaningful member interactions and excel at empathetic listening, clear communication, and proactive problem solving. A Certified Case Manager (CCM) credential is highly preferred, along with adaptability, initiative, and experience managing complex behavioral healt h patient needs. Successful candidates are confident navigating challenging situations, building trust over the phone, and making a genuine impact through exceptional service.
This is an opportunity to make a meaningful impact every day by helping individuals lead healthier, more fulfilling lives through comprehensive care management.
Note:
RN Case Managers must be available for occasional late‑shift rotation (9 am-6 pm Central / 10 am-7 pm Eastern).
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. 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 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
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. RN may hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.
Bcbst · TN, Chattanooga, Remote