Hiring: Medical Case Manager (Shelby County) Company: BlueCross BlueShield of Tennessee Location: Shelby County, TN Job Posted Time: 2026-09-11 12:37:43 Employment Type: Contract Target Skills & Keywords : Microsoft Office About the job Experience: •3 years - Clinical experience required •5 years - 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) Required Skills: •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. •Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions. •Various immunizations and/or associated medical tests may be required for this position. •This job requires digital literacy assessment. 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. Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!