Location: Chattanooga,TN, USA
The Care Transition team at BCBST is seeking a dedicated nursing professional with **a strong background in ICU, Transition of Care (TOC), Skilled Nursing Facility (SNF)/ Long-Term Acute Care Hospital (LTACH) / Inpatient Rehab, and Case Managemen** t. In this role, you will play a crucial part in transitioning members from higher levels of care to lower levels, ensuring all discharge needs are met and members have a safe discharge. This position occasionally requires a late shift (10 a.m.- 7 p.m.) about once a year. If you are passionate about making a significant impact on patient care and have the expertise we need, we invite you to apply!
**Job Responsibilities**
+ Provides telephonic or onsite services to designated hospitals as assigned/necessary to assist hospital care coordination team with discharge planning needs of the members.
+ Assess resource utilization and cost management; diagnosis, past and present treatment and prognosis.
+ Coordinate member needs, develop and implement treatment plans, and establish measurable goals to accomplish the goal of transitioning member to the appropriate level of care.
+ Assess, implement, monitor, and evaluate available resources in an effort to promote quality, cost effective outcomes while meeting the individual's health needs.
+ Must have or be able to be licensed in multiple states if required.
+ Digital positions must have the ability to effectively communicate via digital channels and offer technical support; typing and grammar skills assessment is required for these positions, in addition to standard Windows 7 Testing
+ Must be able to pass Windows navigation test.
+ Various immunizations and/or associated medical tests may be required for this position.
+ Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions.
**Job Qualifications**
_License_
+ 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.
_Experience_
+ 3 years - Clinical experience required
+ 5 years - Experience in the health care industry
_SkillsCertifications_
+ Excellent oral and written communication skills
+ PC Skills required (Basic Microsoft Office and E-Mail)
Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid drivers license, auto insurance compliance with minimum liability requirements; as defined in the Use of Non BCBST-Owned Vehicle Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *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 is an Equal Opportunity employer (EEO), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made. BCBST will take affirmative action to 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.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices (
**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.**
**Tobacco-Free Hiring Statement**
To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. **All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test.** An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotineand/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results.
Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree.gov or 1-800-QUIT-NOW.
About Us
As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health for over 65 years. More than that, we're your neighbors and friends fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow.
BCBST is a remote-first organization with many employees working primarily from their homes. Each position within the company is classified as either fully remote, partially remote, or office based.
BCBST hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense. If the applicant moves to Chattanooga, TN, they may be eligible for relocation benefits.