CHOICES Supervisor- Middle Grand Region

BlueCross BlueShield of Tennessee, Inc.; Nashville (TN); Remote; USD 70,000 - 95,000; Full time

Job summary

BlueCross BlueShield of Tennessee, Inc. invites you to join its CHOICES Care Coordination Leadership Team as a Supervisor in the Middle Tennessee region.

Lead, mentor, and support a dispersed team of Care Coordinators serving Medicaid LTSS members, ensuring safe, home-based or facility-based care. This role requires strong clinical and operational guidance, regulatory compliance, and collaboration with providers and community partners.

Qualifications

• Experience 3 years - Supervisory experience required.
• 2 years - Experience in health insurance/managed care field required.
• Ability to conduct root cause analysis, plan, organize and coordinate multiple projects.
• Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint).
• Excellent oral and written communication skills.
• Strong interpersonal and organizational skills.
• LicenseRN with TN license or MSW license as described.

Responsibilities

• Monitor performance of staff including service performance and adherence to established utilization benchmarks.
• Provide and/or coordinate staff training for maximum performance and provide developmental opportunities.
• Supervise, direct, and evaluate a diverse group of health care professionals to assure effectiveness of consumer advocate, ancillary, discharge, institutional, care coordinator assistant and home and community-based care coordinator activities.
• May be required periodically to carry case load of members, when dictated by census fluctuations or staffing coverage.
• Responsible for communicating and mentoring members of the care coordination team to ensure long-term and home and community based care guidelines, policies, and procedures are followed.
• Valid driver's license.
• 90% day travel required.
• Employee may be required to participate in Runzhimer Program (auto reimbursement plan).

Skills

Supervisory experience

Managed care experience

Root cause analysis

MS Office

Oral and written communication

Interpersonal skills

Organizational skills

Education

RN license Tennessee

MSW license (active unrestricted)

Job description

Join Our Care Coordination Leadership Team!

Join Our Care Coordination Leadership Team! Our BlueCare team is seeking a CHOICES Care Coordinator Supervisor for the Middle Tennessee Region with expertise in Medicaid, Long-Term Services and Supports (LTSS), case management, and leadership and a genuine passion for serving elderly and physically disabled individuals. In this role, you will lead, mentor, and support a team of Care Coordinators responsible for managing the complex needs of CHOICES members across Middle Tennessee. You will oversee daily operations, provide clinical and operational guidance, monitor performance and quality standards, and ensure members receive the support and services needed to remain safely in their homes or nursing facilities. As a Supervisor, you will play a critical role in driving member-centered outcomes, addressing barriers to care, ensuring contractual and regulatory compliance, and fostering a culture of accountability, collaboration, and excellence. You will serve as a key resource for staff, providing coaching, resolving escalated issues, partnering with providers and community stakeholders, and supporting organizational goals through effective leadership. This position is ideal for a self-motivated and adaptable leader who thrives in a fast-paced, mission-driven environment. The Supervisor must be comfortable balancing multiple priorities, responding to changing business needs, and supporting both operational and member-facing activities.

In addition to supervisory responsibilities, there may be occasions when business needs require the Supervisor to temporarily carry a member caseload, particularly during staffing transitions or other operational circumstances. The ability to effectively manage direct member responsibilities while maintaining leadership oversight is essential to this role.

Key Highlights

• Lead and support a geographically dispersed team of Care Coordinators serving CHOICES members throughout Middle Tennessee
• Provide hands‑on guidance for complex, high‑profile, and escalated member situations
• Collaborate with providers, nursing facilities, community partners, and internal departments to address member needs and service gaps
• Monitor performance, quality metrics, documentation standards, and regulatory compliance
• Coach and develop staff through ongoing training, case consultation, and performance management
• Assist with workforce planning, onboarding, workload balancing, and operational improvement initiatives
• Maintain accurate and timely completion of multiple reports, audits, and deliverables with strict deadlines
• Provide direct support during member crises, challenging family interactions, and critical care coordination situations
• Regular travel throughout the Middle Tennessee region as business needs dictate

Area Covered: Bedford, Cannon, Coffee, Dickson, Giles, Hickman, Humphreys, Lawrence, Lewis, Lincoln, Marshall, Maury, Perry, Van Buren, Warren, and Williamson Counties

If you are passionate about serving vulnerable populations, developing high‑performing teams, and making a meaningful impact in the lives of CHOICES members, we would love to connect with you.

Job Responsibilities

• Monitor performance of staff including service performance and adherence to established utilization benchmarks.
• Provide and/or coordinate staff training for maximum performance and provide developmental opportunities.
• Supervise, direct, and evaluate a diverse group of health care professionals to assure effectiveness of consumer advocate, ancillary, discharge, institutional, care coordinator assistant and home and community‑based care coordinator activities.
• May be required periodically to carry case load of members, when dictated by census fluctuations or staffing coverage.
• Responsible for communicating and mentoring members of the care coordination team to ensure long‑term and home and community based care guidelines, policies, and procedures are followed.
• Valid driver's license.
• 90% day travel required.
• Employee may be required to participate in Runzhimer Program (auto reimbursement plan).
• Various immunizations &/or associated medical tests may be required for this position.

Job Qualifications

• Experience 3 years - Supervisory experience required
• 2 years - Experience in the health insurance/managed care field required
• Skills\\Certifications Ability to conduct root cause analysis, plan, organize and coordinate multiple projects
• Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills
• License Registered nurse with an 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 Act; or Masters in Social Work with an active unrestricted license.

BBEX 11 AEP Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, 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 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.

As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945. 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. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST. We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we serve members.

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 position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance.