Pediatric Nurse Care Manager - Home Visits & Caseload Lead

BlueCross BlueShield of Tennessee; Tennessee; Sur place; USD 70 000 - 95 000; Plein temps

Résumé du poste

BlueCross BlueShield of Tennessee is seeking a Nurse Care Manager with pediatric experience to support children under 18 with disabilities and complex medical needs. You will empower families, perform assessments, and develop support plans to improve health outcomes and access to services.

The role requires RN licensure in Tennessee (or compact state), pediatric experience, and strong communication skills. Travel to member homes may be required.

Qualifications

• RN license active in TN or compacts state per Nurse Licensure Compact.
• Pediatric experience preferred, ideally from acute care settings.
• Strong communication, organizational skills, and attention to detail.

Responsabilités

• Manage a caseload of multiple complex pediatric members.
• Conduct member visits including home visits and meet contract timelines.
• Perform new member visits and ongoing assessments.
• Develop and maintain Person Centered Support Plans.
• Coordinate care with private insurance and Medicaid to ensure coverage.

Connaissances

Oral & written comms

PC skills

Description du poste

BlueCross BlueShield of Tennessee is seeking a Nurse Care Manager with pediatric experience to support children under 18 with disabilities and complex medical needs. You will empower families, perform assessments, and develop support plans to improve health outcomes and access to services.

The role requires RN licensure in Tennessee (or compact state), pediatric experience, and strong communication skills. Travel to member homes may be required.