Social Worker

BlueCross BlueShield of Tennessee; United States; Remote; USD 55,000 - 76,000; Full time

Job summary

BlueCross BlueShield of Tennessee is seeking a remote Social Work Case Manager to support elderly and disabled members through telephonic outreach, care coordination, and resource connection. You will partner with members, families, and providers to address barriers and improve health outcomes.

The role requires an active Tennessee social work license and 3 years’ care coordination experience, with preference for SNF, inpatient, discharge planning, or hospice backgrounds.

Qualifications

• Master's degree in Social Work (MSW) required.
• Active Tennessee social work license (LCSW or LMSW) required or eligible.
• 3 years’ experience in care coordination for long-term care/home and community-based services.

Responsibilities

• Provide crisis intervention and assess social and emotional needs.
• Coordinate with families, providers, and external agencies for post-discharge care.
• Conduct telephonic outreach and care planning to improve health outcomes.
• Conduct home visits if required and participate in discharge planning.
• Address barriers to care and connect members to resources.

Skills

Care coordination

Communication

Cultural awareness

Education

Master's degree in Social Work

Job description

Join our Population Health team as a remote Social Work Case Manager and make a meaningful impact in the lives of elderly and disabled members. Through telephonic outreach, care coordination, advocacy, and connecting members to community and healthcare resources, you will support members with complex medical, behavioral, and social needs while empowering them to achieve their goals. In this role, you will partner with members, providers, caregivers, and community organizations to address barriers to care and improve health outcomes.

To be successful in this role, you must hold an active Tennessee Social Work license and demonstrate strong communication, organization, and care coordination skills. We are particularly interested in candidates with experience in skilled nursing facilities (SNF), acute inpatient settings, discharge planning, community resource coordination, or hospice care. If this sounds like your next career move, apply today and join us in helping members achieve better health outcomes and improved quality of life.

Note:

• This is a remote position with flexible scheduling available within business hours of 8:00 a.m. to 6:00 p.m. EST.

• CCM certification is preferred but not required.

• We foster a culture of innovation and encourage the responsible use of AI-enabled tools to improve accuracy, efficiency, and outcomes

Job Responsibilities

• Providing crisis intervention and helping families to understand the complexities and impact of the medical situation.

• Assessing patient and family's needs for, and responses to, healthcare services on an ongoing basis.

• Interviewing patients and planning activities to meet the social and emotional needs of them and their families, and to facilitate the recovery psychologically, emotionally and physically.

• Coordinating with external agencies and home care nursing group for post-discharge care.

• Must be able to perform home visits if necessary.

Job Qualifications

License

• Clinical Licensure or Education Master's degree required and one of the following unrestricted TN licensures: LCSW or LMSW.

• Valid Driver's License required.

Experience

• 3 years - Experience providing care coordination to persons receiving long-term care and/or home and community based services required

• Various immunizations and/or associated medical tests may be required for this position.

Skills\Certifications

• Must be detailed oriented, deal well with ambiguity, demonstrate strong strategic thinking and creativity skills, be an effective communicator with both internal and external partners/customers

• Awareness of the impact of cultural/socioeconomic status pertaining to the use of healthcare and mental health care services.

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 driver’s 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

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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 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.