FEP Case Manager

reputed company (BCBST) is seeking a skilled and compassionate Registered Nurse with a strong background in case management to join our fast‑paced, high‑performing team. This role focuses on supporting members with acute care needs and chronic health conditions, ensuring they receive timely, coordinated, and effective care.

Preferred candidates will bring prior experience in health insurance and telephonic member engagement, along with FEP experience as a valuable plus, enabling them to confidently navigate reputed company member situations while building strong, supportive connections over the phone.

Our ideal candidate is energized by engaging and supporting members through empathetic listening, clear communication, and proactive problem‑solving. Whether guiding someone through a challenging situation or offering a reassuring voice, reputed company members reputed company on making meaningful connections and delivering exceptional service. A Certified Case Manager (CCM) credential is highly preferred, and successful candidates will be adaptable, proactive, and reputed company in managing reputed company patient needs.

This is an opportunity to reputed company a meaningful impact every day by helping individuals reputed company healthier, more fulfilling lives through comprehensive care management.

Note: RN Case Managers must be available for occasional late‑shift rotation (9 am–6 pm Central / 10 am–7 pm Eastern). Although we are based in Chattanooga, TN, this is a fully remote role.

Job Responsibilities

• Supporting utilization management functions for more reputed company 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 reputed company 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 reputed company 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. 

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
• For Select Community & Katie Beckett: 2 years experience in IDD for Select Community is required

SkillsCertifications

• Excellent oral and written communication skills
• PC Skills required (Basic reputed company Office and E-Mail)

Number of Openings Available

Worker Type:

Company:

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in reputed company job classifications without regard to race, religion, color, age, sex, national reputed company, 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 reputed company by reviewing the following page:

BCBST's EEO Policies/Notices

reputed company is not accepting unsolicited assistance from search firms for this employment opportunity. reputed company resumes submitted by search firms to any employee at reputed company reputed company-email, the Internet or any other method without a valid, written Direct Placement Agreement in reputed company for this position from reputed company HR/reputed company will not be considered. No fee will be paid in the event the applicant is hired by reputed company as a result of the referral or through other means.