BH Case Manager (Memphis)

The Behavioral Health Transition Care Team at BCBST is seeking a Behavioral Health Case Manager to join the team!

In this role, you’ll play a hands-on part in supporting members as they transition from inpatient behavioral health care back into the community. You’ll conduct onsite visits to local acute inpatient psychiatric facilities in the Memphis area at least twice each week, partnering closely with care teams to support thoughtful and effective discharge planning.

You’ll take part in treatment team meetings, where you’ll share insights about member cases and work collaboratively with providers to align on next steps. A core part of your day-to-day work includes helping members identify appropriate behavioral health services and community-based resources following discharge. You’ll also provide telephonic follow‑up to help ensure members feel supported and connected as they continue their recovery.

This role balances onsite presence with remote work. You’ll manage an active caseload, coordinate with internal teams, and work alongside providers to address member needs and resolve challenges as they arise in a fast‑moving environment.

This position is well suited for someone who enjoys variety in their work and is comfortable navigating a dynamic, high‑volume setting. Success often comes from:

• Communicating confidently and constructively with providers and internal partners
• Speaking up when additional support is needed or when opportunities for improvement are identified
• Bringing experience or familiarity with behavioral health, discharge planning, and community‑based resources
• Using good judgment and attention to detail while managing competing priorities
• Being open to using enterprise‑approved AI tools to support care coordination, decision‑making, and workflow efficiency

Note:

• This role includes regular onsite visits in the Memphis area. For this reason, candidates should reside within 25 miles of Memphis, Tennessee.
• Sponsorship is not available for this role.

Job Responsibilities

• Supporting utilization management functions for more complex 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 complex 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.
• Perform case management activities in community settings including face to face with members as required.
• Various immunizations and/or associated medical tests may be required for this position.
• Testing/Assessments will be required for Digital positions.

Job Qualifications

License

• Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master's level or above) (Ph.D., LCSW/LMSW, LLP, MHC, LPC, etc.) required. RN may hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.

Experience

• 3 years - Clinical behavioral health / substance use disorder experience required
• 1 year - Must be knowledgeable about community care resources and levels of behavioral health care available.

Skills\Certifications

• Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
• Independent, Sound decision-making and problem-solving skills
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills
• Strong analytical skills
• Positive relationship building skills and ability to engage and motivate health behaviors in diverse populations
• Ability to quickly identify and prioritize member needs and provide structured and focused support and interventions
• Experience with Motivational Interviewing Techniques and Adult Learning Styles

Number of Openings Available

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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.