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Statewide ECF CHOICES Manager (Chattanooga, Knoxville)

Role overview

Qualifications

  • RN with current Certification from the Developmental Disabilities Nurses Association as a Certified Developmental Disabilities Nurse (CDDN) for RNs
  • Bachelor’s degree in social work, nursing, education or other human service or health care profession
  • 5 years of supervisory experience required
  • 3 years of experience providing support coordination to persons receiving long-term care and/or home and community-based services required

Responsibilities

  • Evaluate and enhance the efficiency, effectiveness, and quality of work flow
  • Manage supervisory level personnel and support coordination staff
  • Develop and maintain reporting mechanisms to allow for tracking, trending, and monitoring of initiatives and outcomes
  • Ensure compliance with federal, state, and agency policies, procedures, and standards

Key facts

Hard skills

Other skills

  • Leadership
  • Program Management
  • Team Building
  • Communication
  • Social Skills
  • Organizational Skills
  • Problem Solving

About the company

BlueCross BlueShield of Tennessee logo

BlueCross BlueShield of Tennessee

Health Insurance (Payers)

As Tennessee's largest health plan, we've been helping Tennesseans find their own unique paths to good health for more than 70 years. 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. Our mission is simple: peace of mind through better health. We're an independent, not-for-profit, locally governed health plan company – meaning we live and work alongside our Tennessee business customers and plan members. Our 6,000 employees across the state have built our strong reputation for integrity, excellent service and community leadership. But we are also part of the BlueCross BlueShield Association, a nationwide association of health care plans. Because of this, our plan members have access to the same quality health benefits while traveling or living out of state that they have while in Tennessee. © 2018 BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association.

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size5001 - 10000

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Job description

We are hiring a Statewide ECF CHOICES Manager on our ECF CHOICES team at BCBST!

In this role, you will provide statewide operational leadership and oversight for ECF CHOICES programs, ensuring high-quality service delivery, regulatory compliance, and consistent application of program policies and procedures. You will lead workforce development initiatives, support employee engagement and retention efforts, and provide performance management and staff development across the program. This position also plays a critical role in clinical oversight, operational excellence, and driving positive outcomes for ECF CHOICES members and the teams that support them.

To be successful in this role, in addition to the core job requirements, you'll bring strong leadership skills, the ability to manage complex programs, and experience navigating healthcare regulations and community-based services. You will be a strong candidate for this role if you have experience working within ECF CHOICES, LTSS, TennCare or other home and community-based programs, along with a proven track record of leading teams, ensuring compliance, and driving operational performance.

Note:

  • Candidates located in the Chattanooga or Knoxville area are preferred; however, qualified candidates from other areas of Tennessee will be considered.
  • Occasional travel throughout Tennessee is required.
  • Experience with ECF CHOICES, LTSS TennCare, or community-based programs is strongly preferred.

Job Responsibilities:

  • Evaluate and enhance the efficiency, effectiveness, and quality of work flow, and lead performance improvement efforts to identify opportunities for improvement and to implement best practice solutions.
  • Manage supervisory level personnel and support coordination staff, as well as hiring and ongoing training of the support coordination team. Interact, facilitate, and establish partnerships and collaborations with internal and external stakeholder.
  • Develop and maintain reporting mechanisms to allow for tracking, trending, and monitoring of initiatives and outcomes. Facilitate gathering, analyze, and present data to comply with reporting requirements.
  • Ensure compliance with federal, state, and agency policies, procedures, and standards through documentation review, clinical outcomes analysis, and staff education.

Job Qualifications

Education

  • RN with a preference that such individuals also have current Certification from the Developmental Disabilities Nurses Association as a Certified Developmental Disabilities Nurse (CDDN) for RNs; or 
  • Have a bachelor’s degree in social work, nursing, education or other human service (e.g. psychology, sociology) or health care profession or other related field;
  • Meet the federal requirements for a Qualified Developmental Disabilities Professional (QDDP) or Qualified Intellectual Disabilities Professional (QIDP)

Experience

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

Skills/Certifications

  • Proven analytical and problem solving skills, ability to perform non-routine analytical tasks, team development, and ability to navigate complex, multi-system challenges
  • Proven leadership abilities that promote growth and development of employees
  • Excellent oral and written communication skills
  • Strong interpersonal and organizational skills
  • Demonstrated leadership skills
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)

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.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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