Social Worker

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, 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). Employment Details Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. EEO Statement 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. Company Culture As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945. 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. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST. We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we serve members. BCBST is a remote-first organization with many employees working primarily from their homes. Each position within the company is classified as either fully remote, partially remote, or office based. BCBST hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense. If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance. #J-18808-Ljbffr BlueCross BlueShield of Tennessee, Inc.