Supervisor Utilization Management (RN) - Remote at BlueCross BlueShield of Tennessee

About the position

The position involves overseeing clinical management programs and ensuring that departmental goals are met through effective monitoring of productivity and performance. The successful candidate will be responsible for identifying areas for quality improvement and implementing updated processes to enhance service delivery. This role requires coordination of clinical interfaces with both internal and external clients to ensure that high-quality services are consistently provided. Additionally, the position entails supervising staff, which includes hiring, motivating, and evaluating team members to ensure the effectiveness of programs and the professional evaluation of clinical services. The candidate will play a crucial role in facilitating the implementation of various programs, policies, and procedures related to clinical management, thereby contributing to the overall success of the organization. The ideal candidate will possess a strong clinical background, with at least four years of clinical experience and two years of supervisory experience. Experience in Utilization Management or Case Management is also required. The role demands excellent communication skills, both oral and written, as well as the ability to conduct effective presentations. Leadership abilities that foster employee growth and development are essential, along with independent decision-making and problem-solving skills. A Registered Nurse (RN) license, active in the state of Tennessee or in a participating state under the Nurse Licensure Compact Law, is mandatory for this position.

Responsibilities
?? Monitoring productivity and performance based on departmental goals.
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?? Identifying areas for quality improvement and ensuring updated processes are implemented.
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?? Facilitating the implementation of programs, policies, and procedures related to clinical management programs.
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?? Coordinating clinical interface with internal/external clients to ensure delivery of quality services.
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?? Supervising, hiring, motivating, and evaluating staff to assure effectiveness of programs and appropriate professional evaluation of clinical services.

Requirements
?? 4 years of clinical experience required.
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?? 2 years of supervisory experience required.
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?? 1 year of experience in Utilization Management or Case Management required.
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?? Ability to speak in public and conduct effective presentations.
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?? Proven leadership abilities that promote growth and development of employees.
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?? Independent, sound decision-making and problem-solving skills.
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?? Excellent oral and written communication skills.
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?? 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.

Nice-to-haves

Benefits
?? Remote work options available for employees across the U.S. (with some state restrictions).
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?? Relocation benefits for applicants moving to Chattanooga, TN.

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