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in Chattanooga, TN
Pre-HEDIS Nurse Abstractor - Full-time / Part-time
Hours | Full-time, Part-time |
---|---|
Location | Chattanooga, TN Chattanooga, Tennessee |
About this job
BLUE CROSS BLUE SHIELD
Job Title: Pre-HEDIS Case Manager
Classification: Full Time
Education Required: Graduate of accredited school of nursing/current Tennessee RN license OR current LPN License
Reports to: Department Manager
Qualifications:
General Summary This position is accountable for promoting interdependent collaboration with the member,
physician/primary care manager, family and other members of the health care or case management team.
To accomplish this collaboration, the case manager will assess, implement, monitor, and evaluate available resources in an effort to promote quality, cost effective outcomes while meeting the individual's health needs. The case manager identifies appropriate providers and facilities in an effort to improve or maintain the social, emotional, functional and physical health status of the client, as well as enhance the coping skills of the family or other caregiver.
Job Qualifications Education
* Registered Nurse 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 License Compact Law. Experience
* Minimum of five (5) years health care experience with at least three (3) years of clinical experience
* Prefer two (2) year's experience in Utilization Management, Case Management or Managed Care
Skills/Certifications
* Certified Case Manager (CCM) is preferred upon employment, and Case Managers are required to obtain
certification within 4 years of being hired as a Case Manager
* Excellent oral and written communication skills, with problem-solving abilities
* Basic PC computer skills required with emphasis on Microsoft Office applications preferred
* Various immunizations and/or associated medical tests may be required for this position
About Aerotek:
Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit .
Aerotek is acting as an Employment Agency in relation to this vacancy.