BlueCross BlueShield of South Carolina

Supervisor Case Management

US-AnywhereRemote in Chattanooga, TN
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Active Registered Nurse (RN) license in Tennessee or a compact state
  • 5 years of experience in healthcare or operations
  • 3 years of clinical experience
  • 2 years of leadership or management experience
  • 1 year in Utilization or Case Management
  • 2 years in Intellectual and Developmental Disabilities (IDD) for specific roles

Responsibilities

  • Monitor productivity and performance against departmental goals
  • Supervise, hire, and evaluate staff to ensure program effectiveness
  • Coordinate clinical operations with internal and external partners
  • Implement clinical management programs, policies, and procedures
  • Conduct quality audits and provide training based on findings
  • Communicate effectively via digital channels; assess typing and grammar skills
  • Complete required immunizations and medical tests as needed

Benefits

  • Encouragement of innovation and responsible use of AI tools
  • Supportive culture during periods of program growth
  • Focus on improving maternal and neonatal health outcomes
  • Leadership role in a dynamic, fast-paced care management environment
  • Opportunity to influence high-risk and high-cost care management strategies
Full Job Description

We are seeking a results-driven and people-focused Clinical Supervisor for Women and Children’s Health who is committed to strengthening frontline execution and ensuring consistent, high-quality delivery of our Healthy Maternity (HM), High-Risk OB (HROB), and NICU case management programs. In this role, you will serve as a critical operational leader—coaching and developing a team of care managers, overseeing daily workflows, and ensuring quality, productivity, and adherence to evidence-based practices that directly impact maternal and neonatal outcomes. You will play a key role in onboarding and supporting a rapidly growing team, providing real-time guidance, performance management, and issue resolution to maintain stability during periods of expansion and change. Your leadership will help translate program strategy into effective execution, ensuring that high-risk and high-cost populations are engaged consistently and that care management interventions deliver measurable value, including reductions in NICU readmissions and total cost of care

To be successful in this role, you will need strong coaching and team leadership skills, the ability to manage performance and quality in a dynamic environment, and a focus on operational excellence that supports both clinical outcomes and financial performance. This position is ideal for a leader who thrives in fast-paced care management settings and is motivated by improving outcomes for mothers and infants while supporting sustainable program growth through strong frontline execution.

Notes:

  • Sponsorship is not available for this role.
  • 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.

Job Responsibilities

  • Monitoring productivity and performance based on departmental goals; identifying areas for quality improvement and ensuring updated processes are implemented.
  • Supervises, hires, motivates, and evaluates staff to assure effectiveness of programs and appropriate professional evaluation of clinical services.
  • Coordinates clinical interface with internal/external clients to ensure delivery of quality services.
  • Facilitates the implementation of programs, policies, and procedures related to clinical management programs.
  • Performing quality audits and review audit findings, providing feedback and training to staff as needed regarding clinical or technical information
  • Digital positions must have the ability to effectively communicate via digital channels and offer technical support; typing and grammar skills assessment is required for these positions, in addition to standard Windows 7 Testing.
  • Various immunizations and/or associated medical tests may be required for this position.

Job Qualifications

License

  • 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.

Experience

  • 5 years - Experience in the healthcare industry or in an operations type environment required
  • 3 years - Clinical experience required
  • 2 years - Experience in a leadership/management role required
  • 1 year - Utilization Management, or Case Management experience required
  • For Select Community & Katie Beckett: 2 years experience in IDD is required

Skills\Certifications

  • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
  • Must be a team player, be organized and have the ability to handle multiple projects
  • Excellent oral and written communication skills
  • Strong interpersonal and organizational skills

Number of Openings Available

1

Worker Type:

Employee

Company:

BCBST BlueCross BlueShield of Tennessee, Inc.

About BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina is a health insurance company that provides coverage to over 5 million people in South Carolina and beyond. The company was founded in 1946 and is headquartered in Columbia, South Carolina. BlueCross BlueShield of South Carolina offers a variety of health insurance plans, including individual and family plans, Medicare plans, and employer-sponsored plans. The company is committed to improving the health of its members and the communities it serves, with initiatives focused on wellness, disease prevention, and access to care. BlueCross BlueShield of South Carolina is a subsidiary of the Blue Cross Blue Shield Association, a national federation of 36 independent, community-based and locally operated Blue Cross Blue Shield companies.
Learn more about BlueCross BlueShield of South Carolina
Size
12,000 employees
Industry

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