Full-Time

RN Clinical Care Guide

Posted on 12/21/2024

Blue Cross Blue Shield

Blue Cross Blue Shield

1,001-5,000 employees

Healthcare

Junior, Mid

Sun City, AZ, USA

Requires 100% on-site work at the care center location.

US Top Secret Clearance Required

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Required Skills
Customer Service

You match the following Blue Cross Blue Shield's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • Excellent interpersonal skills to include maintaining courteous, friendly and effective communications with patients, team members and external parties
  • Current state license to practice as a Registered Nurse
  • BLS certification
  • Electronic Medicare Records experience
  • Customer service orientation and experience
  • Strong communication skills across multiple modalities
  • Highly collaborative
  • Empathy and advocacy
  • Exceptional organizing skills, detail-orientation
  • Must be able to maintain confidentiality at all times
  • Active AZ fingerprint clearance card
Responsibilities
  • Support members both in-person and virtually with real-time consultation, education, scheduling of specialist & diagnostic referral appointments, and follow-through + follow-up of those appointments
  • Play a critical role in the achievement of improved health outcomes and cost savings
  • Be an empathetic problem-solver and become the most visible partner to all patients
  • Clarify and explain referral for specialist and diagnostic service recommendations
  • Care for end to end process as needed, for referral or specialist services
  • Lead center in development and management of quality programs to include patient outreach to members in an effort to provide an elevated primary care experience with gaps in care or other clinical needs
  • Support members with chronic conditions by providing education, reminders, and other support
  • Handle the management and integration of office processes
  • Lead service and schedule requests on member’s behalf
  • Inform and equip Care Team with referral information and requirements
  • Be an ambassador in the local community - building relationships with other healthcare providers, social/community organizations, and marketing partners
  • Perform all other duties as assigned
  • Working hours include morning, night, or weekend hours
  • This position requires 100% on-site work at the care center location and may also involve movement between clinics as needed
Desired Qualifications
  • Bachelor's degree in Nursing (BSN)
  • Case Management Certification (CCM)
  • Proficiency with other health care related software platforms
  • High degree of independence, flexibility, initiative and commitment
Blue Cross Blue Shield

Blue Cross Blue Shield

View

Company Stage

N/A

Total Funding

N/A

Headquarters

Chicago, Illinois

Founded

1910

Simplify Jobs

Simplify's Take

What believers are saying

  • Telehealth expansion can meet growing consumer demand post-COVID-19 pandemic.
  • Value-based care models can improve patient satisfaction and reduce operational costs.
  • Increasing demand for mental health services offers growth opportunities for BCBS.

What critics are saying

  • Rising healthcare claims costs could strain BCBS's financial resources.
  • Antitrust lawsuits may lead to significant financial penalties and regulatory scrutiny.
  • COVID-19 vaccine mandate issues could affect workforce stability and public perception.

What makes Blue Cross Blue Shield unique

  • Blue Cross Blue Shield offers Blue Distinction Centers for specialized medical procedures.
  • The company collaborates with cities for community health initiatives like Bluebike unlocks.
  • BCBS promotes data-driven healthcare with leadership roles like VP of Enterprise Data.

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Benefits

Health Insurance

Hybrid Work Options

INACTIVE