Full-Time

RN Clinical Care Guide

Confirmed live in the last 24 hours

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
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

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Simplify's Take

What believers are saying

  • BCBS can expand telehealth services to meet growing demand for remote healthcare.
  • Value-based care models offer BCBS opportunities to improve patient satisfaction and reduce costs.
  • Digital health partnerships can enhance BCBS's patient care and operational efficiency.

What critics are saying

  • BCBS faces legal challenges from antitrust settlements and class action lawsuits.
  • Ethical allegations against a law firm may impact BCBS's reputation and legal standing.
  • Dismissed COVID-19 test claims lawsuit may not prevent future reputational damage.

What makes Blue Cross Blue Shield unique

  • Blue Cross Blue Shield offers Blue Distinction Centers for specialized medical procedures.
  • BCBS collaborates with cities for community health initiatives like Bluebike unlocks.
  • BCBS is recognized for its focus on mental health and pediatric health grants.

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Benefits

Health Insurance

Hybrid Work Options