B

Blue Cross Blue Shield of Arizona

Health insurance products and services

Registered Nurse Clinical Care Guide

Nursing & Frontline Patient CareConfirmed live in the last 24 hours
Full-timeGilbert, AZ, USANo salary listed

About the Job

Requirements

  • A current state license to practice as a Registered Nurse.
  • An Associate's degree in Nursing.
  • BLS certification.
  • Experience with electronic medical records.
  • Customer service orientation and experience.
  • Strong communication skills across multiple modalities.
  • Ability to maintain confidentiality at all times.
  • An active Arizona fingerprint clearance card.

Responsibilities

  • Support members in person and virtually with real-time consultation, education, scheduling of specialist and diagnostic referral appointments, and follow-through and follow-up on those appointments.
  • Contribute to improved health outcomes and cost savings.
  • Explain recommendations for specialist and diagnostic services and manage the referral process as needed.
  • Lead the center's development and management of quality programs, including patient outreach to address gaps in care and other clinical needs.
  • Support members with chronic conditions through education, reminders, and other support.
  • Manage and integrate office processes.
  • Lead service and schedule requests on members' behalf.
  • Inform and equip the Care Team with referral information and requirements.
  • Build relationships with healthcare providers, social and community organizations, and marketing partners in the local community.
  • Perform other duties as assigned.

Desired Qualifications

  • A Bachelor's degree in Nursing (BSN).
  • Case Management Certification (CCM).
  • Proficiency with other healthcare-related software platforms.

About the Company

Blue Cross Blue Shield of Arizona

Health insurance products and services

Blue Cross Blue Shield of Arizona provides health insurance products and services to more than 1 million Arizonans, offering plans for individuals, families, and businesses as well as Medicare supplement plans for seniors. It operates as an independent not-for-profit licensee of the Blue Cross Blue Shield Association with a network-based model: members receive care by choosing providers within a negotiated network, while the insurer handles underwriting, benefits administration, claims processing, and care services. The company differentiates itself through its local Arizona footprint, community involvement, and not-for-profit status, plus a broad local presence across Phoenix and other cities. Its goal is to improve the quality of life for Arizonans by delivering affordable health coverage and tools to help people make better health decisions, supported by community volunteering and charitable contributions.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Phoenix, AZ
Founded
1939

Recently Posted Jobs

Explore more opportunities at Blue Cross Blue Shield of Arizona

See more jobs