Full-Time

RN Clinical Care Guide

Case Management Exp

Confirmed live in the last 24 hours

Blue Cross Blue Shield

Blue Cross Blue Shield

1,001-5,000 employees

Healthcare

Mid, Senior

Gilbert, AZ, USA

Requires 100% on-site work at the care center location and may involve movement between clinics as needed.

US Top Secret Clearance Required

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Requirements
  • 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
  • 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
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
Blue Cross Blue Shield

Blue Cross Blue Shield

View

Company Stage

N/A

Total Funding

N/A

Headquarters

Chicago, Illinois

Founded

1910

Growth & Insights
Headcount

6 month growth

0%

1 year growth

0%

2 year growth

0%
Simplify Jobs

Simplify's Take

What believers are saying

  • Increased demand for telehealth services boosts virtual care solutions.
  • Rise of personalized medicine offers tailored health plans for genetic profiles.
  • Growing mental health awareness leads to expanded coverage in plans.

What critics are saying

  • Class action lawsuit over anti-competitive practices threatens reputation.
  • $2.8 billion antitrust settlement increases regulatory scrutiny.
  • Dismissal of COVID-19 test claims lawsuit may set future legal precedents.

What makes Blue Cross Blue Shield unique

  • Blue Cross Blue Shield partners with Folx Health for LGBT-affirming care access.
  • MemorialCare hospitals achieve Blue Distinction Centers for excellence in surgeries.
  • Collaboration with American Spine Registry enhances data-driven quality evaluations.

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