Health Risk Assessment Nurse

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

PURPOSE OF THE JOB

The HRA Nurse is responsible for telephonic interactions with the member and compiling data in order to complete the Health Risk Assessment. The HRA Nurse will use this information to create an individualized care plan which will be shared with the member and/or caregiver, and the primary care provider.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

Required Work Experience

• 2 years nursing experience in a health care setting

Required Education

• Associate’s Degree in Nursing field of study

Required Licenses

• Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) as a Registered Nurse (RN) or Practice Nurse (LPN)

Required Certifications

• N/A

PREFERRED QUALIFICATIONS

Preferred Work Experience

• N/A

Preferred Education

• N/A

Preferred Licenses

• N/A

Preferred Certifications

• N/A

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

• Complete both initial and annual Health Risk Assessments
• Utilize risk stratification tools to classify members as low, medium or high acuity
• Work collaboratively with the member to create individualized care plans based on Health Risk Assessment data, chronic conditions, and gaps in care
• Ensure individualized care plans are time sensitive and contain measurable goals
• Collaborate with the Interdisciplinary Care Team to incorporate best practices, assess outcomes and develop individualized care plans
• Ensure the member and all members of the Interdisciplinary Care Team receive a copy of the individualized care plan to ensure continuity of care
• Educate member on the importance of preventive measures and following up with their primary care provider on a regular basis
• Identify members who would benefit from care, disease or behavioral health management programs and make necessary referrals
• Identify gaps in care and address with the member
• All work is documented in the care management system and is complete and accurate according to CMS timelines for completion
• Perform all other duties as assigned
• The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements
• This remote work opportunity requires residency, and work to be performed, within the State of Arizona.

COMPETENCIES

REQUIRED COMPETENCIES

Required Job Skills

• Managed Care/Medicare/Medicaid experience
• Skilled with telephonic Motivational Interviewing
• Computer and software program skills
• Written and verbal skills
• Ability to manage multiple projects and prioritize and adhere to deadlines/time frames
• Complete tasks with little supervision
• Ability to manage high productivity workload

Required Professional Competencies

• N/A

Required Leadership Experience and Competencies

• N/A

PREFERRED COMPETENCIES

Preferred Job Skills

• N/A

Preferred Professional Competencies

• N/A

Preferred Leadership Experience and Competencies

• N/A

Our Commitment

AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona.  For more information on our company, see azblue.com.  If interested in this position, please apply.