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Blue Cross Blue Shield of Arizona · 2 months ago

RN Clinical Care Guide- Scottsdale (Case Management Experience Required) (Onsite)

Prosano Scottsdale 7373 North Scottsdale Rd Scottsdale, AZ 85253

Full-time

Onsite

Mid Level

Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, is focused on delivering affordable and personalized care through their Advanced Primary Care model. The Clinical Care Guide (RN) will support patients with specialist and diagnostic navigation, emphasizing customer care excellence and collaboration within the care team.

Financial ServicesHealth CareHealth InsuranceInsurance

H1B Sponsor Likely

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 may include extended hours

This position requires 100% on-site work at the care center location and may also involve movement between clinics as needed

Qualification

Registered Nurse LicenseBLS CertificationCase Management CertificationElectronic Medicare RecordsCustomer Service ExperienceEmpathyAdvocacyInterpersonal SkillsCommunication SkillsOrganizational SkillsCollaboration Skills

Required

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

Preferred

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

Company

Blue Cross Blue Shield of Arizona

Glassdoor3.6

Blue Cross Blue Shield of Arizona is a non-profit company that offers health insurance and financial services.

Founded in 1939

Phoenix, Arizona, USA

1001-5000 employees

https://www.azblue.com

H1B Sponsorship

Blue Cross Blue Shield of Arizona has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2024 (2)

2023 (5)

2022 (2)

2021 (1)

2020 (5)