Remote: not held to onsite requirements, however, leadership can request presence onsite for ... NLC) as an RN within the first 60 days of hire. Required Certifications * N/A PREFERRED ...
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... NLC) as an RN within the first 60 days of hire. Required Certifications * N/A PREFERRED ...
Bilingual Case Management Nurse
Phoenix, AZ · On-site +1
Active, unrestricted Registered Nurse (RN) license in state of residence; Compact License (NLC ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment
Bilingual Case Management Nurse
Phoenix, AZ · On-site +1
Active, unrestricted Registered Nurse (RN) license in state of residence; Compact License (NLC ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment
Bilingual Case Management Nurse
Phoenix, AZ · On-site +1
Active, unrestricted Registered Nurse (RN) license in state of residence; Compact License (NLC ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment
Bilingual Case Management Nurse
Phoenix, AZ · On-site +1
Active, unrestricted Registered Nurse (RN) license in state of residence; Compact License (NLC ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment
Medical Nutrition Spc - Remote
Phoenix, AZ · On-site +1
$29.25 - $39.25/hr
Collaborates remotely with physicians, nurses, case managers, and other healthcare professionals ... Registered Dietitian/Registered Dietitian Nutritionist (RD or RDN), Required * Licensed Dietitian ...
Medical Nutrition Spc - Remote
Phoenix, AZ · On-site +1
$29.25 - $39.25/hr
Collaborates remotely with physicians, nurses, case managers, and other healthcare professionals ... Registered Dietitian/Registered Dietitian Nutritionist (RD or RDN), Required * Licensed Dietitian ...
Medical Nutrition Spc - Remote
Phoenix, AZ · Remote
$29.25 - $39.25/hr
Collaborates remotely with physicians, nurses, case managers, and other healthcare professionals ... Registered Dietitian/Registered DietitianNutritionist (RD or RDN),Required * Licensed Dietitian for ...
Medical Nutrition Spc - Remote
Phoenix, AZ · Remote
$29.25 - $39.25/hr
Collaborates remotely with physicians, nurses, case managers, and other healthcare professionals ... Registered Dietitian/Registered DietitianNutritionist (RD or RDN),Required * Licensed Dietitian for ...
Nurse Practitioner
Phoenix, AZ · On-site +1
This fully remote role supports readmission avoidance, care continuity, and patient stabilization ... Registered with AHCCCS preferred • Experience with chronic conditions and care management ...
Nurse Practitioner
Phoenix, AZ · On-site +1
This fully remote role supports readmission avoidance, care continuity, and patient stabilization ... Registered with AHCCCS preferred • Experience with chronic conditions and care management ...
Nurse Practitioner
Phoenix, AZ · Remote
This fully remote role supports readmission avoidance, care continuity, and patient stabilization ... Registered with AHCCCS preferred • Experience with chronic conditions and care management ...
Nurse Practitioner
Phoenix, AZ · Remote
This fully remote role supports readmission avoidance, care continuity, and patient stabilization ... Registered with AHCCCS preferred • Experience with chronic conditions and care management ...
Chinle Medical Eligibility Assessor
Chinle, AZ · On-site +1
$27.87/hr
REMOTE OPTIONS, CHINLE Categories: Social Work/Human Services AHCCCS Arizona Health Care Cost ... RN licensure, or a relevant degree. • Bilingual (fluent) in Navajo • Valid Driver's License ...
Chinle Medical Eligibility Assessor
Chinle, AZ · On-site +1
$27.87/hr
REMOTE OPTIONS, CHINLE Categories: Social Work/Human Services AHCCCS Arizona Health Care Cost ... RN licensure, or a relevant degree. • Bilingual (fluent) in Navajo • Valid Driver's License ...
Licensed Psychologist- Remote
Phoenix, AZ · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Quick apply
Licensed Psychologist- Remote
Phoenix, AZ · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Claims Medical Review Nursing Consultant
Phoenix, AZ · On-site +1
$71K/yr
Minimum: Must maintain a current Arizona medical license (RN or higher) or Arizona Behavioral ... Remote work is a management option and not an employee entitlement or right. An agency may ...
Claims Medical Review Nursing Consultant
Phoenix, AZ · On-site +1
$71K/yr
Minimum: Must maintain a current Arizona medical license (RN or higher) or Arizona Behavioral ... Remote work is a management option and not an employee entitlement or right. An agency may ...
Medical Case Manager
Scottsdale, AZ · On-site +1
This position is hybrid out of Scottsdale, AZ or remote in Arizona. Responsibilities * Uses ... Active unrestricted RN license in Arizona or Utah. * Active unrestricted RN license in California.
Medical Case Manager
Scottsdale, AZ · On-site +1
This position is hybrid out of Scottsdale, AZ or remote in Arizona. Responsibilities * Uses ... Active unrestricted RN license in Arizona or Utah. * Active unrestricted RN license in California.
Medical Case Manager
Scottsdale, AZ · On-site +1
... Manager, RN. PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to ... This position is hybrid out of Scottsdale, AZ or remote in Arizona. * Uses clinical/nursing skills ...
Medical Case Manager
Scottsdale, AZ · On-site +1
... Manager, RN. PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to ... This position is hybrid out of Scottsdale, AZ or remote in Arizona. * Uses clinical/nursing skills ...
RN Clinical Documentation
Phoenix, AZ · On-site +1
$32.75 - $44/hr
Clinical Documentation Option to work fully remote or in-office near Deer Valley, AZ. Must reside ... Registered Nurse (RN) - License State Licensure And/Or Compact State Licensure or Foreign Medical ...
RN Clinical Documentation
Phoenix, AZ · On-site +1
$32.75 - $44/hr
Clinical Documentation Option to work fully remote or in-office near Deer Valley, AZ. Must reside ... Registered Nurse (RN) - License State Licensure And/Or Compact State Licensure or Foreign Medical ...
RN Clinical Documentation
Phoenix, AZ · Remote
$32.75 - $44/hr
Clinical Documentation Option to work fully remote or in-office near Deer Valley, AZ. Must reside ... Registered Nurse (RN) - License State Licensure And/Or Compact State Licensure or Foreign Medical ...
RN Clinical Documentation
Phoenix, AZ · Remote
$32.75 - $44/hr
Clinical Documentation Option to work fully remote or in-office near Deer Valley, AZ. Must reside ... Registered Nurse (RN) - License State Licensure And/Or Compact State Licensure or Foreign Medical ...
Credentialing Administrator - Healthcare Staffing and Home Care
Phoenix, AZ · Remote
$25 - $28/hr
Location: Remote position based in Arizona Employment Type: PRN Employee Anticipated Hours ... Verify RN and LPN licences through the relevant state board and Nursys, where applicable. * Verify ...
Quick apply
Credentialing Administrator - Healthcare Staffing and Home Care
Phoenix, AZ · Remote
$25 - $28/hr
Location: Remote position based in Arizona Employment Type: PRN Employee Anticipated Hours ... Verify RN and LPN licences through the relevant state board and Nursys, where applicable. * Verify ...
Recruitment Administrator - Healthcare workforce
Phoenix, AZ · Remote
$22 - $28/hr
Location: Arizona-based remote position Employment Type: PRN Employee Initial Availability ... Source RNs, LPNs, CNAs and caregivers throughout Arizona. * Proactively search candidate databases ...
Quick apply
Recruitment Administrator - Healthcare workforce
Phoenix, AZ · Remote
$22 - $28/hr
Location: Arizona-based remote position Employment Type: PRN Employee Initial Availability ... Source RNs, LPNs, CNAs and caregivers throughout Arizona. * Proactively search candidate databases ...
Licensed Professional Counselor - Remote
Phoenix, AZ · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Quick apply
Licensed Professional Counselor - Remote
Phoenix, AZ · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Psychiatric Nurse Practitioner (PMHNP)
Yuma, AZ · On-site +1
This is not a fully remote position. Open Locations: * Yuma: 1960 E Palo Verde St., Suite 1 Yuma ... Active and unrestricted Arizona APRN/PMHNP licensure" if this is for Arizona. * Active PMHNP ...
Psychiatric Nurse Practitioner (PMHNP)
Yuma, AZ · On-site +1
This is not a fully remote position. Open Locations: * Yuma: 1960 E Palo Verde St., Suite 1 Yuma ... Active and unrestricted Arizona APRN/PMHNP licensure" if this is for Arizona. * Active PMHNP ...
Licensed Clinical Social Worker- Remote
Phoenix, AZ · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Quick apply
Licensed Clinical Social Worker- Remote
Phoenix, AZ · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Licensed Marriage and Family Therapist - Remote
Phoenix, AZ · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Quick apply
Licensed Marriage and Family Therapist - Remote
Phoenix, AZ · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Cigna Rn Remote information
What is a Cigna RN Remote?
A Cigna RN Remote job is a work-from-home nursing position where registered nurses provide telephonic or virtual patient care, case management, or health coaching. Nurses in this role typically assess patient needs, coordinate care plans, and educate members on managing their health conditions. These positions may be in areas like utilization management, disease management, or triage nursing. The job requires an active RN license, clinical experience, and strong communication skills.
What skills and qualifications are needed for a Cigna RN Remote?
To thrive as a Cigna RN Remote, you need an active RN license, strong clinical assessment abilities, and experience in case management or telehealth nursing. Familiarity with electronic health record (EHR) systems, secure communication platforms, and care coordination software is typically required. Excellent time management, self-motivation, and effective virtual communication are key soft skills for this remote position. These competencies are vital for delivering high-quality patient care, maintaining compliance, and efficiently collaborating within a virtual healthcare team.
What challenges do Cigna RN Remote professionals face, and how can they be managed?
Cigna RN Remote professionals often face challenges such as balancing multiple case loads, adapting to limited in-person patient interactions, and maintaining clear communication with both patients and colleagues in a virtual setting. To manage these challenges, it's important to develop strong organizational skills, leverage digital health tools effectively, and proactively participate in virtual team meetings. Continuous learning and regular collaboration with support staff also help remote RNs stay informed and connected. By staying engaged and utilizing available resources, remote nurses can overcome common hurdles and excel in providing patient-centered care from home.
What are popular job titles related to Cigna Rn Remote jobs in Arizona?
For Cigna Rn Remote jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Cigna Rn Remote jobs in Arizona look for?
The top searched job categories for Cigna Rn Remote jobs in Arizona are:
What cities in Arizona are hiring for Cigna Rn Remote jobs?
Cities in Arizona with the most Cigna Rn Remote job openings:

Full-time
Re-posted 5 days ago
Key responsibilities
Develops, delivers, and evaluates clinical training programs for health plan clinical operations staff, including onboarding, annual training, and compliance training.
Serves as a subject matter expert on policies, procedures, and regulatory requirements related to NCQA, CMS, and AHCCCS, providing coaching and support to staff.
Performs audits and case reviews to ensure staff compliance with standards and develops audit tools to meet regulatory requirements.
Blue Cross Blue Shield Of Arizona rating
5.9
Based on 13 frontline employees who took The Breakroom Quiz
295th of 315 rated insurance
Job description
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
- Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
- Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
- Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
- Onsite: daily onsite requirement based on the essential functions of the job
- Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building
Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
PURPOSE OF THE JOB
The Clinical Trainer and Auditor is responsible for planning, developing, delivering, coordinating, and evaluating a variety of clinical education programs for health plan clinical operations staff. Training programs include but aren't limited to that required for NCQA accreditation, New Hire Orientation, Annual Training, Model of Care Training, and CMS and AHCCCS requirements.
QUALIFICATIONS
REQUIRED QUALIFICATIONS
Required Work Experience
- 3 years' experience in clinical care
- 2 years of work experience in a managed care setting
- Prior experience in NCQA Surveys, CMS Program Audit, and/or AHCCCS Operational Review
- Prior audit experience
Required Education
- Bachelor degree in Nursing
- Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN within the first 60 days of hire.
Required Certifications
- N/A
PREFERRED QUALIFICATIONS
Preferred Work Experience
- 5 years' experience in clinical care
- Physical and behavioral health experience
- 2 years' experience in a training role
- 5 years' experience working in a managed care organization
- Training program development
- Knowledge of population health concepts and models
- Knowledge of medical and care management models
- Knowledge of IRR process
- Master's Degree in Nursing
- N/A
Preferred Certifications
- N/A
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
- Consults with clinical operations leaders to identify, develop, and respond to training needs and requests Develops curriculum, maintains currency, and revises as appropriate Plan, coordinate, deliver, and evaluate clinical training for clinical operations programs, including:
- New hire onboarding
- Annual Training
- Customer service excellence
- Quality and performance metrics
- Ongoing professional growth, compliance, and regulatory training
- Serve as a resource for staff in areas of clinical practice, clinical professional development, using coaching, mentoring, effective feedback, and motivation support techniques
- Serve as subject matter expert on policies and procedures, and desktop procedures related to NCQA, CMS, and AHCCCS requirements
- Utilize a variety of the training methodologies, techniques, concepts, learning tools, and practices
- Provide online and conference call training session for remote employees
- Develop valid exercises designed to provide effective hands-on practice to new and existing employees
- Monitor and report on the effectiveness of education/training programs
- Create and develop training for employees not able to meet or maintain standards of excellence
- Develops audit tools that meet NCQA, CMS, and AHCCCS requirements
- Perform case reviews/audits and IRR analysis, according to standards
- Audits staff phone calls and written documentation according to policy
- Conducts periodic audits of documents such as HRA, ETI, Assessments, Care Plans, Medical Necessity Documentation to ensure compliance
- Provide documentation of staff training according to accreditation and regulatory requirements
- Collaborate with BCBSAZ Training and Workforce Development department
- Participate in continuing education and current developments in the field of accreditation, medicine, behavioral health, social determinants of health, and managed care at least annually.
- 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.
- Perform all other duties as assigned
- Maintain a thorough knowledge of all BCBSAZ medical coverage guidelines and other policies
- Assist manager with policy and practice guideline development and revisions as well as necessary coaching to help each staff member reach personal, professional and department goals
COMPETENCIES
REQUIRED COMPETENCIES
Required Job Skills
- Intermediate PC proficiency: Intermediate skill in word processing, spreadsheet, and database software
- Excellent communication, collaboration, and training skills.
- Ability to manage multiple tasks and prioritize work to adhere to deadlines and identified time frames
- Ability to learn new applications
Required Professional Competencies
- Knowledge of NCQA, CMS, and AHCCCS Standards
- Demonstrates knowledge of accreditation, regulatory, and certification requirements
- Current clinical knowledge
- Collaborates with Information Technology to maximize the utilization of the medical management system (CareRadius) and technologies to support compliance
- Interpret and translate policies, procedures, programs and guidelines
- Communicate outcomes to leadership
- Understand and interpret data to effectively create curriculum based on needs identified
PREFERRED COMPETENCIES
Preferred Job Skills
- Advanced PC proficiency
- Advanced processing, spreadsheet and presentation software proficiency
- Detail Oriented
- Results driven
- Strong organizational skills
Preferred Professional Competencies
- Uses formal instructional design methodology to develop and support sophisticated, complex and/or enterprise-wide, competency-based training, skills, and education
Preferred Leadership Experience and Competencies
- Demonstrated skills and competence in training methods
- Demonstrates effective presentation skills
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.
What Blue Cross Blue Shield Of Arizona employees say
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Benefits
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About Blue Cross Blue Shield of Arizona
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Phoenix, AZ, US
Year founded
1939