Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week * Hybrid ... Associate's Degree in Nursing or related field of study Required Licenses * Active, unrestricted ...
Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week * Hybrid ... Associate's Degree in Nursing or related field of study Required Licenses * Active, unrestricted ...
Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week * Hybrid ... Associate's Degree in Nursing or related field of study Required Licenses * Active, unrestricted ...
Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week * Hybrid ... Associate's Degree in Nursing or related field of study Required Licenses * Active, unrestricted ...
Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week * Hybrid ... Associate's Degree in Nursing or related field of study Required Licenses * Active, unrestricted ...
Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week * Hybrid ... Associate's Degree in Nursing or related field of study Required Licenses * Active, unrestricted ...
RN PCU (Travel Contract) in AZ
Sun City West, AZ · On-site
$2.3K/wk
RN PCU 2369/wk (Travel Contract) in AZ Mesa, Arizona, United States About the Job RN PCU 2369/wk (Travel Contract) in AZ Job Title: RN - PCU Locations: Mesa, Sun City, Sun City West and Tucson ...
RN PCU (Travel Contract) in AZ
Sun City West, AZ · On-site
$2.3K/wk
RN PCU 2369/wk (Travel Contract) in AZ Mesa, Arizona, United States About the Job RN PCU 2369/wk (Travel Contract) in AZ Job Title: RN - PCU Locations: Mesa, Sun City, Sun City West and Tucson ...
RN PCU (Travel Contract) in AZ
Sun City, AZ · On-site
$2.3K/wk
RN PCU 2369/wk (Travel Contract) in AZ Mesa, Arizona, United States About the Job RN PCU 2369/wk (Travel Contract) in AZ Job Title: RN - PCU Locations: Mesa, Sun City, Sun City West and Tucson ...
RN PCU (Travel Contract) in AZ
Sun City, AZ · On-site
$2.3K/wk
RN PCU 2369/wk (Travel Contract) in AZ Mesa, Arizona, United States About the Job RN PCU 2369/wk (Travel Contract) in AZ Job Title: RN - PCU Locations: Mesa, Sun City, Sun City West and Tucson ...
Registered Nurse (RN)
Peoria, AZ · On-site
$38 - $40/hr
Ensure goals are met and coordinate discharge from services A few must-haves for Home Health Registered Nurses: * Graduate of an accredited nursing program and active RN license in AZ * Minimum of 2 ...
Quick apply
Registered Nurse (RN)
Peoria, AZ · On-site
$38 - $40/hr
Ensure goals are met and coordinate discharge from services A few must-haves for Home Health Registered Nurses: * Graduate of an accredited nursing program and active RN license in AZ * Minimum of 2 ...
Registered Nurse (RN)
$38 - $40/hr
Ensure goals are met and coordinate discharge from services A few must-haves for Home Health Registered Nurses: * Graduate of an accredited nursing program and active RN license in AZ * Minimum of 2 ...
Registered Nurse (RN)
$38 - $40/hr
Ensure goals are met and coordinate discharge from services A few must-haves for Home Health Registered Nurses: * Graduate of an accredited nursing program and active RN license in AZ * Minimum of 2 ...
Registered Nurse (RN)
$38 - $40/hr
Ensure goals are met and coordinate discharge from services A few must-haves for Home Health Registered Nurses: * Graduate of an accredited nursing program and active RN license in AZ * Minimum of 2 ...
Registered Nurse (RN)
$38 - $40/hr
Ensure goals are met and coordinate discharge from services A few must-haves for Home Health Registered Nurses: * Graduate of an accredited nursing program and active RN license in AZ * Minimum of 2 ...
AZ Blue offersa variety of health insurance products and services to meet the diverse needs of ... Associate's Degree in general field of study or Post High School Nursing Diploma or Master's Degree ...
AZ Blue offersa variety of health insurance products and services to meet the diverse needs of ... Associate's Degree in general field of study or Post High School Nursing Diploma or Master's Degree ...
AZ Blue offersa variety of health insurance products and services to meet the diverse needs of ... Associate's Degree in general field of study or Post High School Nursing Diploma or Master's Degree ...
AZ Blue offersa variety of health insurance products and services to meet the diverse needs of ... Associate's Degree in general field of study or Post High School Nursing Diploma or Master's Degree ...
Integrated Care Manager- Remote AZ
Phoenix, AZ · On-site +1
AZ Blue offers a variety of health insurance products and services to meet the diverse needs of ... Associate's Degree in general field of study or Post High School Nursing Diploma or Master's Degree ...
Integrated Care Manager- Remote AZ
Phoenix, AZ · On-site +1
AZ Blue offers a variety of health insurance products and services to meet the diverse needs of ... Associate's Degree in general field of study or Post High School Nursing Diploma or Master's Degree ...
- Registered Nurse (RN) - Work-Life Balance
Chandler, AZ · On-site
$41 - $48/hr
Ensure goals are met and coordinate discharge from services A few must-haves for Home Health Registered Nurses: * Graduate of an accredited nursing program and active RN license in AZ * Minimum of 1 ...
Quick apply
- Registered Nurse (RN) - Work-Life Balance
Chandler, AZ · On-site
$41 - $48/hr
Ensure goals are met and coordinate discharge from services A few must-haves for Home Health Registered Nurses: * Graduate of an accredited nursing program and active RN license in AZ * Minimum of 1 ...
Ensure goals are met and coordinate discharge from services A few must-haves for Home Health Registered Nurses: * Graduate of an accredited nursing program and active RN license in AZ * Minimum of 1 ...
Ensure goals are met and coordinate discharge from services A few must-haves for Home Health Registered Nurses: * Graduate of an accredited nursing program and active RN license in AZ * Minimum of 1 ...
Ensure goals are met and coordinate discharge from services A few must-haves for Home Health Registered Nurses: * Graduate of an accredited nursing program and active RN license in AZ * Minimum of 1 ...
Ensure goals are met and coordinate discharge from services A few must-haves for Home Health Registered Nurses: * Graduate of an accredited nursing program and active RN license in AZ * Minimum of 1 ...
BH UM Clinical Reviewer- Remote AZ
Phoenix, AZ · On-site +1
AZ Blue offers a variety of health insurance products and services to meet the diverse needs of ... Associate's Degree in general field of study or Post High School Nursing Diploma or Master's Degree ...
BH UM Clinical Reviewer- Remote AZ
Phoenix, AZ · On-site +1
AZ Blue offers a variety of health insurance products and services to meet the diverse needs of ... Associate's Degree in general field of study or Post High School Nursing Diploma or Master's Degree ...
... work in AZ, and has Radiology - Cardiac Cath Lab experience. The Registered Nurse assumes ... TRS give nurses the best of both worlds - the adventure of experiencing new locations with the ...
... work in AZ, and has Radiology - Cardiac Cath Lab experience. The Registered Nurse assumes ... TRS give nurses the best of both worlds - the adventure of experiencing new locations with the ...
... work in AZ, and has Oncology experience. The Registered Nurse assumes responsibility and ... TRS give nurses the best of both worlds - the adventure of experiencing new locations with the ...
... work in AZ, and has Oncology experience. The Registered Nurse assumes responsibility and ... TRS give nurses the best of both worlds - the adventure of experiencing new locations with the ...
... in AZ, and has OR - Operating Room experience. The Registered Nurse assumes responsibility and ... TRS give nurses the best of both worlds - the adventure of experiencing new locations with the ...
... in AZ, and has OR - Operating Room experience. The Registered Nurse assumes responsibility and ... TRS give nurses the best of both worlds - the adventure of experiencing new locations with the ...
... in AZ, and has OR - Pre-Op experience. The Registered Nurse assumes responsibility and ... TRS give nurses the best of both worlds - the adventure of experiencing new locations with the ...
... in AZ, and has OR - Pre-Op experience. The Registered Nurse assumes responsibility and ... TRS give nurses the best of both worlds - the adventure of experiencing new locations with the ...
AZ Blue offersa variety of health insurance products and services to meet the diverse needs of ... Associate's Degree in general field of study or Post High School Nursing Diploma or Master's Degree ...
AZ Blue offersa variety of health insurance products and services to meet the diverse needs of ... Associate's Degree in general field of study or Post High School Nursing Diploma or Master's Degree ...
Nurses In Az information
See Mesa, AZ salary details
$20.03 - $24.85
1% of jobs
$24.85 - $29.66
9% of jobs
$33.34 is the 25th percentile. Wages below this are outliers.
$29.66 - $34.47
19% of jobs
$34.47 - $39.28
19% of jobs
The median wage is $39.77 / hr.
$39.28 - $44.10
16% of jobs
$48.58 is the 75th percentile. Wages above this are outliers.
$44.10 - $48.91
12% of jobs
$48.91 - $53.72
7% of jobs
$53.72 - $58.54
6% of jobs
$58.54 - $63.35
4% of jobs
$63.35 - $68.16
3% of jobs
$68.16 - $72.98
3% of jobs
$20
$44
$72
How much do nurses in az jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Nurse in Arizona, and why are they important?
What are some common challenges nurses face when working in Arizona healthcare settings?
What are Nurses in AZ?

High-Cost Claimant Review Unit Nurse Auditor (Remote in AZ)
Phoenix, AZ • On-site, Remote
Full-time
Posted 11 days ago
Blue Cross Blue Shield Of Arizona rating
5.9
Based on 13 frontline employees who took The Breakroom Quiz
281st of 299 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 position is remote within the state of AZ only. This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
PURPOSE OF THE JOB
This position is responsible for assessment and documentation of member utilization and prediction of future spend feeding internal and external customer reporting. Primary responsibilities include:
- Function as a designated clinical resource to review High Cost Claimants to identify opportunities to improve member outcomes and determine correct utilization of resources
- Collaborate with multi-disciplinary teams to determine if there are other resources, BCBSAZ programs, or community resources that can curtail benefit spend or improve outcomes
- Focus on enhancing customer relationship and service as the primary clinical point of contact
REQUIRED QUALIFICATIONS
Required Work Experience
- 5 years of experience working within a healthcare and/or management care
- 2 consecutive years' experience as an RN analyst or auditor in Utilization Review, Medical Claim Review and/or Care Management
Required Education
- Associate's Degree in Nursing or related field of study
Required Licenses
- Active, unrestricted license to practice as a registered nurse (RN) in the state of Arizona (a state in the united states)
Required Certifications
- N/A
PREFERRED QUALIFICATIONS
Preferred Work Experience
- 7 years' experience working within a healthcare and/or management care.
- 3 years' experience with managing direct customer facing or account management experience
- Experience in working in more than one of Utilization Management, Medical Claim Review and Care Management
- Experience with working with VITAL, Metavance and/or Guiding Care platforms
- Experience in operational analysis, data analysis and problem resolution types of activities
Preferred Education
- Bachelor's or Master's Degree in Nursing or related field of study
Preferred Licenses
- N/A
Preferred Certifications
- Certified Commission of Case Managers
- PMP Certification or Six Sigma/Lean Project Management
- Certified Professional in Healthcare Quality (CPHQ)
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
- Analyze utilization data from provided sources to evaluate cost drivers.
- Apply clinical knowledge, incorporating the persistency score to determine if member care needs will be ongoing versus an acute episodic.
- Apply knowledge of customer benefit structure to determine appropriate use of services.
- Collaborate with multi-disciplinary team to determine if there are other resources; BCBSAZ programs, community resources that can curtail benefit spend or improve outcomes.
- Document findings in a manner that can be consumed by internal process for reporting purposes, internal and external customers.
- Refer the member to appropriate internal BCBSAZ group to manage and coordinate care as indicated.
- Continue to evaluate the member's benefit spend according to Key Decision Criteria.
- Responsible for the professional, efficient and timely delivery of services to members and customer/Group Benefit Administrator requesting assistance. This includes but is not limited to providing information and assistance with information related to members' claims and clinical course, expected outcomes and persistence of claim expenses.
- Provide proactive clinical recommendations, information regarding trends, program and industry changes the customer and member experience.
- Represent customer-internally and coordinate with other departments such as medical and pharmacy account team to address ongoing needs, implement care initiatives, projects and customer systems.
- Lead process improvement initiative and projects to improve the delivery of services.
- Lead efforts to identify best practices and resources required to support customer with meeting business commitments and enhance member experience.
- Develop relationships and establish credibility with key stakeholders (internal and external) to achieve solution strategies and objectives. Routinely collaborate with account management team to provide clinical aspects of High Cost Claimant reviews.
- Able to analyze and interpret benefit designs and identify opportunities to increase efficiency.
- Complete High Cost Claimant screening and analysis to identify trends and opportunities; present findings to key stakeholders and clinical leadership.
- Support clinical quality audit activities under the direction of manager to identify opportunities to deliver on commitments and enhance customer satisfaction/experience.
LEADERSHIP
- Maintain effective working relationships to ensure teamwork in achieving company goals.
- Foster effective communication with business partners by setting clear directives and providing exchange of ideas.
- Provide leadership on change management principles to ensure maximize benefit and alleviate unnecessary disruption.
- Effectively communicates analytical and reporting needs to supporting departments. Identify and create opportunities to manage trend(s).
ADMINISTRATIVE
- Manage use of corporate funds including budgeting, financial management, and reporting. Identify opportunities to achieve administrative efficiencies while maintaining service.
- Establish performance goals in accordance with overall BCBSAZ objectives and divisional strategic planning.
- Participate in strategic planning activities and contribute to departmental and cross-functional teams to achieve
Business goals/objectives.
- Ensure the existence of documented policies and procedures.
- Coordinate activities between multiple divisions to achieve desired results.
- Volunteer within the community to help BCBSAZ give back to community charitable efforts.
- Ability to travel up to 25% of time to attend work related customer, business meetings, trainings and conferences.
- 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 other duties as assigned.
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
Pay
Benefits
Hours and flexibility
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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