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Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Active, current, unrestricted RN license in Arizona or a Nurse Licensure Compact (NLC) state ...
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... RN, LPN, LPT, LBSW, LMSW, or LCSW. (Applies to All Levels) Required Certifications * N/A PREFERRED ...
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Integrated Care Manager - Medicare Advantage (prior CM experience working in a health plan)- Remote
Phoenix, AZ · On-site +1
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Integrated Care Manager - Medicare Advantage (prior CM experience working in a health plan)- Remote
Phoenix, AZ · On-site +1
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Bilingual Clinical Nurse Coach (RN)
Phoenix, AZ · Remote
$80K - $100K/yr
US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm) and ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Bilingual Clinical Nurse Coach (RN)
Phoenix, AZ · Remote
$80K - $100K/yr
US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm) and ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Bilingual Clinical Nurse Coach (RN)
Phoenix, AZ · Remote
$78K - $100K/yr
US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week ( 1:00 pm ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Bilingual Clinical Nurse Coach (RN)
Phoenix, AZ · Remote
$78K - $100K/yr
US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week ( 1:00 pm ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Bilingual Clinical Nurse Coach (RN)
Phoenix, AZ · On-site +1
$78K - $100K/yr
US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week ( 1:00 pm ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Bilingual Clinical Nurse Coach (RN)
Phoenix, AZ · On-site +1
$78K - $100K/yr
US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week ( 1:00 pm ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Bilingual Clinical Nurse Coach (RN)
Phoenix, AZ · On-site +1
$80K - $100K/yr
US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm) and ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
Bilingual Clinical Nurse Coach (RN)
Phoenix, AZ · On-site +1
$80K - $100K/yr
US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm) and ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
RN Case Manager
Phoenix, AZ · Remote
The RN, Case Manager a remote position with a work schedule of Monday - Friday 8am - 4:30pm. CANDIDATES MUST LIVE IN THE STATE OF ARIZONA TO BE CONSIDERED. Your pay and benefits (Total Rewards) are ...
RN Case Manager
Phoenix, AZ · Remote
The RN, Case Manager a remote position with a work schedule of Monday - Friday 8am - 4:30pm. CANDIDATES MUST LIVE IN THE STATE OF ARIZONA TO BE CONSIDERED. Your pay and benefits (Total Rewards) are ...
RN Field Case Manager
Phoenix, AZ · On-site +1
$77K - $98K/yr
Must be an RN and prefer to have as least 1.5 years of prior Field Case Manager workers ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Phoenix, AZ · On-site +1
$77K - $98K/yr
Must be an RN and prefer to have as least 1.5 years of prior Field Case Manager workers ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Phoenix, AZ · On-site +1
$77K - $98K/yr
Must be an RN and prefer to have as least 1.5 years of prior Field Case Manager workers ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Phoenix, AZ · On-site +1
$77K - $98K/yr
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Clinical Quality RN - Remote MST
Phoenix, AZ · Remote
$60K - $107K/yr
The Clinical Quality RN will be responsible for conducting quality of care (QOC) investigation, review and management of the regulatory Incident/Accident/Death (IAD) portal, documenting and ...
Clinical Quality RN - Remote MST
Phoenix, AZ · Remote
$60K - $107K/yr
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Position Overview We are seeking an exceptional Wound Care Nurse Practitioner to serve as a remote ... Active, unrestricted RN and APRN licenses in Arizona (additional APRN state licenses a plus)
Position Overview We are seeking an exceptional Wound Care Nurse Practitioner to serve as a remote ... Active, unrestricted RN and APRN licenses in Arizona (additional APRN state licenses a plus)
Position Overview We are seeking an exceptional Wound Care Nurse Practitioner to serve as a remote ... Active, unrestricted RN and APRN licenses in Arizona (additional APRN state licenses a plus)
Position Overview We are seeking an exceptional Wound Care Nurse Practitioner to serve as a remote ... Active, unrestricted RN and APRN licenses in Arizona (additional APRN state licenses a plus)
Remote Healthcare Recruiter (General Healthcare - Nationwide)
Phoenix, AZ · Remote
$70K - $80K/yr
Remote Healthcare Recruiter (General Healthcare - Nationwide) Job Summary Gotham Enterprises Ltd is ... Familiarity with various medical licenses (LMHC, PT, RN, LPN, MD, DO, PA, NP) and the general ...
Remote Healthcare Recruiter (General Healthcare - Nationwide)
Phoenix, AZ · Remote
$70K - $80K/yr
Remote Healthcare Recruiter (General Healthcare - Nationwide) Job Summary Gotham Enterprises Ltd is ... Familiarity with various medical licenses (LMHC, PT, RN, LPN, MD, DO, PA, NP) and the general ...
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Registered Nurse (RN) Required Certifications * N/A PREFERRED QUALIFICATIONS Preferred Work ...
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Registered Nurse (RN) Required Certifications * N/A PREFERRED QUALIFICATIONS Preferred Work ...
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
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Initial Clinical Reviewer - Remote - AZ
Phoenix, AZ · On-site +1
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Initial Clinical Reviewer - Remote - AZ
Phoenix, AZ · On-site +1
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Prior Authorization Nurse - Remote - AZ
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... including RN or LPN. Required Certifications * N/A PREFERRED QUALIFICATIONS Preferred Work ...
Prior Authorization Nurse - Remote - AZ
Phoenix, AZ · On-site +1
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RN, Case Manager
Tucson, AZ · Remote
The RN, Case Manager will be onsite for training at Banner Corporate Mesa or Banner Corporate ... After completing training, it is a remote position with a work schedule of Monday - Friday 8am ...
RN, Case Manager
Tucson, AZ · Remote
The RN, Case Manager will be onsite for training at Banner Corporate Mesa or Banner Corporate ... After completing training, it is a remote position with a work schedule of Monday - Friday 8am ...
This is a full-time, remote opportunity working Monday-Friday, 8am-5pm. Must reside in Maricopa or Pinal County.* The Workflow Specialist (RN) is responsible for coordinating and managing key ...
This is a full-time, remote opportunity working Monday-Friday, 8am-5pm. Must reside in Maricopa or Pinal County.* The Workflow Specialist (RN) is responsible for coordinating and managing key ...
Remote Flu Clinic Rn information
What are some common challenges faced by Remote Flu Clinic RNs, and how can they be addressed?
What is a Remote Flu Clinic RN?
What are the key skills and qualifications needed to thrive as a Remote Flu Clinic RN, and why are they important?
What is the difference between Remote Flu Clinic Rn vs Remote Immunization Nurse?
| Aspect | Remote Flu Clinic Rn | Remote Immunization Nurse |
|---|---|---|
| Certifications | RN license, immunization certification | RN license, immunization certification |
| Work Environment | Telehealth, vaccination clinics, community outreach | Telehealth, vaccination clinics, community outreach |
| Employer & Industry | Healthcare providers, clinics, public health | Healthcare providers, clinics, public health |
Both Remote Flu Clinic Rns and Remote Immunization Nurses typically hold RN licenses and immunization certifications. They work in similar environments such as telehealth and vaccination clinics, often within healthcare or public health sectors. The main difference lies in their specific focus: the Remote Flu Clinic Rn primarily handles flu vaccinations during seasonal clinics, while the Remote Immunization Nurse may administer a broader range of immunizations year-round. Both roles are essential for community health and require similar qualifications and work settings.
Integrated Care Manager- Adult - Remote-AZ
Phoenix, AZ • On-site, Remote
Full-time
Medical
Posted 12 days ago
Blue Cross Blue Shield Of Arizona rating
5.9
Based on 13 frontline employees who took The Breakroom Quiz
263rd of 281 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
Responsible for promoting continuity of care through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates care options and services available to members through their benefit plan. Ensures care meets individual healthcare needs while promoting quality and cost-effective outcomes. This role is primarily focused on case management but may assist with utilization management if needed.
QUALIFICATIONS
REQUIRED QUALIFICATIONS
Required Work Experience
- 2 years of full-time equivalent experience in direct clinical care to consumers
Required Education
- Associate's Degree in a general field of study OR
- Post High School Nursing Diploma OR
- Master's Degree in a behavioral health field (MSW, MA, MS, M.Ed.), Ph.D., or Psy.D
Required Licenses
- Active, current, unrestricted license in Arizona (or eligible via endorsement) as a behavioral health professional such as LCSW, LPC, LISAC, LMFT, or licensed psychologist (Psy.D. or Ph.D.) OR
- Active, current, unrestricted RN license in Arizona or a Nurse Licensure Compact (NLC) state
Required Certifications
- Within 4 years of hire, must obtain one of the following case management certifications:
CCM, CDMS, CMAC, CMC, CRC, CRRC, COHN, RN-C, or RN-BC
PREFERRED QUALIFICATIONS
Preferred Work Experience
- 3 years of direct clinical care experience (managed care case management preferred)
- 1-2 years of experience in a managed care organization
Preferred Education
- Bachelor's Degree in Nursing or Health and Human Services
Preferred Licenses
- None
Preferred Certifications
- Active case management certification (CCM, CDMS, CMAC, CMC, CRC, CRRC, COHN, RN-C, RN-BC)
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
- Assess and collect member data from all care settings
- Collaborate with providers, members, and families to implement care plans
- Handle high-volume health insurance-related customer calls daily
- Explain benefits, coverage, eligibility, claims, programs, and networks
- Review medical records and determine medical necessity based on criteria and benefits
- Present case status updates to leadership and medical director as needed
- Coordinate with internal departments, providers, and external agencies
- Meet quality, productivity, and timeliness standards
- Maintain compliance with state, federal, and accreditation requirements
- Ensure accurate and complete documentation
- Apply policies and procedures effectively
Team Support (when applicable)
- Assist in workload distribution
- Monitor and report team progress
- Communicate issues and improvement opportunities
- Mentor and support team members
- Participate in continuing education in healthcare, behavioral health, and managed care annually
Work Schedule
- Full-time role (minimum 40 hours per week)
- Additional hours may be required based on business needs
- Perform other duties as assigned
COMPETENCIES
REQUIRED COMPETENCIES
Required Job Skills
- Intermediate PC skills
- Intermediate use of office equipment (copiers, fax, scanners, phones)
- Intermediate skills in word processing, spreadsheets, and databases
Required Professional Competencies
- Maintain confidentiality and privacy
- Advanced clinical knowledge
- Strong interpersonal and active listening skills
- Ability to interpret and explain policies and procedures
- Strong analytical and research skills
- Organizational skills with ability to manage multiple priorities
- Ability to follow direction
- Team collaboration skills
- Sound judgment and problem-solving ability
- Ability to manage and maintain data across multiple systems
Required Leadership Competencies
- Conflict resolution
- Ability to represent the organization in the community
PREFERRED COMPETENCIES
Preferred Job Skills
- Advanced PC proficiency
- Knowledge of CPT 2018 and ICD-10 coding
Preferred Professional Competencies
- Knowledge of managed care, utilization management, and quality management
- Familiarity with InterQual, MCG, ASAM, or similar criteria tools
- Understanding of organizational services and operations
- Knowledge of patient education and behavior change techniques
Preferred Leadership Competencies
- None
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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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