Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Active, unrestricted license to practice as a registered nurse (RN) in the state of Arizona (a ...
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Active, unrestricted license to practice as a registered nurse (RN) in the state of Arizona (a ...
RN Quality Measure Specialist
Phoenix, AZ · Remote
$34.50 - $46.25/hr
This fully remote role focuses on validation, abstraction, and submission of clinical quality ... Ideal Candidate: * RN with 5 years acute care experience (ED, ICU, PACU, or similar preferred)
RN Quality Measure Specialist
Phoenix, AZ · Remote
$34.50 - $46.25/hr
This fully remote role focuses on validation, abstraction, and submission of clinical quality ... Ideal Candidate: * RN with 5 years acute care experience (ED, ICU, PACU, or similar preferred)
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 ...
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 ...
Integrated Care Manager - Medicare Advantage (prior CM experience working in a health plan)- Remote
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... RN. Required Certifications * Within 4 years of hire as a Care Manager employee must hold a ...
Integrated Care Manager - Medicare Advantage (prior CM experience working in a health plan)- Remote
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... RN. Required Certifications * Within 4 years of hire as a Care Manager employee must hold a ...
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
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 ...
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: 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 ...
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 ...
Initial Clinical Reviewer - Remote - AZ
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to ...
Initial Clinical Reviewer - Remote - AZ
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to ...
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
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 ...
GI Nurse Practitioner (Arizona, California,New Mexico, Nevada or Utah)
Flagstaff, AZ · Remote
$125K/yr
Current licensure as a Certified Registered Nurse Practitioner (CRNP) or Advanced Practice ... Remote-first -- work from home anywhere in the US * Growth: Advanced training by GI-specialized ...
Quick apply
GI Nurse Practitioner (Arizona, California,New Mexico, Nevada or Utah)
Flagstaff, AZ · Remote
$125K/yr
Current licensure as a Certified Registered Nurse Practitioner (CRNP) or Advanced Practice ... Remote-first -- work from home anywhere in the US * Growth: Advanced training by GI-specialized ...
Current licensure as a Certified Registered Nurse Practitioner (CRNP) or Advanced Practice ... Remote-first -- work from home anywhere in the US * Growth: Advanced training by GI-specialized ...
Quick apply
Current licensure as a Certified Registered Nurse Practitioner (CRNP) or Advanced Practice ... Remote-first -- work from home anywhere in the US * Growth: Advanced training by GI-specialized ...
BH UM Clinical Reviewer- Remote AZ
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... the Nursing Licensure Compact (NLC) as an RN. Required Certifications * N/A PREFERRED ...
BH UM Clinical Reviewer- Remote AZ
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... the Nursing Licensure Compact (NLC) as an RN. Required Certifications * N/A PREFERRED ...
Medical & Disability Nurse Case Manager
Chandler, AZ · Remote
$67K - $126K/yr
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Medical & Disability Nurse Case Manager
Chandler, AZ · Remote
$67K - $126K/yr
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Remote 1099 NPs or APRNs - Hormone Replacement Therapy
Mesa, AZ · Remote
$60 - $90/hr
Active NP or APRN licenses in a minimum of 6 U.S. states * Active, unrestricted DEA license ... patient experience Remote Flexibility Work from home with scheduling options that fit your ...
Quick apply
Remote 1099 NPs or APRNs - Hormone Replacement Therapy
Mesa, AZ · Remote
$60 - $90/hr
Active NP or APRN licenses in a minimum of 6 U.S. states * Active, unrestricted DEA license ... patient experience Remote Flexibility Work from home with scheduling options that fit your ...
Utilization Review Nurse
Tempe, AZ · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...
Quick apply
Utilization Review Nurse
Tempe, AZ · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...
Remote FT Nursing Course Manager - Peds Specialty
Tempe, AZ · On-site +1
$109K - $111K/yr
The Full Time Remote Course Manager provides academic leadership and oversight for online pre ... Active, unrestricted RN license in applicable states (CA, NV, MI, and Compact States) or ability to ...
Remote FT Nursing Course Manager - Peds Specialty
Tempe, AZ · On-site +1
$109K - $111K/yr
The Full Time Remote Course Manager provides academic leadership and oversight for online pre ... Active, unrestricted RN license in applicable states (CA, NV, MI, and Compact States) or ability to ...
Remote Hospice Rn information
See Arizona salary details
$698.92 - $873.24
1% of jobs
$873.24 - $1K
3% of jobs
$1K - $1.2K
7% of jobs
$1.4K is the 25th percentile. Wages below this are outliers.
$1.2K - $1.4K
14% of jobs
$1.4K - $1.6K
14% of jobs
The median wage is $1.7K / yr.
$1.6K - $1.7K
13% of jobs
$1.7K - $1.9K
18% of jobs
$2K is the 75th percentile. Wages above this are outliers.
$1.9K - $2.1K
14% of jobs
$2.1K - $2.3K
9% of jobs
$2.3K - $2.4K
4% of jobs
$2.4K - $2.6K
3% of jobs
$698
$1.8K
$2.6K
How much do remote hospice rn jobs pay per week?
What are Remote Hospice RNs?
How to make $300,000 as a nurse online?
What are some common challenges faced by Remote Hospice RNs, and how can they be addressed?
What are the key skills and qualifications needed to thrive as a Remote Hospice RN, and why are they important?
What is the 80/20 rule in hospice?
What is the highest paid remote nursing job?
What is the difference between Remote Hospice Rn vs Remote Palliative Care Nurse?
| Aspect | Remote Hospice Rn | Remote Palliative Care Nurse |
|---|---|---|
| Certifications | RN license, hospice certification often preferred | RN license, palliative care certification often preferred |
| Work Environment | Home-based, hospice agencies, healthcare organizations | Home-based, palliative care teams, healthcare organizations |
| Industry Usage | Hospice providers, end-of-life care services | Palliative care providers, chronic illness management |
Remote Hospice Rns and Remote Palliative Care Nurses both provide specialized nursing care in home or healthcare settings. While they share similar certifications and work environments, Hospice Rns focus on end-of-life care, whereas Palliative Care Nurses manage symptoms for chronic illnesses at any stage. Understanding these differences helps patients and employers find the right care provider for specific needs.
Where do hospice nurses get paid the most?
High-Cost Claimant Review Unit Nurse Auditor (Remote in AZ)
Phoenix, AZ • On-site, Remote
Full-time
Posted 19 days ago
Blue Cross Blue Shield Of Arizona rating
5.9
Based on 13 frontline employees who took The Breakroom Quiz
256th of 277 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.
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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