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 ...
Call Center Telecare Registered Nurse - OVERNIGHT (Remote)
Phoenix, AZ · On-site +1
$36 - $41/hr
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person ... Ability to work evening shifts, night shifts, and weekend shift and holidays as necessary to ...
Call Center Telecare Registered Nurse - OVERNIGHT (Remote)
Phoenix, AZ · On-site +1
$36 - $41/hr
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person ... Ability to work evening shifts, night shifts, and weekend shift and holidays as necessary to ...
Remote Registered Nurse (RN) Case Manager
Phoenix, AZ · Remote
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Phoenix, AZ · Remote
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Scottsdale, AZ · Remote
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Scottsdale, AZ · Remote
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Phoenix, AZ · On-site +1
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Phoenix, AZ · On-site +1
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Scottsdale, AZ · On-site +1
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Scottsdale, AZ · On-site +1
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Clinical Quality Review Nurse
Phoenix, AZ · Remote
$41 - $44/hr
CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...
Quick apply
Clinical Quality Review Nurse
Phoenix, AZ · Remote
$41 - $44/hr
CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...
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 ...
Care Manager (RN) Remote (Must Reside In AZ)
Phoenix, AZ · On-site +1
$26.41 - $51.49/hr
Monday through Friday 7:00AM to 6:00PM Arizona Time (No weekends, no nights, no holidays ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Care Manager (RN) Remote (Must Reside In AZ)
Phoenix, AZ · On-site +1
$26.41 - $51.49/hr
Monday through Friday 7:00AM to 6:00PM Arizona Time (No weekends, no nights, no holidays ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
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 - 10 ... 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 - 10 ... 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 - 10 ... 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
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Bilingual Clinical Nurse Coach (RN)
Phoenix, AZ · On-site +1
$80K - $100K/yr
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Bilingual Clinical Nurse Coach (RN)
Phoenix, AZ · On-site +1
$80K - $100K/yr
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Registered Nurse Community Living Center (CLC)
Phoenix, AZ · On-site +1
$89K - $166K/yr
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Registered Nurse Community Living Center (CLC)
Phoenix, AZ · On-site +1
$89K - $166K/yr
The Registered Nurse (RN) is responsible and accountable for all elements of the nursing process ... To be determined (must float within Nursing GEC with weekend rotation) Telework: Not Available ...
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 ...
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 ...
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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 ...
Registered Nurse, Telehealth Care Coordinator
Phoenix, AZ · On-site +1
$89K - $166K/yr
Remote Patient Monitoring (RMP) Home Telehealth (HT) Registered Nurse (RN) Care Coordinator executes position responsibilities that demonstrates leadership, experience, and creative approaches to the ...
Registered Nurse, Telehealth Care Coordinator
Phoenix, AZ · On-site +1
$89K - $166K/yr
Remote Patient Monitoring (RMP) Home Telehealth (HT) Registered Nurse (RN) Care Coordinator executes position responsibilities that demonstrates leadership, experience, and creative approaches to the ...
Health Care Professionals
Tempe, AZ · Remote
$75K - $97K/yr
Registered Nurse (RN) - Full Time, Weekend, On-CallInspired Home Care | Serving All of Maricopa CountyInspired Home Care is looking for a passionate Full-Time Registered Nurse (RN) to join our ...
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Health Care Professionals
Tempe, AZ · Remote
$75K - $97K/yr
Registered Nurse (RN) - Full Time, Weekend, On-CallInspired Home Care | Serving All of Maricopa CountyInspired Home Care is looking for a passionate Full-Time Registered Nurse (RN) to join our ...
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 PST ... 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 PST ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
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 ...
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 ...
Remote Weekend Rn information
What are the key skills and qualifications needed to thrive as a Remote Weekend RN?
What is a Remote Weekend RN?
What are some common challenges faced by remote weekend RNs, and how can they be managed effectively?
What is the difference between Remote Weekend Rn vs Remote Night Rn?
| Aspect | Remote Weekend Rn | Remote Night Rn |
|---|---|---|
| Work Schedule | Weekend shifts, typically Saturday and Sunday | Night shifts, usually overnight hours |
| Certifications | Registered Nurse (RN) license, CPR, BLS | Registered Nurse (RN) license, CPR, BLS |
| Work Environment | Home-based telehealth or remote hospital settings | Home-based telehealth or remote hospital settings |
| Industry Usage | Healthcare, telehealth services | Healthcare, telehealth services |
The main difference between a Remote Weekend Rn and a Remote Night Rn lies in their work schedules. Weekend RNs work primarily on weekends, while Night RNs cover overnight shifts. Both roles require similar certifications and work in remote healthcare environments, serving telehealth or remote hospital settings. Your choice depends on your preferred working hours and schedule flexibility.

High-Cost Claimant Review Unit Nurse Auditor (Remote in AZ)
Phoenix, AZ • On-site, Remote
Full-time
Re-posted 24 days ago
Blue Cross Blue Shield Of Arizona rating
5.9
Based on 13 frontline employees who took The Breakroom Quiz
286th of 304 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
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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