Integrated Care Manager - Hybrid Health Leader (AZ)

Blue Cross Blue Shield of Arizona; Phoenix (AZ); Hybrid; USD 110,000 - 130,000; Full time

Job summary

Blue Cross Blue Shield of Arizona seeks a qualified Care Management Manager to oversee day-to-day care programs for members with complex and chronic health needs. The role emphasizes an integrated approach to care, compliance with accreditation standards, and collaboration with multiple departments.

The position requires onsite presence as part of a 2-days-per-week onsite expectation, a full-time schedule, and a residence within Arizona as part of the Workability framework.

Qualifications

• 2 years of direct clinical care experience.
• 1 year of supervisory experience.
• Active, current Arizona license in behavioral health or nursing (LCSW/LPC/LISAC/LMFT/NP/RN) per state requirements.

Responsibilities

• Manage and oversee staff delivering health improvement programs.
• Ensure integrated, whole-person care across services.
• Provide oversight of CM/UM processes and accreditation efforts.
• Monitor program performance and report on outcomes.
• Coordinate with internal and external partners to implement care changes.
• Advise on regulatory requirements and benefit interpretations.
• Maintain documentation and ensure policy compliance.
• Lead staff training and development; ensure onsite requirements are met.

Skills

Clinical care

Supervisory experience

Care management

Education

Associate degree in nursing or higher

Tools

McKesson InterQual

Milliman Care Guidelines

Job description

Blue Cross Blue Shield of Arizona seeks a qualified Care Management Manager to oversee day-to-day care programs for members with complex and chronic health needs. The role emphasizes an integrated approach to care, compliance with accreditation standards, and collaboration with multiple departments.

The position requires onsite presence as part of a 2-days-per-week onsite expectation, a full-time schedule, and a residence within Arizona as part of the Workability framework.