RN Clinical Care Guide - On-Site Patient Care Navigator

Blue Cross Blue Shield of Arizona; Gilbert (AZ); On-site; USD 65,000 - 95,000; Full time

Job summary

Prosano Health Solutions, in Chandler/Gilbert, AZ, seeks a Clinical Care Guide (RN) to join our first-class care team. You will manage end-to-end referrals, coordinate specialist and diagnostic testing, and help patients navigate their journey toward better health.

This on-site, M-F 8–5 role emphasizes privacy, compliance, empathy, and service. You will work with care teams, support members in-person and virtually, and build relationships with local providers and community partners.

Qualifications

• Current state license to practice as a Registered Nurse.
• Associate's degree in Nursing.
• BLS certification.
• Electronic Medical Records experience.
• Customer service orientation and experience.
• Strong communication skills across multiple modalities.
• Highly collaborative.
• Empathy and advocacy.
• Exceptional organizing skills, detail-orientation.
• Must be able to maintain confidentiality at all times.
• Active AZ fingerprint clearance card.

Responsibilities

• Support members in-person and virtually with real-time consultation, education, scheduling of specialist and diagnostic referral appointments, and follow-through of those appointments.
• Play a critical role in the achievement of improved health outcomes and cost savings.
• Be an empathetic problem-solver and become the most visible partner to all patients.
• Clarify and explain referral for specialist and diagnostic service recommendations.
• Care for end-to-end process as needed, for referral or specialist services.
• Lead center in development and management of quality programs to include patient outreach to members in an effort to provide an elevated primary care experience.
• Support members with chronic conditions by providing education, reminders, and other support.
• Handle the management and integration of office processes.
• Lead service and schedule requests on member’s behalf.
• Inform and equip Care Team with referral information and requirements.
• Be an ambassador in the local community - building relationships with other healthcare providers, social/community organizations, and marketing partners.
• Perform all other duties as assigned.
• Working hours may include extended hours.
• This position requires 100% on-site work at the care center location and may also involve movement between clinics as needed.

Skills

Interpersonal skills

Communication skills

Customer service

Collaborative

Empathy

Organizational skills

Confidentiality

Education

Associate's degree in Nursing

Current RN license

BLS certification

Tools

Electronic Medical Records (EMR) systems

Job description

Prosano Health Solutions, in Chandler/Gilbert, AZ, seeks a Clinical Care Guide (RN) to join our first-class care team. You will manage end-to-end referrals, coordinate specialist and diagnostic testing, and help patients navigate their journey toward better health.

This on-site, M-F 8–5 role emphasizes privacy, compliance, empathy, and service. You will work with care teams, support members in-person and virtually, and build relationships with local providers and community partners.