RN Clinical Care Guide- Scottsdale (Case Management Experience Required) (Onsite)

Blue Cross Blue Shield of Arizona; Scottsdale (AZ); On-site; USD 65,000 - 90,000; Full time

Job summary

Blue Cross Blue Shield of Arizona is seeking a Registered Nurse for an onsite Clinical Care Guide role within Arizona. You will manage end-to-end referral and diagnostic testing navigation, while supporting patients both in-person and virtually with real-time consultation and scheduling.

Join a collaborative team focused on delivering exceptional patient experiences, maintaining confidentiality, and driving health outcomes and cost savings in a dynamic health setting.

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

• The Clinical Care Guide will be a key contributor to our first-class care team.
• Deliver end-to-end responsibility for specialist and diagnostic testing navigation.
• Lead and partner with the care team to support patients in their health journey.
• Emphasize customer/patient care excellence, privacy, and compliance.
• Support members in-person and virtually with real-time consults and scheduling.
• Drive improved health outcomes and cost savings.
• Be an empathetic problem-solver and a visible partner to patients.
• Clarify referrals for specialist and diagnostic services.
• Lead development and management of quality programs for patient outreach.

Skills

Interpersonal skills

Customer service

Communication

Collaboration

Empathy

Confidentiality

Organizational skills

Healthcare software

On-site work

Fingerprint clearance

Education

Associate's degree in nursing

Bachelor's degree in nursing (BSN)

Tools

EMR systems

Health care software platforms

Job description

About Prosano Health Solutions:

Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy. Our goal is to deliver affordable, convenient, and personalized care to the communities we serve. Our Advanced Primary Care model is focused on providing a signature patient experience which will raise the bar in both the delivery of care, and by ensuring health equity is top of mind. And, in every market we serve, we assure that a customized, high-value system of care is available for our members. Together, we will set the standard for how healthcare can and should be delivered in our State.

Why Join Our Team?

Here’s the fun part. We are growing our team. The team will include people who share our passion and deep commitment to taking the primary care experience to a new level. Our team is unified in providing not only comprehensive care, but a truly exceptional patient experience, leaving our patients with the lasting impression of trust and compassion. We realize we can do great things by working together and adapting processes to provide the best possible care for people. Together, we will improve the health within our communities and make a difference in people’s lives. If you share this vision and desire to do something different...we look forward to talking to you! For more information, please reach out to our Talent Acquisition team.

This position is Onsite within the state of AZ only. This Onsite work opportunity requires residency, and work to be performed, within the State of Arizona.

You Will:

• The Clinical Care Guide (RN) will be a key contributor to our first-class care team at Prosano Health Solutions.
• They will deliver on our commitment to excellence to our patients and help us grow through their role.
• The Clinical Care Guide will have end to end responsibility for our specialist and diagnostic testing navigation, as well as in leading and partnering with the care team in supporting patients in their journey toward their best health.
• This position has an emphasis on customer/patient care excellence, privacy, compliance, and serving in a dynamic health setting.
• Support members both in-person and virtually with real-time consultation, education, scheduling of specialist & diagnostic referral appointments, and follow-through + follow-up 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 with gaps in care or other clinical needs.
• 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.

You Have:

• Excellent interpersonal skills to include maintaining courteous, friendly and effective communications with patients, team members and external parties.
• 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.

Preferred Qualifications:

• Bachelor's degree in nursing (BSN).
• Case Management Certification (CCM).
• Proficiency with other health care related software platforms.
• High degree of independence, flexibility, initiative and commitment.

Our Commitment:

Prosano Health Solutions 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 Prosano Health Solutions.

Imagine doing life-changing work and helping more than one million Arizonans live healthier and longer lives. That’s the kind of satisfaction you’ll find when you work here. Our exceptional teams in Phoenix, Tucson, Chandler, and Flagstaff have been transforming healthcare for more than 80 years.

Explore what's possible with a career at Blue Cross BlueShield of Arizona.