Clinical Care Guide
Company | Blue Cross Blue Shield |
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Location | Scottsdale, AZ, USA |
Salary | $Not Provided – $Not Provided |
Type | Full-Time |
Degrees | Associate’s |
Experience Level | Mid Level |
Requirements
- 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
- BLS certification
- Electronic Medicare 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 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 include morning, night, or weekend hours
- This position requires 100% on-site work at the care center location and may also involve movement between clinics as needed
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