RN Clinical Care Guide (Case Management Exp) - Mesa (On-site)

Blue Cross Blue Shield of Arizona • Full-time • Mesa, AZ, US • 2d ago

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.

Working hours include morning, night, or weekend hours.

The position will require to work 100% on-site at the Care Canter location

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 include morning, night, or weekend hours

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
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

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. If interested in this position, please apply.

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