BCBSAZ
Integrated Care Manager - Medicare Advantage (prior CM experience working in a health plan)- Remote
AZ Blue Phoenix, AZ 85021 · Full-time
Sponsorship not specifiedDetected 23 days ago
Customer SupportICD-10Patient CareResearchLeadershipProblem SolvingOrganizational Skills
About the role
- Our positions are classified as hybrid, onsite or remote.
- This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
- This job description is primary for case management functions but can assist with utilization management if a business need arises.
Responsibilities
- Collaborate with team to distribute workload/work tasks;
- Support/mentor team members.
- Perform all other duties as assigned.
- Maintain confidentiality and privacy
Requirements
- 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
- Required Work Experience
- Required Licenses
- Required Certifications
- Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
- Intermediate PC proficiency
- Required Education
- Associate's Degree in general field of study or Post High School Nursing Diploma or Master's Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
- Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN.
- Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).
Nice to have
- Preferred Work Experience
- 3 year(s) of experience in full-time equivalent of direct clinical care to the consumer (managed care CM experience preferred)
- 1-2 year (s) of experience working in a managed care organization
- Preferred Licenses
- Preferred Certifications
- Active and current certification in case management from the following certifications
- ESSENTIAL job functions AND RESPONSIBILITIES
- Assess and collect data related to the member from all care settings.
Compensation
- Participate in continuing education and current development in the field of medicine, behavioral health and managed care at least annually.
Benefits
- Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.
- Participate in continuing education and current development in the field of medicine, behavioral health and managed care at least annually.
Company info
- At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work.
This listing is sourced directly from BCBSAZ's careers page and normalized into a canonical job model.