BCBSAZ
Integrated Care Manager- Adult - Remote-AZ
AZ Blue Phoenix, AZ 85021 · Full-time
Sponsorship not specifiedDetected 14 days ago
Customer SupportICD-10Patient CareResearchLeadershipCollaborationProblem 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.
- Ensures care meets individual healthcare needs while promoting quality and cost-effective outcomes.
Responsibilities
- Collaborate with providers, members, and families to implement care plans
- Maintain compliance with state, federal, and accreditation requirements
- Mentor and support team members
- Perform other duties as assigned
- Maintain confidentiality and privacy
- Organizational skills with ability to manage multiple priorities
Requirements
- 2 years of full-time equivalent experience in direct clinical care to consumers
- Associate's Degree in a general field of study OR
- Within 4 years of hire, must obtain one of the following case management certifications:
- Required Work Experience
- Required Education
- Post High School Nursing Diploma OR
- Master's Degree in a behavioral health field (MSW, MA, MS, M.Ed.), Ph.D., or Psy.D
- Required Licenses
- Active, current, unrestricted license in Arizona (or eligible via endorsement) as a behavioral health professional such as LCSW, LPC, LISAC, LMFT, or licensed psychologist (Psy.D. or Ph.D.) OR
- Active, current, unrestricted RN license in Arizona or a Nurse Licensure Compact (NLC) state
- Required Certifications
- CCM, CDMS, CMAC, CMC, CRC, CRRC, COHN, RN-C, or RN-BC
Nice to have
- 3 years of direct clinical care experience (managed care case management preferred)
- 1-2 years of experience in a managed care organization
- Active case management certification (CCM, CDMS, CMAC, CMC, CRC, CRRC, COHN, RN-C, RN-BC)
- Preferred Work Experience
- Preferred Licenses
- Preferred Certifications
- Assess and collect member data from all care settings
- Coordinate with internal departments, providers, and external agencies
Compensation
- Participate in continuing education in healthcare, behavioral health, and managed care annually
Benefits
- Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.
- Handle high-volume health insurance-related customer calls daily
- Explain benefits, coverage, eligibility, claims, programs, and networks
- Review medical records and determine medical necessity based on criteria and benefits
- Present case status updates to leadership and medical director as needed
- Participate in continuing education in healthcare, behavioral health, and managed care 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.