BCBSAZ
Integrated Care Manager (Maternal Health) - Remote
AZ Blue Phoenix, AZ 85021 · Full-time
Sponsorship not specifiedDetected 2 days ago
Customer SupportICD-10Patient CareResearchLeadershipProblem SolvingOrganizational Skills
About the role
- Our positions are classified as hybrid, onsite or remote.
- This position is remote within the state of AZ only.
- This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
Responsibilities
- Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan.
- Maintain complete and accurate records per department policy.
- Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements.
- Collaborate with team to distribute workload/work tasks;
- Support/mentor team members.
- Perform all other duties as assigned.
Requirements
- Required Work Experience
- 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
- 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
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
- Assess and collect data related to the member from all care settings.
- Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
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.