Registered Nurse Clinical Care Guide (Tucson River and Campbell location) (Case Management Experience Required)- Onsite

Blue Cross Blue Shield Arizona Tucson, AZ 85711, US

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.

This position is Onsite within the state of AZ only. This Onsite work opportunity requires residency, and work to be performed, within the State of Arizona.

About Prosano Health Solutions:

Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, is launching 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. In every market we serve, our goal is to bring to the community a customized, high-value system of care that 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 in the phase where we are building 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.

Our Benefits:

Up to 18 days PTO, 11 paid holidays
8 hours paid Volunteer hours to serve our community!
Medical, Dental and Vision Coverage
401(k) up to 5% dollar per dollar match
Tuition Reimbursement
Employee discounts, gym reimbursement, wellness programs and more!
Performance Incentive Plan

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 may include extended hours.
This position requires 100% on-site work at the care center location and may also involve movement between clinics as needed

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
Associate's degree in Nursing
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 and Vision:

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.

Create healthcare transformation across the state of Arizona through the intentional design of vertically integrated offerings and new care delivery assets that address the total continuum of care and achieves health equity for all members. Explore what's possible with a career at Prosano Health Solutions.

Our Commitment

Thank you for your interest in Prosano Health Solutions. If interested in this position, please apply.

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OVH is accredited by The Joint Commission and is an equal opportunity employer: race, gender, disability and Veteran status, and VEVRAA Federal Contractor – priority referral Protected Veterans requested. INDUR