Transition of Care Nurse - Remote AZ

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:

• Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
• Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
• Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
• Onsite: daily onsite requirement based on the essential functions of the job
• Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week. 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. Purpose of the job The Transition of Care Nurse (TOC) contacts the members upon discharge to insure a safe discharge. The TOC Nurse will follow up with the member to ensure all discharge orders have been filled and PCP/specialist follow up appointment has been scheduled.

Qualifications

REQUIRED QUALIFICATIONS Required Work Experience

• 2 years Nursing experience in a health care setting

Required Education

• Associate’s Degree in Nursing

Required Licenses

• Registered Nurse with a current, active, unrestricted nursing license in the state of Arizona (a state in the United States).

Required Certifications

• N/A

PREFERRED QUALIFICATIONS Preferred Work Experience

• Prior HRA experience

Preferred Education

• Bachelor’s Degree in Nursing

Preferred Licenses

• N/A

Preferred Certifications

• N/A

ESSENTIAL job functions AND RESPONSIBILITIES

• Telephonic contact with the members within 3 days of discharge
• Facilitate completion of all discharge orders that have not been completed
• Complete TOC surveys
• Complete LACE tool
• Obtain data needed for the Medication Reconciliation
• Follow up with member up to 30 days post discharge based on LACE tool scoring
• Perform all other duties as assigned
• The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements

competencies REQUIRED COMPETENCIES Required Job Skills

• Strong knowledge of care management and care coordination
• Proficiency in computer and technology utilization required, including, but not limited to: care management software, data-analytics software, Microsoft Office Products (Outlook, Excel, Power Point, Word, Visio)
• Written and verbal skills

Required Professional Competencies

• Ability to work independently

Required Leadership Experience and Competencies

• N/A

PREFERRED COMPETENCIES Preferred Job Skills

• Previous Discharge planning experience
• Previous Managed/Care/Medicaid/Medicare experience

Preferred Professional Competencies

• N/A

Preferred Leadership Experience and Competencies

• N/A

Our Commitment AZ Blue 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 Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply. Apply tot his job Apply To this Job