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Transition Of Care Nurse (Remote/Hybrid)

Company

Blue Cross Blue Shield of Arizona

Address , Phoenix, 85021
Employment type FULL_TIME
Salary
Expires 2023-10-13
Posted at 9 months ago
Job Description
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. BCBSAZ 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.
This position is remote/hybrid within the state of AZ only
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
1. Required Work Experience
  • 2 years Nursing experience in a health care setting
2. Required Education
  • Associate’s Degree in Nursing
3. Required Licenses
  • Registered Nurse with a current, active, unrestricted nursing license in the state of Arizona (a state in the United
States).
4. Required Certifications
  • N/A
PREFERRED QUALIFICATIONS
1. Preferred Work Experience
  • Prior HRA experience
2. Preferred Education
  • Bachelor’s Degree in Nursing
3. Preferred Licenses
  • N/A
4. Preferred Certifications
  • N/A

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
  • Follow up with member up to 30 days post discharge based on LACE tool scoring
  • Obtain data needed for the Medication Reconciliation
  • 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
  • Complete TOC surveys
  • Telephonic contact with the members within 3 days of discharge
  • Complete LACE tool
  • Perform all other duties as assigned
  • Facilitate completion of all discharge orders that have not been completed
COMPETENCIES
REQUIRED COMPETENCIES
1. Required Job Skills
  • Written and verbal skills
  • 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)
  • Strong knowledge of care management and care coordination
2. Required Professional Competencies
  • Ability to work independently
3. Required Leadership Experience and Competencies
  • N/A
PREFERRED COMPETENCIES
1. Preferred Job Skills
  • Previous Managed/Care/Medicaid/Medicare experience
  • Previous Discharge planning experience
2. Preferred Professional Competencies
  • N/A
3. Preferred Leadership Experience and Competencies
  • N/A
Our Commitment
BCBSAZ 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.