Top 366 Registered nurse manager Jobs in Peoria Az

Initial Clinical Reviewer - Remote - AZ
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- LMFT
- Nursing
- RN License
Healthcare Operations Manager
DAVITA —Sun City, AZ
- Full-time
- CPR Certification
- Microsoft Outlook
- RN License
- Paid training
- Health insurance
Crisis Counselor - Hospital Rapid Response (Mobile, Travel req)
CRISIS PREPARATION AND RECOVERY INC —Tempe, AZ
- $65,000 - $105,000 a year
- 12 hour shift
- Background check
- Experience working with individuals with developmental disabilities
- CPR Certification
RN Case Manager Hospice (Float)
Stillwater Hospice —Phoenix, AZ
- $90,000 - $95,000 a year
- Weekends as needed
- CPR Certification
- Patient monitoring
- RN License
- Free parking
- Mileage reimbursement
Quick Apply
RN OR Manager FT Days
Abrazo West Campus —Goodyear, AZ
- $47 - $62 an hour
- Full-time
- CPR Certification
- Nursing
- Patient monitoring
- Relocation assistance
- Dental insurance
Quick Apply
Registered Nurse
The Eye Institute at Boswell —Sun City, AZ
- $36 - $39 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Health insurance
- Dental insurance
Quick Apply
Plastic Surgery Clinic MA. ++MUST HAVE CLINIC EXP++ M-F 9a-5p
MD Plastic Surgery —Scottsdale, AZ
- $22 - $26 an hour
- Full-time
- CPR Certification
- Nursing
- Surgery
- Paid holidays
- Health insurance
Quick Apply
Registered Nurse (OR)
The CORE Institute Specialty Hospital —Phoenix, AZ
- Nursing
- Surgery
- RN License
- Health savings account
- Health insurance
Quick Apply
5d
Nursing Supervisor RN - NOC Shift
Resolve Diamondback —Phoenix, AZ
- Up to $50 an hour
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
Quick Apply
Registered Nurse (RN)
Advanced Health Care of Glendale —Glendale, AZ
- $37 - $43 an hour
- Weekends as needed
- CPR Certification
- Skilled nursing facility
- Vital signs
Quick Apply
13d
Nurse Supervisor (PM/NOC) - Ahwatukee Post Acute
Ahwatukee Post Acute —Phoenix, AZ
- Full-time
- Nursing
- LVN
- RN License
Quick Apply
Registered Nurse Cath Lab
Valleywise Health System —Phoenix, AZ
- $34.15 - $50.37 an hour
- Full-time
- Nursing
- RN License
- Customer service
Quick Apply
Home Health Weekend Admissions RN
Advanced Home Health & Hospice of Arizona —Phoenix, AZ
- Up to $120 an hour
- Part-time
- CPR Certification
- Vital signs
- Management
Quick Apply
4d
Home Health Registered Nurse (RN)
Advanced Home Health & Hospice of Arizona —Glendale, AZ
- $85,000 - $95,000 a year
- Weekends as needed
- CPR Certification
- Vital signs
- Management
Quick Apply
Home Health Registered Nurse (RN)
Advanced Home Health & Hospice of Arizona —Glendale, AZ
- $85,000 - $95,000 a year
- Weekends as needed
- CPR Certification
- Vital signs
- Management
Quick Apply
22h
Registered Nurse - Medical Oncology Ortho
Valleywise Health System —Phoenix, AZ
- $35.52 - $52.39 an hour
- Full-time
- Nursing
- Management
- RN License
Registered Nurse - NICU
Valleywise Health System —Phoenix, AZ
- $35.52 - $52.39 an hour
- Full-time
- Nursing
- RN License
- Customer service
Quick Apply
Weekend RN
Amedisys —Phoenix, AZ
- $85,000 - $95,000 a year
- Full-time
- CPR Certification
- Nursing
- Management
- Mileage reimbursement
- Paid parental leave
Registered Nurse Cath Lab
Valleywise Health System —Phoenix, AZ
- $35.52 - $52.39 an hour
- Full-time
- Nursing
- RN License
- Hospital
Registered Nurse - Burn ICU
Valleywise Health System —Phoenix, AZ
- $34.15 - $50.37 an hour
- Full-time
- Nursing
- RN License
- Customer service

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Initial Clinical Reviewer - Remote - AZ

Blue Cross Blue Shield of Arizona -
Phoenix, AZ

Apply Now

Job Details

Full-time

Qualifications

Customer relationship building
Copy machines
Employee relationship building
Medical records
Fax machines
Conflict management
Desktop applications
Clinical confidentiality policies
Faxing

Full Job Description

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 remote work opportunity requires residency, and work to be performed, within the State of Arizona.

PURPOSE OF THE JOB

Responsible for identifying, researching, processing, resolving, and responding to inquiries from internal and external customers with emphasis on excellence, privacy, compliance and versatility within the health insurance industry.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

Required Work Experience

2 years of experience in clinical field of practice, health insurance, or other health care related field

Required Education

Associate’s Degree in general field of study or Post High School Nursing Diploma or Certification (LPN only) from an approved program

Required Licenses

Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to practice in the State of Arizona as an LPN.

Required Certifications

PREFERRED QUALIFICATIONS

Preferred Work Experience

3 years of experience in clinical field of practice, health insurance, or other health care related field

Preferred Education

Bachelor's Degree in Nursing or related field of study

Preferred Licenses

Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) as a Registered Nurse

Preferred Certifications

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person.

Answer a diverse and high volume of health insurance related customer calls or correspondence on a daily basis.
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests.
Maintain complete and accurate records per department policy.
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines and required by State, Federal and other accrediting organizations.
Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc.
Demonstrate ability to apply plan policies and procedures effectively.
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
When indicated to assist with team/project functions:
- Collaborate with team to distribute workload/work tasks;
- Monitor and report team tasks;
- Communicate team issues and opportunities for improvement to supervisor/manager;
- Support/mentor team members.
Participate in continuing education and current developments in the fields of medicine and managed care.
Maintain all standards in consideration of State, Federal, BCBSAZ and other accreditation requirements.
The position has an onsite expectation of 0 days per week and 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

Perform all other duties as assigned.

COMPETENCIES

REQUIRED COMPETENCIES

Required Job Skills

Intermediate PC proficiency
Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones

Required Professional Competencies

Maintain confidentiality and privacy
Strong current clinical knowledge
Practice interpersonal and active listening skills to achieve customer satisfaction
Compose a variety of business correspondence
Interpret and translate policies, procedures, programs and guidelines
Capable of investigative and analytical research
Navigate, gather, input and maintain data records in multiple system applications
Follow and accept instruction and direction
Establish and maintain working relationships in a collaborative team environment
Organizational skills with the ability to prioritize tasks and work with multiple priorities
Independent and sound judgment with good problem solving skills

Required Leadership Experience and Competencies

Resolve conflicts
Represent BCBSAZ in the community

PREFERRED COMPETENCIES

Preferred Job Skills

Advanced PC proficiency
Knowledge of CPT-4 and ICD-9 coding

Preferred Professional Competencies

Knowledge of managed care, utilization management, and quality management
Working knowledge of McKesson InterQual® criteria

Preferred Leadership Experience and Competencies

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 Now

Refine Your Search

registered nurse manager jobs in peoria az

Initial Clinical Reviewer - Remote - AZ

Healthcare Operations Manager

Crisis Counselor - Hospital Rapid Response (Mobile, Travel req)

RN Case Manager Hospice (Float)

RN OR Manager FT Days

Registered Nurse

Plastic Surgery Clinic MA. ++MUST HAVE CLINIC EXP++ M-F 9a-5p

Registered Nurse (OR)

Nursing Supervisor RN - NOC Shift

Registered Nurse (RN)

Nurse Supervisor (PM/NOC) - Ahwatukee Post Acute

Registered Nurse Cath Lab

Home Health Weekend Admissions RN

Home Health Registered Nurse (RN)

Home Health Registered Nurse (RN)

Registered Nurse - Medical Oncology Ortho

Registered Nurse - NICU

Weekend RN

Registered Nurse Cath Lab

Registered Nurse - Burn ICU

I want to receive the latest job alert for registered nurse manager in peoria az

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