Full-time member specialist team associate Job at Walmart (Lebanon)

Integrated Care Manager

Responsible for promoting continuity of care through a collaborative process tha...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
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
Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC)
Intermediate PC proficiency
Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
Intermediate skill in word processing, spreadsheet, and database software
Maintain confidentiality and privacy
Advanced and current clinical knowledge

Job Responsibility

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
Answer a diverse and high volume of health insurance related customer calls on a daily basis
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
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
Maintain complete and accurate records per department policy
Demonstrate ability to apply plan policies and procedures effectively

Fulltime

Integrated Care Manager - Remote AZ

Location

United States of America , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
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
Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC)
Intermediate PC proficiency
Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
Intermediate skill in word processing, spreadsheet, and database software
Maintain confidentiality and privacy
Advanced and current clinical knowledge

Job Responsibility

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
Answer a diverse and high volume of health insurance related customer calls on a daily basis
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
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
Maintain complete and accurate records per department policy
Demonstrate ability to apply plan policies and procedures effectively

Fulltime

Integrated Care Manager - Adult

Responsible for promoting continuity of care through a collaborative process tha...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
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
Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC)
Intermediate PC proficiency
Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
Intermediate skill in word processing, spreadsheet, and database software
Maintain confidentiality and privacy
Advanced and current clinical knowledge

Job Responsibility

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
Answer a diverse and high volume of health insurance related customer calls on a daily basis
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
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
Maintain complete and accurate records per department policy
Demonstrate ability to apply plan policies and procedures effectively

Fulltime

Integrated Care Manager

Responsible for promoting continuity of care through a collaborative process tha...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
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.
Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC.)
Intermediate PC proficiency
Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
Intermediate skill in word processing, spreadsheet, and database software
Maintain confidentiality and privacy
Advanced and current clinical knowledge

Job Responsibility

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.
Answer a diverse and high volume of health insurance related customer calls on a daily basis.
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.
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests.
Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director.
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines.
Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements.
Maintain complete and accurate records per department policy.
Demonstrate ability to apply plan policies and procedures effectively.

Fulltime

Family Physician

The Family Medicine Physician delivers quality primary medical care in an effici...

Location

United States , Bear

Salary:

Not provided

Westside Family Healthcare Inc

Expiration Date

Until further notice

Requirements

Graduate of an accredited school of medicine
Completion of an appropriate accredited medical residency program
Licensure to practice medicine in Delaware
Basic life support certification
Ability to travel between worksites as needed
Certification or eligibility for certification by an applicable American Medical Specialty Board
Eligibility for staff privileges to local hospitals associate with WFH
Full-time experience in the practice of medicine in direct primary patient care, both outpatient and inpatient

Job Responsibility

Provide primary medical care to patients, including collecting and recording patient information in the EMR in a thorough and timely manner
prescribing or administering treatment
ordering, performing, and interpreting tests and analyzing records, reports, and examination information to diagnose patients' conditions
monitoring patients' conditions and progress and reevaluating treatments as necessary
explaining procedures and discussing test results or prescribed treatments with patients
advising patients concerning diet, activity, hygiene, and disease prevention
referring patients to medical specialists or other practitioners when necessary
and participating in hospital admission and follow-up of patients, making arrangement for services as needed
Coordinate work with other members of the care team, including nurses, social workers, rehabilitation therapists, pharmacists, psychologists, and other health care providers
Provide emergency medical treatment to WFH patients as needed, and provide emergency medical treatment as requested or appropriate to non-WFH patients who are at or near a location where the physician is present for the purpose of providing services to WFH patients

What we offer

$20,000 SIGN ON BONUS

Fulltime

Family Physician

The Family Medicine Physician delivers quality primary medical care in an effici...

Location

United States , Dover

Salary:

Not provided

Westside Family Healthcare Inc

Expiration Date

Until further notice

Requirements

Graduate of an accredited school of medicine
Completion of an appropriate accredited medical residency program
Licensure to practice medicine in Delaware
Basic life support certification
Ability to travel between worksites as needed
Certification or eligibility for certification by an applicable American Medical Specialty Board
Eligibility for staff privileges to local hospitals associate with WFH
Full-time experience in the practice of medicine in direct primary patient care, both outpatient and inpatient

Job Responsibility

Provide primary medical care to patients, including collecting and recording patient information in the EMR in a thorough and timely manner
prescribing or administering treatment
ordering, performing, and interpreting tests and analyzing records, reports, and examination information to diagnose patients' conditions
monitoring patients' conditions and progress and reevaluating treatments as necessary
explaining procedures and discussing test results or prescribed treatments with patients
advising patients concerning diet, activity, hygiene, and disease prevention
referring patients to medical specialists or other practitioners when necessary
and participating in hospital admission and follow-up of patients, making arrangement for services as needed
Coordinate work with other members of the care team, including nurses, social workers, rehabilitation therapists, pharmacists, psychologists, and other health care providers
Provide emergency medical treatment to WFH patients as needed, and provide emergency medical treatment as requested or appropriate to non-WFH patients who are at or near a location where the physician is present for the purpose of providing services to WFH patients

Fulltime

Physician Assistant

Westside Family Healthcare is a nonprofit organization that provides high qualit...

Location

United States , Wilmington

Salary:

Not provided

Westside Family Healthcare Inc

Expiration Date

Until further notice

Requirements

Graduate of an accredited Physician Assistant Program
Completion of an appropriate accredited medical residency program
Licensure to practice medicine in Delaware
Basic life support certification
Ability to travel between worksites as needed
Certification or eligibility for certification by an applicable American Medical Specialty Board
Eligibility for staff privileges to local hospitals associate with WFH
Full-time experience in the practice of medicine in direct primary patient care, both outpatient and inpatient

Job Responsibility

Provide primary medical care to patients, including collecting and recording patient information in the EMR in a thorough and timely manner
prescribing or administering treatment
ordering, performing, and interpreting tests and analyzing records, reports, and examination information to diagnose patients' conditions
monitoring patients' conditions and progress and reevaluating treatments as necessary
explaining procedures and discussing test results or prescribed treatments with patients
advising patients concerning diet, activity, hygiene, and disease prevention
referring patients to medical specialists or other practitioners when necessary
and participating in hospital admission and follow-up of patients, making arrangement for services as needed
Coordinate work with other members of the care team, including nurses, social workers, rehabilitation therapists, pharmacists, psychologists, and other health care providers
Provide emergency medical treatment to WFH patients as needed, and provide emergency medical treatment as requested or appropriate to non-WFH patients who are at or near a location where the physician is present for the purpose of providing services to WFH patients

What we offer

medical insurance
dental insurance
vision insurance
life and disability insurance
a 401(k) retirement plan with a match
supplemental insurances
generous PTO package
flexibility to provide work/life balance
LOAN REPAYMENT PROGRAMS AVAILABLE
$20K SIGN ON BONUS

Fulltime

Family Physician

Westside Family Healthcare is a nonprofit organization that provides high qualit...

Location

United States , Newark

Salary:

Not provided

Westside Family Healthcare Inc

Expiration Date

Until further notice

Requirements

Graduate of an accredited school of medicine
Completion of an appropriate accredited medical residency program
Licensure to practice medicine in Delaware
Basic life support certification
Ability to travel between worksites as needed
Certification or eligibility for certification by an applicable American Medical Specialty Board
Eligibility for staff privileges to local hospitals associate with WFH
Full-time experience in the practice of medicine in direct primary patient care, both outpatient and inpatient

Job Responsibility

Provide primary medical care to patients, including collecting and recording patient information in the EMR in a thorough and timely manner
prescribing or administering treatment
ordering, performing, and interpreting tests and analyzing records, reports, and examination information to diagnose patients' conditions
monitoring patients' conditions and progress and reevaluating treatments as necessary
explaining procedures and discussing test results or prescribed treatments with patients
advising patients concerning diet, activity, hygiene, and disease prevention
referring patients to medical specialists or other practitioners when necessary
and participating in hospital admission and follow-up of patients, making arrangement for services as needed
Coordinate work with other members of the care team, including nurses, social workers, rehabilitation therapists, pharmacists, psychologists, and other health care providers
Provide emergency medical treatment to WFH patients as needed, and provide emergency medical treatment as requested or appropriate to non-WFH patients who are at or near a location where the physician is present for the purpose of providing services to WFH patients

What we offer

$20,000 SIGN ON BONUS

Fulltime

Select Country

Full-time member specialist team associate

Walmart

Location:
United States , Lebanon

Category:
Customer Service

Contract Type:
Employment contract

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
May 26, 2026

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Full-time member specialist team associate

Walmart

Location:United States , Lebanon

Category:Customer Service

Contract Type:Employment contract

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:May 26, 2026

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Location:
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Contract Type:
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Job Posted:
May 26, 2026