Integrated Medical Assistant or Licensed Practical Nurse Job at Blue Cross Blue Shield of Arizona (Mesa)

Integrated Medical Assistant or Licensed Practical Nurse

The Integrated Medical Assistant (MA) or Licensed Practical Nurse (LPN) for the ...

Location

United States , Mesa

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

Excellent interpersonal skills to include maintaining courteous, friendly, and effective communication with patients, team members and external parties
Electronic Medical Records experience
Customer service orientation and experience
Effective communication skills across multiple modalities
Strong collaboration skills
Empathy and advocacy
Exceptional organizational skills and detail oriented
The ability to always maintain confidentiality
High school diploma or GED
2 years Medical Assistant/LPN experience in an outpatient care setting

Job Responsibility

Support MA duties on site as well as travel to other Prosano clinics in a designated region as needed with a minimum of 3 Prosano sites/clinics in scope
Standardize MA competencies aligned to business Desk Level Procedures across all Prosano Care Centers
Assist with the facilitation of Medical Assistant new hire onboarding tasks/responsibilities
Serve as training support/mentor to medical assistants
Review and update established MA checklists to ensure MA skills in a designated region are aligned to job requirements
Follow established protocol to upskill MAs when gaps are identified
Perform the standard MA functions, when needed: Establish a strong rapport with the patient, to include delivering an exceptional patient care experience
Prepare patients for their visit to include communicating details around their scheduled visit, explaining all relevant information clearly, taking vitals, and completing updates to patient records as required
Perform Veni puncture and phlebotomy processing
Prepare equipment and examination rooms, and ensure clean instruments are available for the daily care center operations

What we offer

A one-time sign-on bonus of $1,200 will be offered upon hire

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).

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

Registered Nurse - Emergency

As a Registered Nurse at Sollis Health, you will provide concierge emergency and...

Location

United States , New York

Salary:

63.00 - 70.00 USD / Hour

Sollis Health

Expiration Date

Until further notice

Requirements

Graduated from an accredited School of Nursing. Associate’s or Bachelor’s Degree in Nursing required.
Current License to practice as a Registered Professional Nurse in NY required.
BLS, ACLS, PALS certification required upon hire.
Must have 2-3 years prior emergency or urgent care experience.
Strong clinical skills.
Tech savvy with the ability to use and or learn our systems including but not limited to Slack, Athena Health, Salesforce, and Humanity etc.
Superb technical skills, including phlebotomy, peripheral IV placement, medication administration.
Ability to be adaptable and work in a fluid, multitasking environment.
Strong process and organizational skills.
The ability to problem-solve and think outside of the box.

Job Responsibility

Obtain medical history, patient vital signs, intake, and prioritize patient care.
Perform medical procedures that include obtaining IV access, phlebotomy, administering vaccines, performing POC rapid tests, administering IV medications and fluids, and performing EKGs.
Be an integral part of the patient care team and assist with patient care within the scope of practice.
Document patient information in Sollis’ EHR and within Salesforce for our membership team.
Maintain and track medication inventory.
Coordinate additional care with our Aftercare, and house calls teams or with one of our Medical Partners.
Work closely with our clinical team members to ensure all policies are adhered to and that you deliver quality care in an innovative setting.
Make patients comfortable, patiently and professionally answering any questions they have and using patient-centered empathetic communication at all times.
Participate in a house call if requested.
Perform related duties as requested.

Fulltime

Home health registered nurse

Permanent Staff Home Health Registered Nurse Job in Brookfield, WI. Join Aya for...

Location

United States , Brookfield

Salary:

33.00 - 43.00 USD / Hour

IntelyCare

Expiration Date

Until further notice

Requirements

Graduate of a Board of Nursing approved nursing education program
Basic Life Support (BLS) certification
Active, unrestricted registered nurse (RN) multi-state compact and/or single-state license with privileges to practice in the state(s) where the RN is providing client nursing services
Typically requires 1 year of experience in clinical nursing
Strong clinical judgment and critical thinking
Time management, prioritization and problem-solving skills
Excellent communication and interpersonal skills
Ability to work in a fast-paced, dynamic environment
Proficiency in operating computer functions (e.g., E-mail, electronic records, digital platforms etc.)
Must be able to sit, stand, walk, lift, squat, bend, reach above shoulders, and twist frequently

Job Responsibility

Utilizes the nursing process to assess, plan, diagnose, implement, and evaluate nursing care, engaging patients and families through the continuum of care
Monitors patient conditions, adjusts care plans, mobilizes resources, and collaborates with the care team to influence care outcomes
Upholds and promotes a culture of safety
May administer medications, treatments, and therapies safely and according to clinical protocols and procedures
Demonstrates effective communication, feedback, and conflict resolution, fostering team collaboration and appropriate delegation
Pursues professional development, completes required education, and maintains certifications
Adhere to the ANA Code of Ethics and practices ethical decision-making, respects interdisciplinary roles, and contributes to integrated, unbiased patient care
Appropriate delegation to other Registered Nurses, Licensed Practical Nurses, and unlicensed assistive personnel
Maintains accurate, timely EHR documentation
May be required to float to other units, departments, care areas, or facilities within the designated service area to meet patient care needs

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Charge Nurse

To provide direct nursing care to residents, and to supervise the day-to-day Nur...

Location

United States , Macy

Salary:

40.00 - 41.00 USD / Hour

The Omaha Tribe of Nebraska

Expiration Date

Until further notice

Requirements

High school diploma or GED
Nebraska Licensure for Registered Nurse/Licensed Practical Nurse
Geriatric Nursing experience preferred
Must pass background check, physical, and pre-employment drug screen
Must have valid Nursing License/Licensed Practical Nurse
Possess or pass test for CPR. Optional A.C.L.S.
Must have valid Driver's License, must be insurable
Must have good oral and written communication skills
Must have the ability to give direction as well as receive
Must possess ability to make independent decisions when circumstances warrant such action

Job Responsibility

To provide direct nursing care to residents, and to supervise the day-to-day Nursing activities performed by nursing assistants
May be necessary to assist in the evacuation of residents during emergency situations
Demonstrates applicable knowledge of policies and procedures related to the Registered Nurse/LPN
Demonstrates ability to perform technical skills for the Registered Nurse including the patient's treatment, emergency procedures, as determined by the competency assessment program
Perform other duties as assigned

Fulltime

Patient Care Technician / Unit Clerk

This position is a hybrid role transitioning between a Patient Care Technician a...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

High school diploma or general education degree (GED), or an equivalent combination of relevant education and experience
One (1) year of patient care experience, preferably in an acute care setting
or no experience if completed one semester of clinicals in an acute care setting in an accredited nursing program, or completed a formal Patient Care Tech (PCT) program, or obtained a Certified Nursing Assistant (CNA) certification, or obtained a Licensed Nursing Assistant (LNA) licensure
Basic Life Support (BLS) certification required
Knowledge of patient care protocols and practices
Knowledge of general patient care practice, methods and regulations
Knowledge of patient privacy regulations
Knowledge of appropriate customer service interaction skills
Skill in attending to patients with care and attention to needs
Skill in assisting with more complex patient care programs

Job Responsibility

Maintains confidentiality and protects sensitive data at all times
Formulates and implements accurate and timely care
Takes care of the body after death
Assists patients with activities of daily living
Takes vital signs, weighs patients, and collects routine urine specimens
cleans catch specimens, stool specimens, and sputum specimens
Maintains patient safety and infection control standards
promotes a safe therapeutic environment
Cleans and prepares rooms between procedures and discharges
monitors and restocks supplies

Registered Nurse - Emergency

As a Registered Nurse at Sollis Health, you will provide concierge emergency and...

Location

United States , Beverly Hills

Salary:

65.00 - 70.00 USD / Hour

Sollis Health

Expiration Date

Until further notice

Requirements

Graduated from an accredited School of Nursing. Associate’s or Bachelor’s Degree in Nursing required
Current License to practice as a Registered Professional Nurse in CA required
BLS, ACLS, PALS certification required upon hire
Must have 2-3 years prior emergency or urgent care experience

Job Responsibility

Obtain medical history, patient vital signs, intake, and prioritize patient care
Perform medical procedures that include obtaining IV access, phlebotomy, administering vaccines, performing POC rapid tests, administering IV medications and fluids, and performing EKGs
Be an integral part of the patient care team and assist with patient care within the scope of practice
Document patient information in Sollis’ EHR and within Salesforce for our membership team
Maintain and track medication inventory
Coordinate additional care with our Aftercare, and house calls teams or with one of our Medical Partners
Work closely with our clinical team members to ensure all policies are adhered to and that you deliver quality care in an innovative setting
Make patients comfortable, patiently and professionally answering any questions they have and using patient-centered empathetic communication at all times
Participate in a house call if requested
Perform related duties as requested

Parttime

Payment Integrity Nurse Coder RN III

The Payment Integrity Nurse Coder RN III is responsible for investigating, revie...

Location

United States , Los Angeles

Salary:

102183.00 - 163492.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing
At least 8 years of clinical RN experience
At least 3 years of experience in utilization management or clinical coding
Investigation and/or auditing experience
Knowledge in CPT, HCPCS, ICD-9, ICD-10, Medicare, and Medicaid rules and regulations
Knowledge of healthcare reimbursement concepts, health insurance business, industry terminology, and regulatory guidelines
Working knowledge of claims coding and medical terminology
Solid understanding of standard claims processing systems and claims data analysis
Strong project leadership and management skills required
ability to prioritize, plan, and handle multiple tasks/demands simultaneously

Job Responsibility

Investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects
Serving as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements
Providing guidance related to Payment Integrity initiatives to include concept and cost avoidance development
Training and mentoring Payment Integrity Nurse Coder, RN staff
Acting as a Subject Matter Expert, serving as a resource and mentor for other staff
Performing Quality Audits to include validation of accuracy and completeness of ICD, Rev Code, CPT, HCPCs, APR, DRG, POA, and all relevant coding elements
Serving cross functionally with Utilization Management, Medical Directors, and other internal teams to assist in identification of overpayments as well as other projects
Serving as SME for all Payment Integrity functions to include both Retrospective Data Mining as well as Pre-Payment Cost Avoidance
Identifying trends and patterns with overall program and individual provider coding practices
Supporting the creation and execution of strategies that determine impact of opportunity and recover overpayments as well as prospective internal controls preventing future overpayments

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Integrated Medical Assistant or Licensed Practical Nurse

Blue Cross Blue Shield of Arizona

Location:
United States , Mesa

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
January 15, 2026

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