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Registered Nurse Clinical Care Guide

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Blue Cross Blue Shield of Arizona

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Location:
United States , Tucson

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Category:
Nursing

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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

The Clinical Care Guide (RN) will be a key contributor to our first-class care team at Prosano Health Solutions. They will deliver on our commitment to excellence to our patients and help us grow through their role. The Clinical Care Guide will have end to end responsibility for our specialist and diagnostic testing navigation, as well as in leading and partnering with the care team in supporting patients in their journey toward their best health. This position has an emphasis on customer/patient care excellence, privacy, compliance, and serving in a dynamic health setting.

Job Responsibility:

  • Support members both in-person and virtually with real-time consultation, education, scheduling of specialist & diagnostic referral appointments, and follow-through + follow-up of those appointments
  • Play a critical role in the achievement of improved health outcomes and cost savings
  • Be an empathetic problem-solver and become the most visible partner to all patients
  • Clarify and explain referral for specialist and diagnostic service recommendations
  • Care for end to end process as needed, for referral or specialist services
  • Lead center in development and management of quality programs to include patient outreach to members in an effort to provide an elevated primary care experience with gaps in care or other clinical needs
  • Support members with chronic conditions by providing education, reminders, and other support
  • Handle the management and integration of office processes
  • Lead service and schedule requests on member’s behalf
  • Inform and equip Care Team with referral information and requirements
  • Be an ambassador in the local community - building relationships with other healthcare providers, social/community organizations, and marketing partners
  • Perform all other duties as assigned
  • Working hours may include extended hours
  • This position requires 100% on-site work at the care center location and may also involve movement between clinics as needed

Requirements:

  • Current state license to practice as a Registered Nurse
  • Associate's degree in Nursing
  • BLS certification
  • Electronic Medicare Records experience
  • Customer service orientation and experience
  • Strong communication skills across multiple modalities
  • Highly collaborative
  • Empathy and advocacy
  • Exceptional organizing skills, detail-orientation
  • Must be able to maintain confidentiality at all times
  • Active AZ fingerprint clearance card

Nice to have:

  • Bachelor's degree in nursing (BSN)
  • Case Management Certification (CCM)
  • Proficiency with other health care related software platforms
  • High degree of independence, flexibility, initiative and commitment
What we offer:
  • Up to 18 days PTO
  • 11 paid holidays
  • 8 hours paid Volunteer hours to serve our community
  • Medical, Dental and Vision Coverage
  • 401(k) up to 5% dollar per dollar match
  • Tuition Reimbursement
  • Employee discounts, gym reimbursement, wellness programs and more
  • Performance Incentive Plan

Additional Information:

Job Posted:
May 05, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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