Integrated Care Manager- Remote AZ

Job Summary

Required Qualifications

• •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 ...
• •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
• •Practice interpersonal and active listening skills to achieve customer satisfaction
• •Interpret and translate policies, procedures, programs, and guidelines
• •Capable of investigative and analytical research
• •Demonstrated organizational skills with the ability to priortize tasks and work with multiple priorities
• •Follow and accept instruction and direction
• •Establish and maintain working relationships in a collaborative team environment
• •Apply independent and sound judgment with good problem solving skills
• •Navigate, gather, input, and maintain data records in multiple system applications
• •Represent BCBSAZ in the community
• •Must reside in AZ
• •required to be onsite at least twice per week

Desired Qualifications

• •3 year(s) of experience in full-time equivalent of direct clinical care to the consumer (managed care CM experience preferred)
• •1-2 year (s) of experience working in a managed care organization
• •Bachelor's Degree in Nursing or Health and Human Services related field of study
• •Active and current 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)
• •Advanced PC proficiency
• •Knowledge of CPT 2018 and ICD-10 coding
• •Knowledge of managed care, utilization management, and quality management
• •Working knowledge of McKesson InterQual, MCG, ASAM, or other nationally recognized criteria
• •Knowledge of a wide range of matters pertaining to the organizations services and operations
• •Knowledge of health and/or patient education and behavior change techniques