Health Risk Assessment Nurse

Full Job Description
Awarded the Best Place to Work 2021, Blue Cross Blue Shield of Arizona helps to fulfill its mission of improving the quality of life of Arizonans by delivering 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.
The remote work opportunity requires residency, and work to be performed within the State of Arizona.
PURPOSE OF THE JOB
The HRA Nurse is responsible for telephonic interactions with the member and compiling data in order to complete the Health Risk Assessment. The HRA Nurse will use this information to create an individualized care plan which will be shared with the member and/or caregiver, and the primary care provider.
QUALIFICATIONS
REQUIRED QUALIFICATIONS
1. Required Work Experience
2 years nursing experience in a health care setting
2. Required Education
Associate’s Degree in Nursing field of study
3. Required Licenses
Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) as a
Registered Nurse (RN) or Practice Nurse (LPN)
4. Required Certifications
N/A
PREFERRED QUALIFICATIONS
1. Preferred Work Experience
N/A
2. Preferred Education
N/A
3. Preferred Licenses
N/A
4. Preferred Certifications
N/A
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
Complete both initial and annual Health Risk Assessments
Utilize risk stratification tools to classify members as low, medium or high acuity
Work collaboratively with the member to create individualized care plans based on Health Risk Assessment data, chronic conditions, and gaps in care
Ensure individualized care plans are time sensitive and contain measurable goals
Collaborate with the Interdisciplinary Care Team to incorporate best practices, assess outcomes and develop individualized care plans
Ensure the member and all members of the Interdisciplinary Care Team receive a copy of the individualized care plan to ensure continuity of care
Educate member on the importance of preventive measures and following up with their primary care provider on a regular basis
Identify members who would benefit from care, disease or behavioral health management programs and make necessary referrals
Identify gaps in care and address with the member
All work is documented in the care management system and is complete and accurate according to CMS timelines for completion
Perform all other duties as assigned
The position 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
COMPETENCIES
REQUIRED COMPETENCIES
Required Job Skills
Managed Care/Medicare/Medicaid experience
Skilled with telephonic Motivational Interviewing
Computer and software program skills
Written and verbal skills
Ability to manage multiple projects and prioritize and adhere to deadlines/time frames
Complete tasks with little supervision
Ability to manage high productivity workload
Required Professional Competencies
N/A
Required Leadership Experience and Competencies
N/A
PREFERRED COMPETENCIES
1. Preferred Job Skills
N/A
2. Preferred Professional Competencies
N/A
3. Preferred Leadership Experience and Competencies
N/A
Our Commitment
BCBSAZ 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.