Health Manager, Respiratory Therapist - Remote AZ

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers 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.

At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:

• Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week

• Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week

• Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month

• Onsite: daily onsite requirement based on the essential functions of the job

• Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.

PURPOSE OF THE JOB

Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. 

QUALIFICATIONS

REQUIRED QUALIFICATIONS

Required Work Experience

• 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer

Required Education

• Associate’s Degree in general field of study or Post High School Nursing Diploma

Required Licenses

• 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, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.

• Within 4 years of hire, hold a certification in case management from one of the following: Certified Case Manager (CCM), Case Management Administrator Certified (CMAC), Case Management Certified (CMC), Registered Nurse Case Manager, or other approved related certification

PREFERRED QUALIFICATIONS

• 3 year(s) of experience in full-time equivalent of direct clinical care to the consumer
• 1-2 year (s) of experience working in a managed care organization
• Experience working with individuals living with chronic conditions such as: Diabetes, CHF, COPD, CAD, CKD, and asthma

• Bachelor's Degree in Nursing or Health and Human Services-related field of study

• n/a

• Diabetes Care and Education Specialist (DCES) (formerly Certified Diabetes Educator (CDE))
• Certified Lifestyle Medicine Professional
• Certified Health Coach
• Case Management Certification

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

• Perform assessments, condition management education, training, and other clinically-based activities to coordinate care among providers, members, and family to implement the care plan.

• Conduct member-centered planning, including shared goal-setting and member-tailored education and interventions to support the member in achieving self-efficacy for condition management.
• Identify holistic member needs considering whole-person health, to include condition-specific needs, behavioral health needs, and social drivers of health needs.
• Recommend and refer services and resources to members based on their individualized needs, specific health plan, and community and cultural preferences.
• Make and answer a divers