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Manager, Integrated Care
Blue Cross Blue Shield of Arizona. Manage and oversee staff activities for health improvement and management programs serving members with complex and chronic healthcare needs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management and clinical resources, with a strong focus on health improvement programs for individuals with complex healthcare needs. Possesses advanced clinical knowledge and the ability to lead and develop high-performing teams while ensuring compliance with regulatory requirements.
Highest-signal resume keywords
Case Management CertificationBehavioral Health Professional LicenseClinical Decision-MakingSupervisory ExperienceHealthcare Program Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical KnowledgeMedical Management ProcessesData AnalysisPolicy InterpretationOffice Equipment SkillsPC ProficiencyWord Processing SkillsSpreadsheet SkillsDatabase Software SkillsProblem-Solving Skills
Soft Skills
Interpersonal SkillsActive Listening SkillsOrganizational SkillsPrioritization SkillsTeam Building
Certifications & Qualifications
Case Management CertificationBehavioral Health Professional LicenseNursing License
Industry Keywords
Integrated CareChronic Healthcare NeedsContinuum of CareUtilization ManagementPerformance MeasuresContinuing EducationHealthcare RegulationsOperational ImprovementsStaff TrainingClinical Resources
About the role
Key responsibilities & impact- Manage and oversee staff activities for health improvement and management programs serving members with complex and chronic healthcare needs
- Promote an integrated, whole-person continuum-of-care approach
- Oversee and recommend actions for cases managed through care-management programs
- Direct activities required to maintain Case and Utilization Management accreditation
- Monitor and report department and program performance measures, including IRR, and recommend operational improvements
- Evaluate, interpret, and negotiate benefit and regulatory requirements
- Resolve and respond to customer inquiries and correspondence by telephone, writing, and in person
- Review and maintain accurate departmental documentation, computer files, policies, and procedures
- Coordinate with internal departments, external plans, providers, businesses, and government agencies to implement operational changes and process improvements
- Maintain unit status according to service standards, systems, procedures, forms, and manuals
- Provide case-management and clinical resources
- Facilitate staff training, continuing education, and development, including clinical decision-making and critical-thinking training
- Communicate organizational goals and changes to staff
- Conduct formal performance evaluations and assess care-management program documentation
- Gather feedback on support-staff performance
- Interview, evaluate, and recommend employment decisions
- Participate annually in continuing education and developments in medicine, behavioral health, social determinants, and managed care
- Perform other assigned duties
Requirements
What you’ll need- 2 years of full-time-equivalent direct clinical care experience
- 1 year of supervisory experience
- Associate’s degree in a general field of study or post-high-school nursing diploma; or master’s degree in behavioral health, Ph.D., or Psy.D.
- Active, current, and unrestricted Arizona behavioral-health professional license (or endorsement), such as LCSW, LPC, LISAC, LMFT, or licensed psychologist; or active, current, and unrestricted nursing license as an RN in Arizona or another NLC state
- Must obtain an approved case-management certification within 3 years of directly supervising the integrated-care process with the organization
- Intermediate office-equipment skills
- Intermediate PC proficiency
- Intermediate word-processing, spreadsheet, and database software skills
- Advanced and current clinical knowledge
- Knowledge of medical-management processes
- Analytical, investigative, and research skills
- Ability to interpret policies, procedures, programs, and guidelines
- Ability to navigate, gather, input, and maintain data in multiple applications
- Organizational, prioritization, problem-solving, interpersonal, and active-listening skills
- Ability to build a high-performing team culture and focus team activities on business objectives
- Must reside and work within Arizona
- Must work onsite at least 2 days per week
- Full-time schedule of at least 40 hours per week
Benefits
Comp & perks- Hybrid work flexibility through AZ Blue’s Workability strategy
- Health insurance products and services
- Opportunities for staff training, continuing education, and professional development
- Full-time employment with a minimum 40-hour workweek