Job Description

Our Mission:  Provide the best value in health insurance and related health services to improve the quality of life for Arizonans.

Our Vision: 

Inspire health in Arizona as the trusted leader in delivering affordable, innovative healthcare solutions.

Our Benefits: Our benefits provide work-life balance and the flexibility you need to be your best. We offer comprehensive medical, dental, and vision coverage; a 401K savings plan; paid holidays and vacations; and much more!

Position Purpose:  The Transition of Care Nurse (TOC) contacts the members upon discharge to insure a safe discharge.  The TOC Nurse will follow up with the member to ensure all discharge orders have been filled and PCP/specialist follow up appointment has been scheduled. 

  • Telephonic contact with the members within 3 days of discharge
  • Facilitate completion of all discharge orders that have not been completed
  • Complete TOC surveys
  • Complete LACE tool
  • Obtain data needed for the Medication Reconciliation
  • Follow up with member up to 30 days post discharge based on LACE tool scoring
  • Assist UR Staff as needed
  • Other duties as needed within the UM Department

Education / Experience / Other Requirements

Education:   

  • LPN, Associate’s degree or Bachelor’s degree from an accredited Nursing School required
  • Current unrestricted license for AZ

Years of Experience:  

  • Previous Discharge planning experience preferred
  • Previous Medicaid/Medicare experience preferred

Specialized Knowledge:  

  • Strong knowledge of care management and care coordination
  • Proficiency in computer and technology utilization required, including, but not limited to: care management software, data-analytics software, Microsoft Office Products (Outlook, Excel, Power Point, Word, Visio)

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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