Phoenix, Arizona, United States · On-site
About Prosano Health Solutions: Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy. Our g…
Skills: Bilingual English/Mandarin, Patient Navigation, Customer Service, Electronic Medical Records, Interpersonal Communication
Phoenix, Arizona, United States · Remote OK
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 need…
Skills: Clinical training, Utilization management, Auditing, Quality improvement, Clinical decision-making
Phoenix, Arizona, United States · On-site
About Prosano Health Solutions: Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy. Our g…
Skills: Healthcare management, Clinical operations, Staff supervision, Performance management, Value-based care
Phoenix, Arizona, United States · Remote OK
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 need…
Skills: Clinical Training, Auditing, Utilization Management, Care Management, Quality Improvement
Phoenix, Arizona, United States · Hybrid
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 need…
Skills: NCQA HEDIS, CMS Core, Performance Improvement, Data Analysis, Medicaid Managed Care
Phoenix, Arizona, United States · Hybrid
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 need…
Skills: Human resources, Employee relations, Performance management, Talent management, Coaching
Chandler, Arizona, United States · On-site
About Prosano Health Solutions: Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy. Our g…
Skills: Phlebotomy, CPR Certification, Electronic Medical Records, Athena Software, Patient Care
Scottsdale, Arizona, United States · On-site
About Prosano Health Solutions: Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy. Our g…
Skills: Primary care, Patient care, Clinical documentation, Medical record documentation, Population health
Phoenix, Arizona, United States · Hybrid
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 need…
Skills: Contract Negotiation, Legal Drafting, Healthcare Law, Regulatory Compliance, Risk Management
Scottsdale, Arizona, United States · On-site
About Prosano Health Solutions: Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy. Our g…
Skills: Case Management, Registered Nurse, Patient Care, Clinical Navigation, Electronic Medical Records
Gilbert, Arizona, United States · On-site
About Prosano Health Solutions: Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy. Our g…
Skills: Patient Care, Population Health, Medical Documentation, Interpersonal Communication, Value-Based Care
Goodyear, Arizona, United States · On-site
About Prosano Health Solutions: Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy. Our g…
Skills: Patient Care, Population Health, Medical Documentation, Interpersonal Communication, Integrated Team-Based Care
Tucson, Arizona, United States · On-site
About Prosano Health Solutions: Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy. Our g…
Skills: Patient Care, Population Health, Medical Documentation, Interpersonal Communication, Value-Based Care
Tucson, Arizona, United States · On-site
About Prosano Health Solutions: Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy. Our g…
Skills: Registered Nurse, Case Management, Patient Care, Clinical Navigation, Electronic Medical Records
Phoenix, Arizona, United States · Hybrid
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 need…
Skills: Clinical training, Auditing, NCQA accreditation, CMS program audit, AHCCCS requirements
Phoenix, Arizona, United States · Hybrid
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 need…
Skills: Software architecture, Requirements analysis, Software design, Coding, Healthcare products
Phoenix, Arizona, United States · Hybrid
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 need…
Skills: Managed care, Provider network contracting, Medicaid regulatory compliance, Legal research, Issue spotting
Phoenix, Arizona, United States · Remote OK
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 need…
Skills: Clinical knowledge, Health insurance, Medical records analysis, Utilization management, Quality management
Phoenix, Arizona, United States · Hybrid
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 need…
Skills: Customer service, Contract coordination, Data management, Credentialing, Provider network analysis
Phoenix, Arizona, United States · Hybrid
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 need…
Skills: Enterprise Architecture, Strategic Planning, Application Portfolio Management, Roadmap Development, Data Modeling
Phoenix, Arizona, United States • On-site
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The Care Navigator manages end-to-end specialist and diagnostic testing navigation while supporting patients through their healthcare journey. They provide real-time education, schedule appointments, and partner with the care team to improve health outcomes.
Candidates must have CPR certification, an active AZ fingerprint clearance card, and experience with Electronic Medical Records. A clinical background such as RMA or CNA is preferred along with bilingual proficiency in English and Mandarin.
Prosano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy. Our goal is to deliver affordable, convenient, and personalized care to the communities we serve. Our Advanced Primary Care model is focused on providing a signature patient experience which will raise the bar in both the delivery of care, and by ensuring health equity is top of mind. And, in every market we serve, we assure that a customized, high-value system of care is available for our members. Together, we will set the standard for how healthcare can and should be delivered in our State.
Here’s the fun part. We are growing our team. The team will include people who share our passion and deep commitment to taking the primary care experience to a new level. Our team is unified in providing not only comprehensive care, but a truly exceptional patient experience, leaving our patients with the lasting impression of trust and compassion. We realize we can do great things by working together and adapting processes to provide the best possible care for people. Together, we will improve the health within our communities and make a difference in people’s lives.
If you share this vision and desire to do something different...we look forward to talking to you!
For more information, please reach out to our Talent Acquisition team.
You Will:
The Clinical Care Guide will be a key contributor to our first-class care team at Prosano Health Solutions. They will deliver on our commitment to excellence to our patients and help us grow through their role. The Clinical Care Guide will have end to end responsibility for our specialist and diagnostic testing navigation, as well as in leading and partnering with the care team to support patients in their journey toward their best health. This position has an emphasis on customer/patient care excellence, privacy, compliance, and serving in a dynamic health setting.
Support members both in-person and virtually with real-time education, scheduling of specialist & diagnostic referral appointments, and follow-through + follow-up of those appointments
Play a critical role in the achievement of improved health outcomes and cost savings
Be an empathetic problem-solver and become the most visible partner to all patients
Clarify and explain referral for specialist and diagnostic service recommendations
Care for end to end process as needed, for referral or specialist services
Participate in development and management of quality programs to include patient outreach to members in an effort to provide an elevated primary care experience with gaps in care or other clinical needs
Support members with chronic conditions by providing education, reminders, and other support
Lead service and schedule requests on member’s behalf
Inform and equip Care Team with referral information and requirements
Assist in specialist relationship management
Perform all other duties as assigned
Working hours may include extended hours.
This position requires 100% on-site work at the care center location and may also involve movement between clinics as needed
You Have:
Excellent interpersonal skills to include maintaining courteous, friendly and effective communications with patients, team members and external parties
A Basic Life Saving (BLS) certification
High school diploma or GED
Interest in furthering education/certification
Electronic Medical Records experience
Customer service orientation and experience
Strong communication skills across multiple modalities
Highly collaborative
Empathy and advocacy
Exceptional organizing skills, detail-orientation
Must be able to maintain confidentiality at all times
Active AZ fingerprint clearance card
Preferred Qualifications:
Clinical background: Registered Medical Assistant (RMA), Certified Nursing Assistant (CNA), etc.
Proficiency with other health care related software platforms
High degree of independence, flexibility, initiative, and commitment
Prosano Health Solutions 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 Prosano Health Solutions. If interested in this position, please apply.
Inspiring Health in Arizona for over 80 years.
Blue Cross ® Blue Shield ® of Arizona (AZ Blue) is committed to helping Arizonans get healthier faster and stay healthier longer. With a mission to inspire health and make it easy, AZ Blue offers health insurance and related services to more than 2 million customers. AZ Blue, a non-profit company, is an independent licensee of the Blue Cross Blue Shield Association. The company and its subsidiaries employ more than 3,200 people in its Phoenix, Flagstaff, and Tucson offices.
Offices: 8220 N 23rd Ave, Phoenix, Arizona 85021, US
Inspiring Health in Arizona for over 80 years.
Blue Cross ® Blue Shield ® of Arizona (AZ Blue) is committed to helping Arizonans get healthier faster and stay healthier longer. With a mission to inspire health and make it easy, AZ Blue offers health insurance and related services to more than 2 million customers. AZ Blue, a non-profit company, is an independent licensee of the Blue Cross Blue Shield Association. The company and its subsidiaries employ more than 3,200 people in its Phoenix, Flagstaff, and Tucson offices.
Offices: 8220 N 23rd Ave, Phoenix, Arizona 85021, US
