Arizona Licensed Complex Care RN

Job Summary

As a fully remote opportunity, the Arizona Licensed Complex Care RN will manage care coordination for high-acuity Medicare Advantage members, ensuring timely and proactive clinical support while collaborating with a multidisciplinary team in a full-time capacity.

Key responsibilities:

• Own the member journey and care coordination for assigned high-risk Medicare Advantage members through regular telehealth outreach and proactive monitoring
• Manage transitions of care and hospital discharge coordination to reduce readmissions and ensure effective community reintegration
• Complete medication reconciliations and clinical monitoring, escalating concerns to the appropriate care providers as needed

Required qualifications:

• Minimum 3 years of clinical RN experience in complex care, care management, or related settings
• Active, unrestricted RN license in Arizona
• Experience in a Medicare Advantage or managed care environment with knowledge of HEDIS and care gap management
• Proficiency in telehealth delivery models and virtual member engagement
• Associate Degree in Nursing (ADN); BSN strongly preferred