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Transition of Care Nurse – Remote AZ

March 11, 2026

R5853 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. This position is Remote within the state of AZ only. This remote work opportunity requires residency, and work to be performed, within the State of Arizona.

Purpose of the job

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.

Qualifications

REQUIRED QUALIFICATIONS Required Work Experience

2 years Nursing experience in a health care setting

Required Education

Associate’s Degree in Nursing

Required Licenses

Registered Nurse with a current, active, unrestricted nursing license in the state of Arizona (a state in the United States).

Required Certifications

N/A

PREFERRED QUALIFICATIONS Preferred Work Experience

Prior HRA experience

Preferred Education

Bachelor’s Degree in Nursing

Preferred Licenses

N/A

Preferred Certifications

N/A

ESSENTIAL job functions AND RESPONSIBILITIES

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
Perform all other duties as assigned
The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements

competencies

REQUIRED COMPETENCIES Required Job Skills

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)
Written and verbal skills

Required Professional Competencies

Ability to work independently

Required Leadership Experience and Competencies

N/A

PREFERRED COMPETENCIES Preferred Job Skills

Previous Discharge planning experience
Previous Managed/Care/Medicaid/Medicare experience

Preferred Professional Competencies

N/A

Preferred Leadership Experience and Competencies

N/A

Our Commitment AZ Blue 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 Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

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This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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