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Care Management - Nurse, Senior
full-time

Summary

Type

full-time

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About this role

Your Role 

The Case Management team performs and case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members care including clinical nurses and treating MDs. The Case Management Nurse, Senior  will report to the Manager, Care Management. In this role you will determine, develop and implement the plan of care based on accurate assessment of the member and current or proposed treatment plan in cases of member inquiry, triage hub, chronic conditions, poly-pharmacy, pre-natal care, and voluntary member health assessment, in addition to indication of multiple monthly ER visits.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Other facts

Tech stack
Clinical Judgment,Independent Analysis,Care Management,Collaboration,Triage,Chronic Conditions,Poly-Pharmacy,Pre-Natal Care,Health Assessment,Emergency Room Visits,Leadership,Creative Thinking,Critical Thinking,Team Building,Continuous Learning

About Blue Shield of California

Ascendiun is a nonprofit and ultimate parent company of Blue Shield of California, Blue Shield Promise Health Plan, Altais and Stellarus. The Ascendiun family of companies are dedicated to advancing better health outcomes, making care more affordable and addressing the unique needs of diverse communities.

Team size: 1 employee
LinkedIn: Visit
Industry: Hospitals and Health Care
Founding Year: 2025

What you'll do

  • The Case Management Nurse, Senior will determine, develop, and implement the plan of care based on accurate assessment of the member. This includes managing cases related to member inquiries, chronic conditions, and health assessments.

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Frequently Asked Questions

What does a Care Management - Nurse, Senior do at Blue Shield of California?

As a Care Management - Nurse, Senior at Blue Shield of California, you will: the Case Management Nurse, Senior will determine, develop, and implement the plan of care based on accurate assessment of the member. This includes managing cases related to member inquiries, chronic conditions, and health assessments..

Why join Blue Shield of California as a Care Management - Nurse, Senior?

Blue Shield of California is a leading Hospitals and Health Care company.

How do I apply for the Care Management - Nurse, Senior position at Blue Shield of California?

You can apply for the Care Management - Nurse, Senior position at Blue Shield of California directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about Blue Shield of California on their website.