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Case Management - Nurse, Senior (Population Health)
full-time

Summary

Type

full-time

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About this role

Your Role 

The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including coordination of care with specialists, community resources. Care Managers perform a blended function of utilization management (UM) and care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians.

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
Care Management,Utilization Management,Clinical Judgement,Independent Analysis,Collaboration,Team Leadership,Critical Thinking,Creative Thinking

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 Senior Care Manager will ensure that services are provided based on standardized procedures, including coordination of care with specialists and community resources. They will perform a blended function of utilization management and care management activities.

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Frequently Asked Questions

What does a Case Management - Nurse, Senior (Population Health) do at Blue Shield of California?

As a Case Management - Nurse, Senior (Population Health) at Blue Shield of California, you will: the Senior Care Manager will ensure that services are provided based on standardized procedures, including coordination of care with specialists and community resources. They will perform a blended function of utilization management and care management activities..

Why join Blue Shield of California as a Case Management - Nurse, Senior (Population Health)?

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

How do I apply for the Case Management - Nurse, Senior (Population Health) position at Blue Shield of California?

You can apply for the Case Management - Nurse, Senior (Population Health) 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.