Case Management - Nurse, Senior (Population Health/ Maternity)

Blue Shield of California • El Dorado Hills, CA

7d

About The Position

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.

Responsibilities

• Ensure that services are provided based on standardized procedures including coordination of care with specialists, community resources.
• Perform a blended function of utilization management (UM) and care management (CM) activities demonstrating clinical judgement and independent analysis
• Collaborate with members and those involved with members’ care including clinical nurses and treating physicians.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed