Case Management - Nurse, Senior- Pregnancy and Postpartum

Blue Shield of California • Long Beach, CA

3d

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

• Coordination of care with specialists
• Coordination of care with community resources
• Utilization management (UM)
• Care management (CM)
• Collaborating 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
• Number of Employees: 1-10 employees