Current jobs related to Director, Case Management Nurse Management - San Diego - Blue Shield of CA
-
Travel Nurse Case Manager
1 week ago
San Diego, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse for an assignment.TotalMed Case Management Staffing Job ID # Pay package is based on 10 hour shifts and 40 hours per week with tax-free...
-
Travel Nurse RN Case Manager
2 weeks ago
San Diego, California, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerJob Summary:TotalMed Case Management Staffing is seeking a travel nurse RN case manager for a travel nursing job in a dynamic healthcare setting. As a case manager, you will be responsible for coordinating patient care and ensuring seamless transitions between healthcare providers. This is a great opportunity to work...
-
Travel Nurse RN Case Manager
1 week ago
San Diego, California, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerJob Description:TotalMed Case Management Staffing is seeking a travel nurse RN case manager for a travel nursing job in California. The ideal candidate will have experience in case management and be able to work in a fast-paced environment.Job Requirements:Specialty: Case ManagementDiscipline: RNStart Date:...
-
Travel Nurse RN Case Management
1 week ago
San Diego, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management professional to fill a travel nursing position in a dynamic healthcare setting.Job Details: ~ Shift: 10 hours, nights ~ Employment Type: Travel As a travel nurse RN Case Management, you will have the opportunity to work with a top-rated healthcare staffing agency that prioritizes...
-
Travel Nurse RN Case Manager
3 weeks ago
San Diego, California, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in San Diego, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are seeking a Case Manager-Registered...
-
Travel Nurse RN Case Manager
1 week ago
San Diego, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management professional for a travel nursing opportunity.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team in California.TotalMed Case Management Staffing offers competitive pay packages and a...
-
Travel Nurse RN Case Manager
2 weeks ago
San Diego, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing opportunity in California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks, 40 hours per weekShift: 10 hours, nightsEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse for an assignment in California....
-
Travel Nurse RN Case Manager
2 weeks ago
San Diego, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job.Job Details:Specialty:Case ManagementDiscipline:RNEmployment Type:TravelWe are seeking a Case Manager-Registered Nurse for an assignment in California.TotalMed Case Management Staffing is a partner who works for and with you in the fast-paced healthcare...
-
Travel Nurse RN Case Manager
4 weeks ago
San Diego, California, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job in San Diego, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNShift: 8 hours, daysEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse for an assignment in San Diego...
-
Travel Nurse RN Case Manager
4 weeks ago
San Diego, California, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job in San Diego, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: ASAPDuration: 10 weeksShift: 8 hours, daysEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse...
-
Travel Nurse RN Case Manager
3 weeks ago
San Diego, California, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled travel nurse RN case manager to join our team in San Diego, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 10 weeksHours: 40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are looking for a dedicated case...
-
Travel Nurse RN Case Manager
2 weeks ago
San Diego, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse for an assignment.TotalMed Case Management Staffing Job ID #1641851. Pay package is based on 10 hour shifts and 40...
-
Travel Nurse RN Case Manager
4 weeks ago
San Diego, California, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled travel nurse RN case manager to join their team in San Diego, California.Job Details:Specialty: Case ManagementDiscipline: RNDuration: 13 weeksHours per week: 40Shift: 10 hours, nightsEmployment Type: TravelTotalMed Case Management Staffing is a leading provider of...
-
Travel Nurse Case Manager
2 weeks ago
San Francisco, California, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse Case ManagerTotalMed Case Management Staffing is seeking a travel nurse case manager to join their team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 14 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are seeking a skilled case manager to work with our team in San Francisco,...
-
RN Case Manager
4 weeks ago
San Francisco, California, United States TotalMed Case Management Staffing Full timeTravel Nurse Case Manager Job OpportunityTotalMed Case Management Staffing is seeking a skilled travel nurse case manager to join our team in San Francisco, California.Job Details:Shift: 8 hours, daysEmployment Type: TravelWe offer a competitive pay package based on 8 hour shifts and 40 hours per week, with a tax-free stipend amount to be determined.About...
-
Travel Nurse Case Manager
2 weeks ago
US-, San Francisco, CA, USA TotalMed Case Management Staffing Full timeJob Title: Travel Nurse Case ManagerTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a challenging opportunity.Job RequirementsSpecialty: Case ManagementDiscipline: RNShift: 8 hours, daysEmployment Type: TravelWe are seeking a skilled Case Manager-Registered Nurse for an assignment with TotalMed Case Management Staffing.The...
-
Travel Nurse RN Case Manager
1 week ago
San Francisco, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing assignment.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team.TotalMed Case Management Staffing offers a unique opportunity for a Case Manager-Registered Nurse to...
-
Travel Nurse RN Case Manager
2 weeks ago
San Francisco, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management professional for a travel nursing assignment in California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team in California. TotalMed Case Management Staffing is a...
-
Travel Nurse RN Case Manager
2 weeks ago
San Francisco, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management professional for a travel nursing assignment in California.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 14 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team in San Francisco,...
-
Travel Nurse RN Case Manager
2 weeks ago
San Francisco, California, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a skilled travel nurse RN case manager to join their team in a dynamic and challenging role.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a highly motivated and experienced case manager-registered nurse to work with our team in San Francisco. The...
Director, Case Management Nurse Management
2 months ago
Your Role
Blue Shield of California is looking for a leader to oversee the behavioral health program for all product lines. The Director of Case Management (Behavioral Health) will report to the Senior Director of Care Management. In this role you will be the subject matter expert and leader for utilization management and case management behavioral health.
Your Work
In this role, you will:
- Be accountable for behavioral health annual strategic planning, resource planning to ensure appropriate resources are allocated to projects and are appropriately calculated for utilization management and care management in the department budget.
- Acts as a change agent to improve behavioral health performance results, provides organizational effectiveness leadership to achieve department goals (people/process/technology).
- Be responsible for the utilization management and case management teams that focus on accurate processing of service requests, timely processing of services requests, high quality patient care, and other high member touch programs.
- Establish strong partnerships across the organization including Human Resources, Planning & Finance, Provider Network, Claims, Compliance, Quality Improvement, Program Delivery (Project Management Office) and IT.
- Collaboratively work across multiple business areas to obtain agreement from all impacted parties when addressing cross functional organizational problems.
- Coordinate utilization management and care management team readiness for new benefits implementations with the goal of ensuring all members have access to the right care, at the right time, and at the right benefit at the right price on their effective date and all operational metrics are within agreed upon service levels.
- Develop and maintain a training and learning development plan.
- Ensure ongoing business process management using continuous process improvement practices, and implementation of technology to drive greater efficiency, productivity and customer experience.
- Ensure a culture of affordability, drives leadership principles among people managers, and ensures team actions are in place to make Blue Shield a great place to work.
- Ensure teams have daily to weekly team meetings and reviewing operational metrics and department goals.
- Ensure front line staff receive weekly to monthly one on one coaching celebrating successes and discussing opportunities for improvement.
Your Knowledge and Experience
- Current CA RN License. LCSW, LMFT, LPCC, or PsyD by the Board of Behavioral Health Sciences.
- Advanced degree preferred commensurate with field.
- Master's Degree preferred in a healthcare field.
- Certified Case Manager (CCM) or is in process of completing certification when eligible based on CCM application requirements or National Certification in related field.
- Requires at least 10 years of prior relevant experience (UM, CM, BH).
- Utilization Management, Case Management, and Behavioral Health experience at a health plan preferred.
- Requires a minimum of 10 years combined experience managing projects, programs, complex changes initiatives, and/or CMS, NCQA, DHCS audits and regulatory compliance.
- Requires a minimum of 10 years' experience in developing and executing strategic business plans and budgets with a track record of achieving results.
- A minimum of 6 years of experience successfully managing people and leading teams.
- Requires strong knowledge of CMS and MediCal regulation rating systems (i.e., NCQA, Stars, QRS).
Pay Range:
The pay range for this role is: $ 165990.00 to $ 248930.00 for California.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
#LI-MM1
