Clinical Case Manager
5 days ago
Job Title: RN Medical Office-Part-Time Professional
We are seeking a skilled and compassionate RN Medical Office-Part-Time Professional to join our team at Blue Shield of California. In this role, you will play a critical part in ensuring our members receive high-quality, patient-centered care.
About the Job:- You will be responsible for determining, developing, and implementing plans of care based on comprehensive assessments of member needs.
- Work closely with members, healthcare providers, and other stakeholders to ensure seamless care coordination and optimal health outcomes.
As an RN Medical Office-Part-Time Professional, your primary responsibilities will include:
- Conducting thorough assessments of member needs and developing personalized care plans.
- Collaborating with healthcare providers and other internal departments to ensure timely and effective delivery of care.
- Managing and resolving complex case scenarios, including those related to disease management and utilization review.
- Developing and maintaining strong relationships with members, caregivers, and healthcare providers to ensure excellent customer service and satisfaction.
We are looking for a highly motivated and organized individual with exceptional communication and interpersonal skills to fill this critical role.
This position requires:
- A current CA RN License
- Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements
- At least 5 years of prior experience in nursing, healthcare or related field
Salary Range: $87,230 - $130,900 per year
Benefits:
- Competitive salary and benefits package
- Opportunities for professional growth and development
- Diverse and inclusive work environment
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