Case Manager

4 days ago


Oakland, California, United States Blue Shield Of California Full time
About the Role

We are seeking a skilled Case Manager to join our team at Blue Shield of California. As a Case Manager, you will play a critical role in ensuring our members receive high-quality, cost-effective healthcare services.

Key Responsibilities
  • Develop and implement individualized care plans to promote quality of care and cost-effective healthcare services.
  • Collaborate with healthcare providers, members, and other stakeholders to ensure seamless care coordination.
  • Conduct thorough assessments of member needs and develop targeted interventions to address health disparities and promote health equity.
  • Provide education and support to members to empower them to make informed decisions about their healthcare.
  • Monitor and evaluate the effectiveness of care plans and make adjustments as needed.
Requirements
  • Current CA RN License
  • Current Certified Case Manager (CCM) certification or in process of completing certification
  • 5 years of experience in nursing, healthcare, or related field
  • Managed care experience of at least 3 years preferred
What We Offer

At Blue Shield of California, we offer a competitive salary range of $87,230.00 to $130,900.00 for California, as well as a comprehensive benefits package and opportunities for professional growth and development.

We are committed to creating a diverse, equitable, and inclusive work environment that values and respects the contributions of all employees. If you are passionate about delivering high-quality healthcare services and making a positive impact in the lives of our members, we encourage you to apply for this exciting opportunity.



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