Nurse Case Manager Senior Position in Outpatient Care
6 days ago
We are seeking a highly skilled and experienced Nurse Case Manager to join our team at Blue Shield of California. In this senior role, you will play a pivotal part in coordinating and managing patient care services in outpatient settings.
As a key member of our Care Management team, your primary responsibility will be to design and implement individualized care plans that ensure continuity of care and compliance with clinical guidelines.
Key Responsibilities- Coordinate and manage patient care services in outpatient settings, ensuring seamless transitions across different care levels.
- Develop and implement individualized care plans that prioritize patient needs, health outcomes, and cost-effectiveness.
- Collaborate with healthcare providers, specialists, and community resources to ensure comprehensive care delivery.
- Assess patient health behaviors, cultural influences, and values to inform care planning and interventions.
- Analyze data and research opportunities for improvement in assessment methodologies to enhance patient outcomes.
To succeed in this role, you will need:
- A current CA RN License and a Bachelor of Science in Nursing or advanced degree.
- At least 5 years of prior experience in nursing, healthcare, or a related field, with a minimum of 3+ years managed care experience in inpatient, outpatient, or managed care environments.
- Certified Case Manager (CCM) Certification or eligibility based on CCM application requirements.
- Excellent communication skills and the ability to work effectively in a fast-paced environment.
The salary range for this position is $87,230 to $130,900 per year, reflecting the company's commitment to fair compensation and recognition of expertise.
-
Nurse Case Manager
2 days ago
Rancho Cordova, California, United States Blue Shield of California Full timeJob SummaryWe are seeking a highly skilled Nurse Case Manager to join our team in the outpatient setting. As a Senior Care Manager, you will play a pivotal role in coordinating and managing patient care services, ensuring continuity of care and compliance with clinical guidelines.About the RoleThis position requires a strong clinical background, excellent...
-
Nurse Case Manager
1 week ago
Rancho Cordova, California, United States Blue Shield of California Full timeJob OverviewThe Senior Care Manager plays a pivotal role in the Care Management team by coordinating and managing patient care services in outpatient settings. This position requires a strong clinical background, excellent communication skills, and a focus on improving patient outcomes.This is an exciting opportunity to work with a dynamic team that shares...
-
Nurse Care Coordinator Senior
7 days ago
Rancho Cordova, California, United States Blue Shield of California Full timeSenior Nurse Care Coordinator Role OverviewWe are seeking a highly skilled and experienced Senior Nurse Care Coordinator to join our team at Blue Shield of California.About the Role:Coordinate and manage patient care services in outpatient settings, designing and implementing individualized care plans while ensuring continuity of care and compliance with...
-
Senior Clinical Care Manager
5 days ago
Rancho Cordova, California, United States Blue Shield of California Full timeAbout Blue Shield of CaliforniaBlue Shield of California is a leading health plan in the state, dedicated to providing high-quality healthcare services to its members.Job SummaryThe Senior Clinical Care Manager will play a crucial role in our Federal Employee Program (FEP) team, responsible for integrated case management and disease management activities....
-
Senior Care Coordinator
1 week ago
Rancho Cordova, California, United States Blue Shield of California Full timeAbout This RoleWe are seeking a highly skilled Senior Care Manager to join our Care Management team at Blue Shield of California. As a key member of our team, you will play a pivotal role in coordinating and managing patient care services in outpatient settings.Key ResponsibilitiesDesign and implement individualized care plans that ensure continuity of care...
-
Senior Behavioral Health Case Manager
1 week ago
Rancho Cordova, California, United States Blue Shield of California Full timeJob Description:We are seeking a Senior Behavioral Health Case Manager to join our team at Blue Shield of California. As a key member of our care management team, you will play a vital role in providing high-quality care to our members.About the Role:This is a permanent position that requires a Bachelor's degree in Nursing and current RN licensure. The ideal...
-
Nursing Case Manager
7 days ago
Rancho Cordova, California, United States Blue Shield of California Full timeJob SummaryWe are seeking a highly skilled Nursing Case Manager to join our Federal Employee Program (FEP) team at Blue Shield of California. As a key member of our care management department, you will play a critical role in delivering exceptional clinical services to our members.About the RoleIn this challenging and rewarding position, you will work...
-
Nurse Case Manager
5 days ago
Rancho Cordova, California, United States Applied Home Health and Hospice Full timeOverviewWe are seeking an experienced Nurse Case Manager to join our team at Applied Home Health and Hospice. As a skilled professional, you will be responsible for coordinating patient care services in the comfort of their own homes.
-
Senior Patient Care Coordinator
5 days ago
Rancho Cordova, California, United States Blue Shield of California Full timeJob OverviewThe Senior Care Manager plays a pivotal role in the healthcare industry by coordinating and managing patient care services. This position requires strong clinical expertise, excellent communication skills, and a focus on improving patient outcomes.About the RoleIn this critical care management position, you will design and implement...
-
Rancho Cordova, California, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is a leading provider of cost-effective travel nurse staffing solutions to over 500 hospitals, outpatient clinics, and home health clients nationwide.Compensation PackageThe pay package for this position includes a competitive salary based on 12 hour shifts and 36 hours per week, with a tax-free stipend amount to be...
-
Healthcare Specialist
7 days ago
Rancho Cordova, California, United States Blue Shield of California Full timeAt Blue Shield of California, we are dedicated to providing exceptional care management services to our members. We are seeking a highly skilled and compassionate Healthcare Specialist - Care Management to join our team.About the RoleThis role will be responsible for ensuring that our members receive high-quality, cost-effective healthcare services. You will...
-
FEP Case Management Professional
7 days ago
Rancho Cordova, California, United States Blue Cross and Blue Shield Association Full timeAbout Blue Cross and Blue Shield AssociationAs a leading health insurance organization, our mission is to provide high-quality care to millions of members across the United States.Salary Range:$70,000 - $100,000 per yearJob Description:Federal Employee Program (FEP) Case Manager RoleWe are seeking an experienced Clinical Registered Nurse Case Manager to join...
-
Rancho Cordova, California, United States Blue Shield of California Full timeJob SummaryIn this challenging and rewarding role as a Senior Utilization Management Nurse at Blue Shield of California, you will be responsible for reviewing inpatient stays to ensure medical necessity in compliance with state and federal regulations. Your expertise in clinical review, discharge planning, and presenting cases to the Medical Director will...
-
Nurse Care Specialist
7 days ago
Rancho Cordova, California, United States Jackson Nurse Professionals Full timeWe are seeking a skilled Nurse Care Specialist for a long-term acute care assignment in the California area.Assignment OverviewThis position involves working as a Registered Nurse (RN) in a Long Term Acute Care setting, providing high-quality patient care and collaborating with the healthcare team to ensure optimal outcomes.Key DetailsJob Type: Travel...
-
Medical Necessity Specialist
1 week ago
Rancho Cordova, California, United States Blue Shield of California Full timeThe role of a Senior Utilization Management Nurse at Blue Shield of California involves reviewing inpatient stays to ensure medical necessity and compliance with state and federal regulations. This position requires the application of guidelines for nationally recognized levels of care, as well as collaboration with team members to enhance patient...
-
Clinical Coordination Specialist
1 week ago
Rancho Cordova, California, United States Blue Shield of California Full timeJob SummaryThe Senior Care Manager at Blue Shield of California plays a pivotal role in the Care Management team, coordinating and managing patient care services in outpatient settings. This position requires strong clinical expertise, excellent communication skills, and a focus on improving patient outcomes.About Blue Shield of CaliforniaBlue Shield of...
-
Travel Nurse RN
2 days ago
Rancho Cordova, California, United States Jackson Nurse Professionals Full timeJob OpportunityJackson Nurse Professionals is seeking a skilled travel nurse RN to fill a position in Rancho Cordova, California.About the PositionSpecialty: Long Term Acute CareDiscipline: RNDuration: 13 weeksHours per week: 36 hoursShift: 12 hours, nightsThis role offers a cost-effective staffing solution for our clients and an opportunity for travel...
-
Clinical Care Specialist, Senior
2 days ago
Rancho Cordova, California, United States Blue Shield of California Full timeJob OverviewThe Clinical Care Specialist, Senior at Blue Shield of California plays a vital role in reviewing inpatient stays for our members, ensuring that care meets nationally recognized levels of necessity. This position reports to the Utilization Management Nurse Manager and involves clinical information review, discharge planning, and transfers as...
-
Rancho Cordova, California, United States Jackson Nurse Professionals Full timeJob Title: Highly Skilled Long Term Acute Care Travel Nurse RNAbout the JobWe are seeking a highly skilled travel nurse RN with experience in Long Term Acute Care to join our team at Jackson Nurse Professionals.Key ResponsibilitiesProvide high-quality patient care and treatment in a fast-paced LTAC environment.Collaborate with interdisciplinary teams to...
-
Senior Outpatient Physical Therapist
2 days ago
Rancho Cordova, California, United States Preferred Healthcare Staffing Full timeOverviewPreferred Healthcare Staffing is seeking a highly skilled Senior Outpatient Physical Therapist to join our team at a reputable healthcare facility in Rancho Cordova, California.This is an exceptional opportunity for a talented Physical Therapist to build upon their skills and advance their career while making a meaningful impact in the lives of...