Care Management Specialist

3 days ago


Long Beach, California, United States Blue Shield of California Full time
Care Management Specialist

**Overview of Role**
The Blue Shield of California team is seeking a dedicated Clinical Services Coordinator to play a vital role in outreach and engagement efforts with our members. The successful candidate will interact telephonically with members to assist with simple care coordination needs and facilitate connections between members and appropriate services.

**Key Responsibilities**
* Conduct thorough assessments to identify member needs and care gaps
* Maintain accurate and up-to-date member records and documentation of all interactions and services provided
* Provide members with information and resources about available care management services and how to access them
* Assist in coordinating care for specific high risk/high-cost patient population, including referrals to community resources, facilitation of medical services, referral to ancillary providers, etc.
* Assist in verifying health plan benefits and coordinating ambulatory services
* Demonstrates cultural competence to work effectively, respectfully, and sensitively within the client's cultural context

**Requirements**
* A minimum of a high school diploma
* A minimum of 3 years of relevant experience
* A minimum of 1 year experience in a managed care environment.
* Health insurance/ managed care experience (Commercial, Medicare, and Medi-Cal)
* Community resources and advocacy
* Ability to identify issues and develop effective solutions to meet members' needs
* Flexibility to adjust to changing circumstances and member needs
* Strong verbal and written communication skills to effectively convey information to members and colleagues

**Compensation**
The estimated salary range for this role is $20.47 to $28.66 per hour in California.

  • Long Beach, California, United States ERNST & HAAS MANAGEMENT CO INC Full time

    We are seeking a highly skilled Property Management Specialist to join our team in Long Beach, CA. The ideal candidate will possess strong customer service, communication skills, and professionalism required for this role.The Property Management Specialist will be responsible for maintaining properties in an efficient manner, overseeing daily operations of...


  • Long Beach, California, United States Global Channel Management Full time

    Operations Support SpecialistWe are looking for a highly skilled and experienced Operations Support Specialist to join our team at Global Channel Management. In this role, you will be responsible for providing administrative support to our operations team, including general office duties, uploading and maintaining projects and contracts via Job Design, and...


  • Long Beach, California, United States Victoriam Management Inc Full time

    About the RoleWe are seeking a skilled Sales Development Specialist to join our team at Victoriam Management Inc.Job OverviewThe ideal candidate will be responsible for creating and implementing strategic sales campaigns to drive business growth. This includes researching new sales leads, generating leads, and developing relationships with clients.


  • Long Beach, California, United States Cross Country Nurses Full time

    Job Title: Travel Care Specialist">Location: Long Beach, CaliforniaAbout the Job:We are seeking a skilled Intensive Care Unit (ICU) nurse to join our team as a travel care specialist. As an ICU nurse, you will be responsible for providing high-quality patient care to individuals with complex and life-threatening conditions.Key Responsibilities:Monitor...


  • Long Beach, California, United States BELMONT BROKERAGE & MANAGEMENT INC Full time

    Company OverviewWe are Belmont Brokerage & Management Inc., a leading provider of residential maintenance services. We are seeking a skilled Maintenance Specialist to join our team.Estimated Salary: $45,000 - $60,000 per year.


  • Long Beach, California, United States Booth Management Consulting Full time

    Job Title: Certification Payroll Compliance SpecialistAbout Us: Booth Management Consulting, LLC is a diverse CPA firm that provides accounting, auditing, and management consulting services to public and private clients nationwide. Our employee-friendly company environment emphasizes quality of life, initiative, creativity, strong work ethics, and...


  • Long Beach, California, United States SCAN Healthplan Full time

    About the PositionWe are seeking an experienced Care Transition Specialist to join our team at SCAN Health Plan. In this critical role, you will be responsible for coordinating and managing the transition of members from the inpatient (acute/skilled nursing facility) setting to home or other care settings.The ideal candidate will have a strong background in...


  • Long Beach, California, United States Taylored Care Services Full time

    About the Role: Senior Support SpecialistAs a Senior Support Specialist with Taylored Care Services, you will be responsible for delivering top-notch caregiving services to seniors in need. Your primary duties will include:Providing companionship and engaging conversationsAssisting with light housekeeping tasks and meal preparationOffering medication...


  • Long Beach, California, United States OneH2, Inc. Full time

    Job OverviewWe are seeking a highly organized and detail-oriented Task Management Specialist to join our dynamic team at OneH2, Inc. in Long Beach, CA.This is a fantastic opportunity for a recent graduate to gain hands-on experience and contribute to the success of our organization.As a Task Management Specialist, you will be responsible for managing and...


  • Long Beach, California, United States Blue Shield of California Full time

    About the RoleWe are seeking a skilled Care Manager to join our team at Blue Shield of California. As a Care Manager, you will play a vital role in supporting the mission of our department by providing care coordination and management services to patients.Key Responsibilities:Design and implement treatment plans that promote quality care and cost-effective...

  • Nurse Care Manager

    5 days ago


    Long Beach, California, United States Avenue Health Full time

    Avenue Health is seeking a highly skilled and experienced nurse to join our team as a Remote Nursing Specialist.About the PositionAs a Remote Nursing Specialist, you will be responsible for providing comprehensive patient care, developing individualized care plans, and driving patient engagement in RPM and CCM programs from the comfort of your own home...


  • Long Beach, California, United States Roze Room Hospice of South Bay Full time

    About Roze Room Hospice of South BayRoze Room is a leading provider of Hospice and Palliative Care, celebrating 25 years of service to Southern California communities.Job Title: Advanced Hospice Care SpecialistEstimated Salary: $140,000 - $160,000 per yearThis per diem position involves making home visits in the South Bay/Los Angeles areas for the Palliative...


  • Long Beach, California, United States BELMONT BROKERAGE & MANAGEMENT INC Full time

    About the RoleWe are looking for a highly skilled Residential Repair Specialist to join our team at Belmont Brokerage & Management Inc. The successful candidate will have extensive experience in performing maintenance tasks, including plumbing, carpentry, and electrical work.The ideal candidate will possess a strong commitment to quality and safety, with a...


  • Long Beach, California, United States Blue Shield of California Full time

    **About Blue Shield of California**We are a health plan committed to providing high-quality healthcare services to our members. As a Senior Health Care Manager, you will play a key role in supporting the mission of our department.**Job Summary**This is a challenging and rewarding role that requires strong clinical judgment, communication skills, and...


  • Long Beach, California, United States Comfort Keepers Full time

    Job OverviewWe are seeking a Personal Care Specialist to join our team at Comfort Keepers. As a key member of our care team, you will play a vital role in enhancing the lives of our clients and their families.The ideal candidate will possess 2 years of senior care experience and be able to provide compassionate care and support to our clients. You will be...


  • Long Beach, California, United States Emerald Health Services Full time

    Job Title: Critical Care SpecialistSalary: $120,000 - $180,000 per yearWe are seeking a highly skilled Critical Care Specialist to join our team at Emerald Health Services. This is a full-time position that requires the individual to work in an Intensive Care Unit (ICU) setting, providing care to critically ill patients.Job Description:As a Critical Care...


  • Long Beach, California, United States Blue Shield of California Full time

    Job OverviewWe are seeking a skilled Care Coordination Specialist to join our team at Blue Shield of California. This role requires a unique blend of clinical expertise, strong communication skills, and the ability to work independently in a fast-paced environment.Key ResponsibilitiesCoordinate care for members with complex needs, ensuring seamless...


  • Long Beach, California, United States Blue Shield Of California Full time

    About the RoleThe Senior Utilization Management Specialist will be responsible for reviewing medical documents and applying clinical criteria to establish the most appropriate level of care. This role requires strong analytical and problem-solving skills, as well as excellent communication and collaboration abilities.


  • Long Beach, California, United States NEXT CARE HOSPICE Full time

    We are seeking a skilled Home Care Aide to join our team at Next Care Hospice. In this role, you will provide personalized care and support to patients in their homes, working one-on-one to develop strong relationships and build trust.**Job Summary:**This is a per diem position with flexible scheduling, offering the opportunity to work independently and...


  • Long Beach, California, United States Blue Shield of California Full time

    Job SummaryThe Behavioral Health Nurse Case Manager - Care Coordination Specialist will play a vital role in ensuring the highest level of care for our members. This position requires a current CA RN License, Certified Case Manager (CCM) Certification, and at least 5 years of prior experience in nursing, healthcare or related field.ResponsibilitiesCoordinate...