Senior Clinical Nurse Case Manager

About the RoleWe are seeking a highly skilled Senior Case Management Nurse to join our team at Blue Shield of California. As a key member of our Federal Employee Program, you will be responsible for conducting comprehensive assessments and developing care plans tailored to individual member needs.Your expertise in nursing and case management will enable you...

About the RoleWe are seeking a highly skilled Senior Case Management Nurse to join our team at Blue Shield of California. This role will play a crucial part in supporting patients' health and wellness in an outpatient setting.The successful candidate will have experience in developing individualized care plans, coordinating with healthcare providers, and...

Job SummaryWe are seeking a highly skilled Clinical Case Manager to join our team at Blue Shield of California. As a Clinical Case Manager, you will play a vital role in determining, developing, and implementing plans of care for our members.This is an exciting opportunity to work with a talented team of professionals who are passionate about delivering...

About the RoleWe are seeking a 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 vital role in ensuring the delivery of quality and cost-effective healthcare services to our patients.Job SummaryThe Senior Care Manager is responsible for coordinating care for patients in an...

About the RoleAs a Senior Case Manager, you will play a vital role in our Federal Employee Program team, working to enhance patient outcomes through effective coordination with healthcare providers.Key ResponsibilitiesYou will conduct comprehensive assessments and develop tailored care plans for individual members, ensuring seamless transitions between care...

Job Summary:We are seeking a skilled Nurse Case Manager Senior to oversee patient care coordination in outpatient settings. This role involves developing individualized care plans, collaborating with healthcare professionals, and conducting health assessments to ensure the appropriate management of patient needs.About Us:Blue Shield of California is a...

About the RoleWe are seeking a highly skilled and experienced Senior Case Manager to join our team at Blue Shield of California. This is a critical role that requires coordination of patient care in the outpatient setting, focusing on health and wellness.Key Responsibilities:Developing individualized care plans to promote quality care and efficient service...

At Blue Shield of California, we're seeking an experienced Senior Clinical Utilization Review Nurse to join our Facility Compliance Review team. This role is ideal for a highly skilled professional who can ensure medical necessity and billing standards are met.Key Responsibilities:Conduct retrospective utilization reviews and first-level determination...

Company Overview">In an ever-evolving healthcare landscape, Blue Shield of California is at the forefront of innovation and excellence. As a leading health plan, we are committed to delivering exceptional care and services that meet the unique needs of our members.">About this Role">We are seeking a highly skilled Clinical Nurse Case Manager - Care...

OverviewAt Blue Shield of California, we are committed to delivering high-quality healthcare services. Our Utilization Management team plays a vital role in ensuring that our members receive the best possible care.In this exciting opportunity, you will work as a Clinical Review Nurse, Senior - Utilization Management, and be responsible for reviewing medical...

OverviewThe Federal Employee Program team at Blue Shield of California seeks a skilled Senior Case Management Nurse to join our care coordination efforts. This role involves conducting comprehensive assessments, developing tailored care plans, and ensuring effective collaboration with healthcare providers.

Job SummaryWe are seeking a Senior Clinical Coordination Specialist to oversee patient care coordination in outpatient settings and promote health and wellness.About the Role:Develop individualized care plans to ensure appropriate management of patient needs.Collaborate with healthcare professionals to coordinate patient care and services.Conduct health...

Job SummaryThe Clinical Review Specialist, Senior at Blue Shield of California will lead retrospective utilization reviews and first-level determination approvals for members using BSC evidenced-based guidelines, policies, and nationally recognized clinical criteria across lines of business or for a specific line of business such as Medicare and FEP.Key...

At Blue Shield of California, we are seeking a highly skilled Behavioral Health Nurse Case Manager to join our team. This role plays a critical part in ensuring quality and cost-effective services for our members with behavioral health needs.The successful candidate will coordinate comprehensive care plans, collaborate with healthcare professionals, and...

**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...

About the RoleWe are seeking a highly skilled Senior Case Management Nurse to join our team at Blue Shield of California. As a Senior Case Management Nurse, you will play a critical role in coordinating patient care in the outpatient setting, focusing on health and wellness.Job ResponsibilitiesDevelop individualized care plans that promote quality care and...

About the RoleThis position is part of the Blue Shield of California team, supporting the department's mission to provide healthcare services in an outpatient setting.The Senior Health Care Manager will report directly to the Manager of Care Management. Key responsibilities include ensuring services are provided according to standardized procedures,...

About Us:Molina Healthcare is a healthcare organization that works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum. This includes behavioral health and long term care for members with high need potential.Our Team:We are seeking a Clinical Case Manager -...

About the RoleWe are seeking a skilled Behavioral Health Nurse Case Manager to join our team at Blue Shield of California. In this critical role, you will be responsible for coordinating comprehensive care plans for members with behavioral health needs.Your Key ResponsibilitiesDevelop and implement individualized treatment strategies in collaboration with...

Blue Shield of California is seeking a highly skilled Behavioral Health Registered Nurse Case Manager to join their team.Job Summary:The successful candidate will coordinate comprehensive care plans for members with behavioral health needs, ensuring quality and cost-effective services.Responsibilities:Collaborate with healthcare professionals to develop and...