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Patient Care Consultant

2 months ago

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

Job Title: Nurse Consultant

Company: Blue Shield of California

Description:

The Nurse Consultant will be an integral member of the Care Management team, dedicated to the organization's mission of promoting patient health and wellness in outpatient environments. Reporting to the Care Management Manager, your role will involve ensuring the effective delivery of services, while coordinating care with specialists and community resources.

  • Conduct research and formulate treatment strategies that prioritize quality and cost-effectiveness in healthcare delivery.
  • Develop personalized care plans informed by comprehensive assessments.
  • Identify suitable referrals for case management services, mental health support, and social services.
  • Engage collaboratively with medical groups and healthcare providers to ensure continuity of care.
  • Evaluate members' health behaviors and consider cultural factors influencing their health.
  • Create financially responsible care plans with targeted interventions to meet patient needs.
  • Monitor productivity and ensure adherence to compliance standards.
  • Spot opportunities for program development and provide mentorship to case managers.