Blue Shield of CA is seeking a Care Management professional to lead complex and high-risk cases, applying advanced clinical judgment to evaluate medical necessity and develop cost-effective, quality-focused care plans. You will collaborate with providers, medical directors, and interdisciplinary teams to coordinate care, support discharge planning, and ensure continuity of treatment, while reassessing plans and staying current with guidelines.
A rotating on-call schedule is required.
#J-18808-Ljbffr