Senior Care Management Nurse — Hybrid/Remote Leader

Blue Shield of CA is seeking an experienced Care Manager to lead complex, high-risk cases by applying advanced clinical judgment to assess medical necessity and develop cost-effective care plans. You will collaborate with providers, medical directors and interdisciplinary teams to coordinate care, support discharge planning, and ensure members receive appropriate referrals and continuity of treatment.

This hybrid virtual role requires ongoing reassessment of care plans, familiarity with clinical