Senior Care Management Nurse - Hybrid/Remote, On-Call

Blue Shield of CA seeks a Care Management leader to independently manage complex, high-risk cases, 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 and support discharge planning.

This role requires ongoing reassessment of care plans, awareness of healthcare trends and guidelines, and participation in a rotating on-call schedule.