Blue Shield of CA is seeking a care management professional to lead complex, high-risk cases by applying advanced clinical judgment in assessing medical necessity and developing cost-effective care plans. You will coordinate with providers, medical directors, and interdisciplinary teams to ensure appropriate referrals and continuity of treatment, with rotating on-call responsibilities.
The role emphasizes staying current on clinical guidelines, reassessing care plans, and supporting discharge
#J-18808-LjbffrSenior Nurse, Care Management — Hybrid Leader in long beach at Unknown Company
This position is listed as full time and onsite.