Blue Shield of California is seeking a Care Management professional to lead complex and high-risk cases, applying advanced clinical judgment to assess medical necessity and develop cost-effective care plans aligned with benefit requirements. You will collaborate with providers, medical directors, and interdisciplinary teams to coordinate care and support discharge planning.
The role requires ongoing reassessment of care plans, knowledge of evidence-based guidelines for chronic conditions, and
#J-18808-LjbffrSenior Nurse, Care Management — Hybrid/Remote Leader in springfield meadows at Unknown Company
This position is listed as full time and onsite.