Case Management - Nurse, Senior

Your Role

The Care Management team coordinates, educates, and advocates care for the Dual-Special Needs (DSNP) population with Blue Shield of California. The Case Management - Nurse, Senior will report to the Manager of Care Management within Medical Care Solutions. In this role you will be responsible for managing a caseload of DSNP members, reviewing Health Risk Assessments and completing Individualized Care Plans, engaging with members to reduce readmissions to the hospital, and supporting the DSNP care management team.

Your Knowledge and Experience

• Current CA RN License
• Bachelor of Science degree in Nursing or advanced degree preferred
• Certified Case Manager (CCM) or is in process of completing certification when eligible based on CCM application requirements or National Certification in related field
• Requires 5+ years experience in nursing, healthcare or related field
• Understanding of Interdisciplinary Team dynamics
• Understanding and experience with Motivational Interviewing techniques
• Experience managing care for patients and coordinating with different disciplines