JobMesh

Care Management - Nurse, Consultant

Blue Shield of California · San Diego, California, US

Your Role The Care Management team will serve to support the mission of the Population health Department, which is to provide support to patients in maintain...

Job description

Your Role The Care Management team will serve to support the mission of the Population health Department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Nurse Consultant will report to the Manager of Care Management for the Population Health Management Medi-Cal Team. In this role, you will act as a Care Management Lead ensure that services are provided based on standardized procedures including coordination of care with specialists, community resources. Care Managers on these teams perform a blended function of utilization management (UM) and care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Work: In this role,...