RN - Complex Care Coordination Triage Case Manager, Sr.
Blue Shield of California · El Dorado Hills, California, US
Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judg...
Job description
Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. The Triage Registered Nurse Case Manager will report to the FEP Care Manager Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive assessment of the members’ needs. 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. Working hours for this role: Monday-Thursday, 10:30am-7:00pm; Friday- 9:30am-6:00pm In the future there could be Saturday shift hours. Your Work: In this role, you will: - Conduct provider searches and assists members in accessing medically necessary services within the access network - Triage ref...