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Blue Shield of CA

Senior Nurse, Care Management — Hybrid/Remote Leader

springfield meadows, CA

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About this opportunity

Blue Shield of CA lists this Senior Nurse, Care Management — Hybrid/Remote Leader opportunity in springfield meadows, California. Review the employer’s description below for duties, qualifications and application requirements.

Job description

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

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Who can apply

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