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Case Management - Nurse, Senior at BSC

Long Beach, California, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Jan, 26

Salary

0.0

Posted On

04 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Management, Clinical Judgment, Independent Analysis, Collaboration, Triage, Chronic Conditions, Poly-Pharmacy, Pre-Natal Care, Health Assessment, Emergency Room Visits

Industry

Insurance

Description

Your Role The Case Management team performs and case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members care including clinical nurses and treating MDs. The Case Management Nurse, Senior will report to the Manager, Care Management. In this role you will determine, develop and implement the plan of care based on accurate assessment of the member and current or proposed treatment plan in cases of: member inquiry, triage hub, chronic conditions, poly-pharmacy, pre-natal care, and voluntary member health assessment, in addition to indication of multiple monthly ER visits.

Responsibilities

The Case Management Nurse, Senior will determine, develop, and implement the plan of care based on accurate assessment of the member. This includes managing cases related to member inquiries, chronic conditions, and multiple monthly ER visits.