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Case Management - Nurse, Senior at BSC
Long Beach, California, United States -
Full Time

Start Date

Immediate

Expiry Date

10 Jan, 26

Salary

0.0

Posted On

12 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Care Management, Utilization Management, Clinical Judgement, Independent Analysis, Coordination of Care, Collaboration, Community Resources, Outpatient Care

Industry

Insurance

Description
Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including coordination of care with specialists, community resources. Care Managers 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.
Responsibilities
The Senior Care Manager will ensure that services are provided based on standardized procedures, including coordination of care with specialists and community resources. This role involves collaborating with clinical nurses and treating physicians to support patient health and wellness.