Care Management - LVN, Senior
Blue Shield of CA
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 LVN, Care Manager, will report to the Manager of Care Management. In this role you will work in the Outreach and Enrollment department and play a pivotal role in reaching out to our members, assessing their needs, and providing comprehensive care coordination. This position requires a proactive individual who can successfully engage and connect members to appropriate health programs and resources. 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 Knowledge and Experience Requires a High School Diploma/GED and completion of a state-approved Vocational Nursing (LVN) program Requires a current and unrestricted CA LVN License Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements Requires at least 5 years of prior experience in nursing, healthcare or related field Requires experience working at a health plan (managed care, government payer, or academic) A minimum of 3 years' experience in inpatient, outpatient, and/or managed care environment required Excellent communications skills Bilingual is preferred Excellent communication and interpersonal skills, with the ability to engage and build rapport with diverse populations Demonstrated ability to independently assess, evaluate, and interpret clinical information Hybrid Virtual Work This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need. #J-18808-Ljbffr Blue Shield of CA
- ...LVN Position Shift Start Time: 7:30 AM Shift End Time: 4:30 PM AWS Hours Requirement: 8/40... ...operations and customer service while providing quality care to a designated patient population. Assists the Patient Care Manager and/or Patient Care Supervisor with the...SeniorHourly payFull timeLocal areaFlexible hoursShift workDay shift
- ...Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support quality outcomes aligned with benefit and contract...SeniorFull timeContract workWork at officeAfternoon shift
- ...Care Management Team Member The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support quality outcomes aligned with benefit...SeniorFull timeContract workPart timeWork at officeLocal areaWork from homeHome officeAfternoon shift2 days per week
$19.47 - $38.08 per hour
...who want to invent the future of health care, here's your opportunity. We're going beyond... ...the general direction of the Utilization Management Manager, you will be responsible for... ...Vocational Nurse program ~ Active, unrestricted LVN license in the state of California ~1+...SuggestedHourly payMinimum wageWork experience placementWork at officeLocal areaWork from home$100k
...Diego's (FHCSD) mission has been to provide caring, affordable, high-quality health care and... ...limited to adult care, chronic disease management, pediatrics, comprehensive women's care... ...Centers of San Diego (FHCSD) is looking for a LVN Charge to perform a wide variety of...SuggestedFull timeLocal area- ...with 156 beds. We focus on compassionate care, empowering patients to achieve their health... ...to have a 5-star Customer Satisfaction Management (CSM) rating, reflecting our commitment... ...Position: As a Licensed Vocational Nurse (LVN) at Jacob Healthcare Center you will...Shift workNight shift
$30 - $35 per hour
...Department: Enhanced Care Management (ECM) Reports To: Registered Nurse Clinical Case Consultant Classification: Non-Exempt Work Arrangement... ...team. Position Summary The Licensed Vocational Nurse (LVN) serves as a vital member of the Enhanced Care Management (ECM...Hourly payTemporary workWork at officeLocal areaRemote workMonday to FridayFlexible hoursAfternoon shift- ...Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple... ...is preferred ~5 years of prior relevant experience managed care environment or clinical setting ~ Maintain active, unrestricted...SeniorFull timeWork at office
$100k
...Diego's (FHCSD) mission has been to provide caring, affordable, high-quality health care and... ...limited to adult care, chronic disease management, pediatrics, comprehensive women's care... ...setting preferred. California State Board LVN License required. Current CPR for...Full timeLocal area- ...Senior Vice President, Payor Growth About the Company Built for oncologists, providing... ..., and tools for whole-person cancer care. Industry Hospital & Health Care... ...activities. The role also involves account management, thought leadership, and the ability to build...SeniorWork at office
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$80k - $135k
...policyholders and provides medical claims handling and claims management for policyholders as needed to care for injured workers. The company is rated A+ Superior... ...an equal opportunity employer. Responsibilities The Senior Production Underwriter is primarily responsible for:...SeniorFull time- ...the autonomy to reach your goals. EisnerAmper is seeking a Tax Senior Manager to join the Private Client Services (PCS) practice. We are... ...accountable to our standards of teamwork, creativity, and a genuine care for each other, we not only solve our clients’ problems, but...SeniorFull timeTemporary workPrivate practiceWork at officeLocal areaRemote work
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- ...Senior Vice President of Procurement & Strategic Sourcing About the Company Esteemed... ...Industry Non-Profit Organization Management Type Non Profit Founded 1991... ...active adult community continuing care senior housing ccrc skilled nursing...SeniorLocal area
$80k - $125k
...policyholders and provides medical claims handling and claims management as needed to care for injured workers. The company is rated A+ Superior by... ...is an equal opportunity employer. Responsibilities The Senior Workers’ Compensation Examiner is responsible for the analysis...SeniorFull time- ...Senior Vice President, Product Management, Data Products & Strategy About the Company Innovative provider of cloud-based software & services for the senior care industry Industry Computer Software Type Privately Held, VC-backed Founded 2000 Employees...Senior
- ...Interim Senior Vice President, Market Chief Executive Officer (CEO) About the Company... ...system Industry Hospital & Health Care Type Non Profit Founded 1946... ...experience in hospital administration and management. The ideal candidate will have a proven track...SeniorInterim role
$90k - $150k
...over 100 countries, CorDx delivers rapid testing and point-of-care medical device solutions used in the detection of infectious... ...some of the most critical questions in healthcare. Position: Senior BD Manager Location: Onsite - San Diego Position Type: 5 days...SeniorContract workFlexible hoursShift work- ...Senior Account DirectorBased in San Diego, California, Eyes On Eyecare is a technology and... ...Our mission is to support the people who care for vision with the tools, knowledge, and... .... The Senior Account Director will manage clients, build successful relationships,...SeniorRemote workFlexible hoursNight shiftAfternoon shift
- ...Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization... ...is preferred ~5 years of prior relevant experience managed care environment or clinical setting ~ Maintain active,...SeniorFull timeContract workPart timeWork at officeLocal areaWork from homeHome officeWeekend workAfternoon shift2 days per week
- ...LVN Position at Sharp HealthCare Shift Start Time: Variable Shift End Time: Variable... ...customer service while providing quality care to a designated patient population.... ...duties as required by Director, Patient Care Manager, coordinator, lead, or supervisor. Department...SeniorHourly payFull timeShift workWeekend workDay shift
- ...Operates with high autonomy to lead the cross-functional project management, operational tracking, and vendor coordination of IND-enabling... ...innovation and strengthens our mission to transform patient care through cutting-edge RNA-based therapeutics. #J-18808-Ljbffr...SeniorContract workLocal area
- ...Design, build, scale, and lead HAYA’s phase-appropriate Quality Management System across GLP, GCP, and GMP domains to ensure continuous... ...drives innovation and strengthens our mission to transform patient care through cutting-edge RNA-based therapeutics. Notice to...SeniorLocal area
- ...customer service while providing quality care to the designated pediatric patient population... ...Other: Successful completion of LVN/LPN program. California Licensed Vocational... ...projects as directed by the physician or manager. Human Resource ManagementProvides staff...SeniorHourly payPart timeImmediate startShift workWeekend work
- ...Licensed Vocational Nurse (LVN) Shift Start Time: Variable Shift End Time: Variable... ...customer service while providing quality care to a designated patient population.... ...responsibilities including scheduling and telephone management. Acts as a positive role model and...SeniorHourly payPart timeImmediate startShift workWeekend workDay shift
- ...science, we’re in. Are you?About the Role:The Senior Director Quality Assurance will lead Gene... ...is critical in shaping quality strategy, managing risk, and supporting regulatory readiness... ...a workplace that reflects the same care you bring to your work each day, with support...SeniorFull timeContract workWork at officeLocal areaFlexible hours3 days per week
$125k - $165k
...something new. Give a Sh*t Be passionate, make a difference, and care about the impact of your work. Own It Be accountable, self-... ...&D, Quality, and other members of the leadership team, the Senior Operations Manager will be responsible for the effective execution and...SeniorTemporary workWork at officeLocal areaNight shift
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