Job summary
Job post source
This job is directly from Blue Shield of California
Job overview
The Manager, Case Management Nurse Management leads the care management team to coordinate patient care, optimize outcomes, and ensure regulatory compliance within Blue Shield of California.
Responsibilities and impact
The role involves managing care management programs, developing workflows and policies, supervising staff, monitoring team performance, collaborating with healthcare providers, and ensuring high-quality patient-centered care.
Experience and skills
Requires a current CA RN License, 7+ years relevant experience including 3 years management, Certified Case Manager certification preferred, and strong communication and analytical skills.
Career development
The company emphasizes leadership development and creating opportunities for personal, professional, and financial growth.
Work environment and culture
Blue Shield fosters a supportive, ethical, and empathetic workplace with a hybrid work model balancing in-person collaboration and flexibility.
Company information
Blue Shield of California is a nonprofit healthcare organization focused on affordable, quality care, recently becoming part of the Ascendiun Family of Companies.
Team overview
The manager reports to the Senior Manager of Care Management and leads a team of care managers and administrative staff focused on care coordination.
Job location and travel
The role involves a hybrid work model with some in-office presence required, based in California offices.
Unique job features
The position offers the opportunity to lead care management programs within a recognized, mission-driven healthcare organization with a focus on innovation and community impact.
Company overview
Blue Shield of California is a not-for-profit health plan provider offering a range of health insurance products and services to individuals, families, and businesses. They generate revenue through premiums paid by members and reimbursements from government programs. Founded in 1939, the company has a history of advocating for affordable healthcare and innovative solutions, including the launch of the first statewide health plan in California. They are known for their commitment to community health and wellness initiatives.
How to land this job
Tailor your resume to emphasize leadership and team management experience in care coordination, highlighting your ability to oversee care management programs and improve patient outcomes as detailed in the job description.
Showcase your knowledge of care management workflows, regulatory compliance, and performance monitoring, including any experience with NCQA standards and chronic disease management.
Apply through multiple platforms including Blue Shield of California's corporate careers page and LinkedIn to maximize your chances of being noticed by recruiters.
Connect with current Blue Shield of California Care Management team members or leaders on LinkedIn, using ice breakers like commenting on their recent posts about healthcare innovation or asking about their experience working within the Ascendiun Family of Companies.
Optimize your resume for ATS by incorporating keywords such as 'care management,' 'patient outcomes,' 'regulatory compliance,' 'team leadership,' and 'chronic disease management' directly from the job description to pass automated screenings.
Use Jennie Johnson's Power Apply feature to automate tailored applications across multiple job boards and identify relevant Blue Shield of California contacts on LinkedIn, allowing you to focus your energy on preparing for interviews and networking.
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