Care Management - LVN, Senior

Blue Shield of California; California (MO); Hybrid; USD 82,000 - 123,000; Full time

Job summary

Blue Shield of California is seeking a Senior LVN Care Manager to join the Outreach and Enrollment team. The role focuses on assessing member needs, coordinating care, and connecting patients with health programs and resources in an outpatient setting.

You will collaborate with QM, DM, CCM, and AGD to ensure seamless service delivery and promote member wellness. Ideal candidates hold a CA LVN license, a state-approved LVN program, CCM certification or in process, and at least five years of

Qualifications

• Requires a High School Diploma/GED and completion of a state-approved LVN program.
• Requires a current and unrestricted CA LVN License.
• Certified Case Manager (CCM) Certification or in process of completing.
• Minimum 5 years of prior nursing/healthcare experience.
• Experience in health plans/managed care environments preferred.

Responsibilities

• Conduct thorough assessments of member needs across physical, mental, and social health.
• Identify programs and services aligned with member needs and preferences.
• Provide referrals to QM, DM, CCM, and AGD.
• Respect client autonomy and informed choices as part of care delivery.
• Coordinate with providers and social workers for seamless care delivery.
• Educate members and families on health conditions, treatments, and resources.
• Follow up to ensure connections with recommended programs.

Skills

Communication skills

Bilingual

Interpersonal skills

Education

High School Diploma/GED

State-approved LVN program

CCM Certification

Job 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 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.

Job 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 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.

Responsibilities

Your Work

• Conduct thorough assessments of member needs, including physical, mental, and social health aspects
• Identify appropriate programs and services that align with member needs and preferences
• Provide Referrals to Quality Management (QM), Disease Management (DM), Complex Care Management (CCM), and Appeals and Grievance department (AGD)
• Recognize the clients right to self-determination as it relates to the ethical principle of autonomy, including the client/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare team
• Coordinate with healthcare providers, social workers, and other team members to ensure seamless delivery of care services
• Provide education and support to members and their families regarding health conditions, treatment options, and community resources
• Follow up with members as appropriate to ensure they have successfully connected with recommended programs and services

Qualifications

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.

About Us

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities - join us!

Our Values:

• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
• Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.
• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

JOB INFO

Job Identification : 20261833

Job Category : Healthcare Services and Operations

Posting Date : 2026-09-24T16:29:26+00:00

Job Schedule : Full time

Locations :

El Dorado Hills, CA, United States

CA, United States

Long Beach, CA, United States

Lodi, CA, United States

Oakland, CA, United States

Rancho Cordova, CA, United States

Redding, CA, United States

San Diego, CA, United States

Woodland Hills, CA, United States

Pay Range for California : $81950.00 to $122870.00

Pay Range for Bay Area : $92380.00 to $138508.00

Note : Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.

Role can be filled by a candidate requiring sponsorship : No