Care Management - LVN, Senior

Blue Shield of CA; Los Angeles (CA); Hybrid; USD 85,000 - 105,000; Full time

Job summary

Blue Shield of CA is seeking a Senior LVN, Care Manager to join the Outreach and Enrollment team. The role focuses on reaching out to members, assessing needs, and coordinating care across outpatient settings.

The ideal candidate will hold a CA LVN license, CCM certification (or actively pursuing it), and at least 5 years in nursing or healthcare, including health plans. This is a hybrid position with opportunities for growth and leadership development.

Qualifications

• 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

Responsibilities

• Reach out to members, assess their needs, and provide comprehensive care coordination.
• Engage and connect members to appropriate health programs and resources.
• Collaborate with the Outreach and Enrollment department and report to the Manager of Care Management.

Skills

Communication skills

Bilingual

Interpersonal skills

Clinical assessment

Education

High School Diploma/GED

LVN program

CA LVN License

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.

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.