Care Management - LVN, Senior

Blue Shield of CA; Oakland (CA); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Blue Shield of CA in Oakland is seeking a Senior LVN, Care Manager to join the Outreach and Enrollment department. You will assess members, coordinate care, and connect them to health programs and resources in the outpatient setting.

This hybrid role enables virtual work with periodic in-office meetings based on business needs; requires CA LVN license and CCM certification progress; bilingual skills preferred.

Qualifications

• High School Diploma or GED required.
• Completion of state-approved LVN program and CA LVN license.
• CCM Certification or in process when eligible.
• At least 5 years of nursing/healthcare experience.
• Experience in health plan/managed care preferred.
• 3+ years in inpatient/outpatient/managed care environments.

Responsibilities

• Reach out to members to assess needs and provide care coordination.
• Assist in linking members to appropriate health programs and resources.
• Engage with diverse populations and communicate effectively.

Skills

Communication skills

Bilingual preferred

Interpersonal skills

Rapport building

Engagement with diverse populations

Education

High School Diploma/GED

State-approved LVN program

CCM Certification in progress

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.