Care Management - LVN, Senior

Blue Shield of CA; Redding (CA); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Blue Shield of CA is seeking a Senior LVN, Care Manager to support outreach and enrollment by assessing member needs and coordinating care. You will engage with members, connect them to health programs, and collaborate with care teams in a hybrid virtual work environment.

Ideal candidates have 5+ years in nursing or healthcare, CA LVN license, CCM certification or in progress, and strong communication skills for diverse populations.

Qualifications

• High School Diploma/GED and completion of a CA LVN program.
• Current and unrestricted CA LVN license.
• CCM Certification or in process of completion when eligible.
• At least 5 years of nursing, healthcare or related field.
• Experience working at a health plan (managed care, government payer, or academic).
• Minimum 3 years in inpatient, outpatient, and/or managed care.
• Excellent communication skills.
• Bilingual preferred.
• Excellent interpersonal skills with diverse populations.
• Ability to independently assess, evaluate, and interpret clinical information.

Responsibilities

• Reach out to members, assess needs, and coordinate care.
• Provide comprehensive care coordination in outpatient settings.
• Engage members with appropriate health programs and resources.
• Communicate effectively with diverse populations and teams.

Skills

Excellent communications skills

Bilingual is preferred

Interpersonal skills

Education

High School Diploma/GED

CA LVN program completion

CA LVN License (unrestricted)

Certified Case Manager (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.

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.