Case Management - LVN, Senior

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 Work In this role, you will:

• 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

Your Knowledge and Experience

• Requires a current CA LVN License
• Certificate/diploma in vocational nursing required or advanced degree preferred
• 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
• A minimum of 3 years’ experience in inpatient, outpatient, and/or managed care environment required
• Health insurance/managed care experience is preferred
• 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 THE TEAM 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 effecti

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