Integrated Care Professional

Job Description

As a Healthcare Case Manager with Blue Shield of California, you will play a vital role in ensuring our members receive high-quality, patient-centered care. Your expertise in case management and clinical coordination will enable us to provide comprehensive support to individuals with complex health needs.

Your Key Responsibilities

• Conduct thorough assessments of members' needs, developing personalized care plans that promote optimal health outcomes and improve the overall care experience.
• Collaborate with healthcare providers, family members, and other stakeholders to ensure timely access to necessary services and support.
• Maintain accurate and detailed records of member interactions, care planning activities, and outcomes, using data to inform quality improvement initiatives and enhance member satisfaction.
• Stay up-to-date on best practices in care management, incorporating new knowledge and skills into your practice to enhance member outcomes.
• Participate in quality improvement initiatives, contributing to the development and implementation of evidence-based care pathways and protocols.