BS
BSCCare Management - Nurse, Senior
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Before you apply
SalaryNo pay range posted
LocationEl Dorado Hills, CA, United States
SenioritySenior
DepartmentCare Management
Company size10,000+ people
First seenOct 18, 2026 · 2w ago
Verified live19h ago
At a glanceSummarised by Seekless from the posting.
Independently manage complex and high-risk care management cases
Apply advanced clinical judgment to assess medical necessity
Develop cost-effective care plans
Support quality outcomes aligned with benefit and contract requirements
Collaborate with providers, medical directors, and interdisciplinary teams
Coordinate care and support discharge planning
Evaluate barriers to care
Ensure members receive appropriate referrals and continuity of treatment
Reassess care plans ongoing
Maintain awareness of healthcare trends and clinical guidelines
Participate in a rotating evening and weekend on-call schedule
Your Role
About the role
The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support quality outcomes aligned with benefit and contract requirements. You will collaborate with providers, medical directors, and interdisciplinary teams to coordinate care, support discharge planning, evaluate barriers to care, and ensure members receive appropriate referrals and continuity of treatment. This position also requires ongoing reassessment of care plans, awareness of healthcare trends and clinical guidelines, and the ability to participate in a rotating evening and weekend on-call schedule.
About the company
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.