Home › Companies › Ecge Fa Us2 Oraclecloud Com CX 1003 › Case Management - Nurse, Senior- Pregnancy and Postpartum
Case Management - Nurse, Senior- Pregnancy and Postpartum
Ecge Fa Us2 Oraclecloud Com CX 1003 · Long Beach, CA, United States · Hybrid · Active · Oracle Recruiting Cloud / Fusion HCM
Job facts
| Field | Value |
|---|---|
| Company | Ecge Fa Us2 Oraclecloud Com CX 1003 |
| Title | Case Management - Nurse, Senior- Pregnancy and Postpartum |
| Normalized title | - |
| Department / team | Healthcare Services and Operations |
| Location | Long Beach, CA, United States |
| Work model | Hybrid / Hybrid |
| Employment type | Full Time |
| Salary | - |
| Status | active |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
| Posted / first seen | 2026-04-07 / 2026-05-31 |
| Changed / last seen | 2026-05-31 / 2026-06-06 |
Related slices
| Page | What it contains | Open |
|---|---|---|
| Company jobs | Active postings from Ecge Fa Us2 Oraclecloud Com CX 1003. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through Oracle Recruiting Cloud / Fusion HCM. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| City jobs | Active postings in Long Beach. | Open |
| Department jobs | Active postings in Healthcare Services and Operations. | Open |
| Work model jobs | Active Hybrid postings. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | Ecge Fa Us2 Oraclecloud Com CX 1003 |
| Source | 2426c13c-5fb6-4954-b4fc-d0476cec17ee |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
Description
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 Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including coordination of care with specialists, community resources. Care Managers perform a blended function of utilization management (UM) and care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians.
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.
Responsibilities
Your Work
In this role, you will:
Research and design treatment /care plans to promote quality of care, cost effective health care services based on medical necessity complying with contract for each appropriate plan type. Initiation of timely individualized care plans (ICP) based on health risk assessment (HRA) completion, participation in and documentation of interdisciplinary meetings (ICT), assisting in transitions of care across all ages. Determines appropriateness of referral for CM services, mental health, and social services. Provides Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD). Conducts member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental cases. Manages member treatment in order to meet recommended length of stay. Ensures DC planning at levels of care appropriate for the members needs and acuity. Assessment: Assesses members health behaviors, cultural influences and clients belief/value system. Evaluates all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriers. Research opportunities for improvement in assessment methodology and actively promotes continuous improvement. Anticipates potential barriers while establishing realistic goals to ensure success for the member, providers and BSC. Determines realistic goals and objectives and provides appropriate alternatives. Actively solicits client’s involvement. Planning: Designs appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes. Adjusts plans or creates contingency plans as necessary. Assesses and re-evaluates health and progress due to the dynamic nature of the plan of care required on an ongoing basis. Initiates and implements appropriate modifications in plan of care to adapt to changes occurring over time and through various settings. Develops appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes. Recognizes need for contingency plans throughout the healthcare process. Develops and implements the plan of care based on accurate assessment of the member and current of proposed treatment.
Qualifications
Your Knowledge and Experience
Current CA RN License required Bachelor of Science in Nursing or advanced degree preferred. Requires 5 years’ experience in nursing, health care or related field. 3 years managed care experience preferred. Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements. At least 2 years within Health Plan / Managed Care Plan, specific to Medi-Cal line of business preferred
At least 2 years of experience in maternity, labor and delivery, or post-partum preferred
Transitions of care experience desired Excellent communications skills
Hybrid Virtual Work
This role allows employees to work virtually full-time, however employees will be expected to come into the office based on business need.
Full job record
| Job ID | 75d371ee271180f8b410d0e2de6519dd5f16e2ae |
| Org ID | 202edd25-dd99-459f-9155-82b80529e892 |
| Source ID | 2426c13c-5fb6-4954-b4fc-d0476cec17ee |
| Board ID | 2426c13c-5fb6-4954-b4fc-d0476cec17ee |
| Provider | oracle_hcm |
| Provider Job Key | 20260648 |
| Title | Case Management - Nurse, Senior- Pregnancy and Postpartum |
| Normalized Title | — |
| Status | active |
| Active | yes |
| Location Text | Long Beach, CA, United States |
| Department | Healthcare Services and Operations |
| Team | — |
| Employment Type | full_time |
| Workplace Type | hybrid |
| Remote Policy | hybrid |
| Country | United States |
| Region | CA |
| City | Long Beach |
| Salary Raw | 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 Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including coordination of care with specialists, community resources. Care Managers perform a blended function of utilization management (UM) and care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. 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. Responsibilities Your Work In this role, you will: Research and design treatment /care plans to promote quality of care, cost effective health care services based on medical necessity complying with contract for each appropriate plan type. Initiation of timely individualized care plans (ICP) based on health risk assessment (HRA) completion, participation in and documentation of interdisciplinary meetings (ICT), assisting in transitions of care across all ages. Determines appropriateness of referral for CM services, mental health, and social services. Provides Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD). Conducts member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental cases. Manages member treatment in order to meet recommended length of stay. Ensures DC planning at levels of care appropriate for the members needs and acuity. Assessment: Assesses members health behaviors, cultural influences and clients belief/value system. Evaluates all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriers. Research opportunities for improvement in assessment methodology and actively promotes continuous improvement. Anticipates potential barriers while establishing realistic goals to ensure success for the member, providers and BSC. Determines realistic goals and objectives and provides appropriate alternatives. Actively solicits client’s involvement. Planning: Designs appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes. Adjusts plans or creates contingency plans as necessary. Assesses and re-evaluates health and progress due to the dynamic nature of the plan of care required on an ongoing basis. Initiates and implements appropriate modifications in plan of care to adapt to changes occurring over time and through various settings. Develops appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes. Recognizes need for contingency plans throughout the healthcare process. Develops and implements the plan of care based on accurate assessment of the member and current of proposed treatment. Qualifications Your Knowledge and Experience Current CA RN License required Bachelor of Science in Nursing or advanced degree preferred. Requires 5 years’ experience in nursing, health care or related field. 3 years managed care experience preferred. Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements. At least 2 years within Health Plan / Managed Care Plan, specific to Medi-Cal line of business preferred At least 2 years of experience in maternity, labor and delivery, or post-partum preferred Transitions of care experience desired Excellent communications skills Hybrid Virtual Work This role allows employees to work virtually full-time, however employees will be expected to come into the office based on business need. |
| Salary Min | — |
| Salary Max | — |
| Salary Currency | — |
| Salary Period | — |
| Source URL | https://ecge.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1003/job/20260648 |
| Apply URL | https://ecge.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1003/job/20260648 |
| First Seen At | 2026-05-31 17:55:51Z |
| Last Seen At | 2026-06-06 19:41:05Z |
| Last Checked At | 2026-06-06 19:41:05Z |
| Last Changed At | 2026-05-31 17:55:51Z |
| Inactive At | — |
| Source Posted At | 2026-04-07 01:05:53Z |
| Source Updated At | — |
| Raw Payload Uri | s3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=ecge.fa.us2.oraclecloud.com|CX_1003/date=2026-06-06/2026-06-06T19-40-51-331Z-3651ec34c6b82d2393faf29dc23b074f87ef1ed2ccc426b00005dad9b6bd6573.json |
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"ShortDescriptionStr": "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 Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including coordination of care with specialists, community resources. Care Managers perform a blended function of utilization management (UM) and care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians.",
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},
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}Get this page with API
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