Home › Companies › Ecge Fa Us2 Oraclecloud Com CX 1003 › Care Management - Nurse, Senior (Population Health Management)
Care Management - Nurse, Senior (Population Health Management)
Ecge Fa Us2 Oraclecloud Com CX 1003 · El Dorado Hills, CA, United States · Hybrid · Deleted · Oracle Recruiting Cloud / Fusion HCM
Job facts
| Field | Value |
|---|---|
| Company | Ecge Fa Us2 Oraclecloud Com CX 1003 |
| Title | Care Management - Nurse, Senior (Population Health Management) |
| Normalized title | - |
| Department / team | Healthcare Services and Operations |
| Location | El Dorado Hills, CA, United States |
| Work model | Hybrid / Hybrid |
| Employment type | Full Time |
| Salary | - |
| Status | deleted |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
| Posted / first seen | 2026-06-05 / 2026-06-06 |
| Changed / last seen | 2026-06-14 / 2026-06-12 |
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 El Dorado Hills. | 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
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.
Organization
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 effectively, showing empathy by understanding others' perspectives.
Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
Our Workplace Model
We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:
For most teams, this means coming into the office two days per week.
Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.
Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
Please click here for further physical requirement detail.
Equal Employment Opportunity:
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
Full job record
| Job ID | d81594569b06a85947016b1b35af349952b7286d |
| 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 | 20261029 |
| Title | Care Management - Nurse, Senior (Population Health Management) |
| Normalized Title | — |
| Status | deleted |
| Active | no |
| Location Text | El Dorado Hills, 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 | El Dorado Hills |
| 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 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. Organization 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 effectively, showing empathy by understanding others' perspectives. Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals. Our Workplace Model We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility: For most teams, this means coming into the office two days per week. Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need. For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being. The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews. Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. Please click here for further physical requirement detail. Equal Employment Opportunity: External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws. |
| Salary Min | — |
| Salary Max | — |
| Salary Currency | — |
| Salary Period | day |
| Source URL | https://ecge.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1003/job/20261029 |
| Apply URL | https://ecge.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1003/job/20261029 |
| First Seen At | 2026-06-06 11:26:44Z |
| Last Seen At | 2026-06-12 11:01:34Z |
| Last Checked At | 2026-06-14 11:10:54Z |
| Last Changed At | 2026-06-14 11:10:54Z |
| Inactive At | 2026-06-14 11:10:54Z |
| Source Posted At | 2026-06-05 16:52:56Z |
| 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=2026-06-12/2026-06-12T11-01-21-275Z-1ae1a15f8d22b441da1a4a50b0368cc6b81c5f905bad5d24da57cbb37674b9ca.json |
Event Fields
{
"content_hash": "4f53914ff26eb256841c38c1292d38b903aa71f81b66896cc9517184dcf7214e",
"source_hash": "428dab368c4c557730438cd98f076f8ccb98bb11f526f926ec5cc77cccf8aa9b",
"last_changed_at": "2026-06-14T11:10:54.212Z",
"active_status": "deleted"
}Parsed Structured
{
"language": "en",
"location": {
"raw": "El Dorado Hills, CA, United States",
"city": "El Dorado Hills",
"region": "CA",
"country": "United States",
"is_remote": false,
"confidence": 0.8
},
"salary_max": null,
"salary_min": null,
"inferred_at": "2026-06-12T11:01:34.351Z",
"launch_scope": {
"reason": "english_us_canada",
"included": true,
"language": "en",
"location": {
"raw": "El Dorado Hills, CA, United States",
"city": "El Dorado Hills",
"region": "CA",
"country": "United States",
"is_remote": false,
"confidence": 0.8
},
"countries": [
"United States"
]
},
"remote_policy": "hybrid",
"salary_period": "day",
"workplace_type": "hybrid",
"salary_currency": null
}Extensions
{}Native Structured
{
"detail": {
"Id": "20261029",
"Title": "Care Management - Nurse, Senior (Population Health Management)",
"media": [],
"skills": [],
"JobType": null,
"Category": "Healthcare Services and Operations",
"JobGrade": null,
"JobLevel": null,
"JobShift": null,
"WorkDays": null,
"WorkHours": null,
"WorkYears": null,
"Department": null,
"HotJobFlag": false,
"StudyLevel": null,
"WorkMonths": null,
"WorkerType": null,
"GeographyId": 300000007265571,
"JobFamilyId": 300000013020123,
"JobFunction": "Case Management",
"JobSchedule": "Full time",
"BusinessUnit": null,
"ContractType": null,
"Organization": null,
"TrendingFlag": false,
"workLocation": [],
"ContentLocale": "en",
"HiringManager": null,
"LegalEmployer": null,
"RequisitionId": 300001806931819,
"WorkplaceType": "",
"BusinessUnitId": 300000621286430,
"OrganizationId": 300000092124532,
"GeographyNodeId": 100000724265611,
"JobFunctionCode": "FUNC013",
"LegalEmployerId": 300000001557001,
"PrimaryLocation": "El Dorado Hills, CA, United States",
"RequisitionType": "Professional",
"NumberOfOpenings": null,
"WorkplaceTypeCode": null,
"BeFirstToApplyFlag": false,
"otherWorkLocations": [],
"secondaryLocations": [
{
"Name": "CA, United States",
"Latitude": "37.71853",
"Longitude": "-122.09326",
"CountryCode": "US",
"GeographyId": 300000007245005,
"GeographyNodeId": 100000724265600,
"RequisitionLocationId": 300001807179756
},
{
"Name": "Long Beach, CA, United States",
"Latitude": "33.76672",
"Longitude": "-118.1924",
"CountryCode": "US",
"GeographyId": 300000007265842,
"GeographyNodeId": 100000724265601,
"RequisitionLocationId": 300001806931824
},
{
"Name": "Lodi, CA, United States",
"Latitude": "38.13018",
"Longitude": "-121.27552",
"CountryCode": "US",
"GeographyId": 300000007266537,
"GeographyNodeId": 100000724265613,
"RequisitionLocationId": 300001807179757
},
{
"Name": "Oakland, CA, United States",
"Latitude": "37.80508",
"Longitude": "-122.27307",
"CountryCode": "US",
"GeographyId": 300000007265438,
"GeographyNodeId": 100000724265616,
"RequisitionLocationId": 300001807179758
},
{
"Name": "Rancho Cordova, CA, United States",
"Latitude": "38.57469",
"Longitude": "-121.30375",
"CountryCode": "US",
"GeographyId": 300000007266348,
"GeographyNodeId": 100000724265618,
"RequisitionLocationId": 300001807179759
},
{
"Name": "Redding, CA, United States",
"Latitude": "40.5876",
"Longitude": "-122.39255",
"CountryCode": "US",
"GeographyId": 300000007266697,
"GeographyNodeId": 100000724265619,
"RequisitionLocationId": 300001807179760
},
{
"Name": "San Diego, CA, United States",
"Latitude": "32.71568",
"Longitude": "-117.16171",
"CountryCode": "US",
"GeographyId": 300000007266489,
"GeographyNodeId": 100000724265621,
"RequisitionLocationId": 300001806931825
},
{
"Name": "Woodland Hills, CA, United States",
"Latitude": "34.16889",
"Longitude": "-118.61148",
"CountryCode": "US",
"GeographyId": 300000007265893,
"GeographyNodeId": 100000724265623,
"RequisitionLocationId": 300001807179761
}
],
"ExternalContactName": null,
"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.",
"ExternalContactEmail": null,
"ExternalPostedEndDate": null,
"OtherRequisitionTitle": null,
"requisitionFlexFields": [
{
"Value": "$90860.00 to $136290.00",
"Prompt": "Pay Range for California",
"ControlType": "TextArea",
"SequenceNumber": 10
},
{
"Value": "$102424.00 to $153636.00",
"Prompt": "Pay Range for Bay Area",
"ControlType": "TextArea",
"SequenceNumber": 11
},
{
"Value": "Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.",
"Prompt": "Note",
"ControlType": "TextArea",
"SequenceNumber": 12
},
{
"Value": "No",
"Prompt": "Role can be filled by a candidate requiring sponsorship",
"ControlType": "SingleChoiceList",
"SequenceNumber": 14
}
],
"ApplyWhenNotPostedFlag": null,
"DomesticTravelRequired": null,
"ExternalDescriptionStr": "<p style=\"line-height: normal;\"><strong>Your Role </strong></p><p style=\"line-height: normal;\">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.</p><p style=\"line-height: normal;\">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.</p>",
"ObjectVerNumberProfile": "2",
"PrimaryLocationCountry": "US",
"CorporateDescriptionStr": "",
"ExternalPostedStartDate": "2026-06-05T16:52:56+00:00",
"ExternalQualificationsStr": "<p style=\"line-height: normal;\"><strong>Your Knowledge and Experience </strong></p><ul style=\"list-style-type: disc;\"><li style=\"color: windowtext; line-height: normal;\">Current CA RN License required</li><li style=\"color: windowtext; line-height: normal;\">Bachelor of Science in Nursing or advanced degree preferred.</li><li style=\"color: windowtext; line-height: normal;\">Requires 5+ years’ experience in nursing, health care or related field.</li><li style=\"color: windowtext; line-height: normal;\">3+ years managed care experience preferred.</li><li style=\"color: windowtext; line-height: normal;\">Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements.</li><li><p style=\"line-height: normal; margin-bottom: 0in;\">At least 2 years within Health Plan / Managed Care Plan, specific to Medi-Cal line of business preferred</p></li><li style=\"color: windowtext; line-height: normal;\">Transitions of care experience desired</li><li style=\"color: windowtext; line-height: normal;\">Excellent communications skills</li></ul><p> </p><p style=\"line-height: normal;\"><strong>Hybrid Virtual Work</strong></p><p style=\"line-height: normal;\">This role allows employees to work virtually full-time, however employees will be expected to come into the office based on business need. </p>",
"InternalQualificationsStr": "<p style=\"line-height: normal;\"><strong>Your Knowledge and Experience </strong></p><ul style=\"list-style-type: disc;\"><li style=\"color: windowtext; line-height: normal;\">Current CA RN License required</li><li style=\"color: windowtext; line-height: normal;\">Bachelor of Science in Nursing or advanced degree preferred.</li><li style=\"color: windowtext; line-height: normal;\">Requires 5+ years’ experience in nursing, health care or related field.</li><li style=\"color: windowtext; line-height: normal;\">3+ years managed care experience preferred.</li><li style=\"color: windowtext; line-height: normal;\">Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements.</li><li><p style=\"line-height: normal; margin-bottom: 0in;\">At least 2 years within Health Plan / Managed Care Plan, specific to Medi-Cal line of business preferred</p></li><li style=\"color: windowtext; line-height: normal;\">Transitions of care experience desired</li><li style=\"color: windowtext; line-height: normal;\">Excellent communications skills</li></ul><p> </p><p style=\"line-height: normal;\"><strong>Hybrid Virtual Work</strong></p><p style=\"line-height: normal;\">This role allows employees to work virtually full-time, however employees will be expected to come into the office based on business need. </p>",
"OrganizationDescriptionStr": "<p style=\"margin:12pt 0in 0in\"></p>\n<p><b>About Blue Shield of California</b></p>\n<p>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. </p>\n<p>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. </p>\n<p>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.</p>\n<p>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! </p>\n<p><b>Our Values: </b></p>\n<p style=\"margin-left:0.25in\"></p>\n<ul>\n <li><b>Honest. </b>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.<b> </b><b></b></li>\n <li><b>Human. </b>We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.</li>\n <li><b>Courageous. </b>We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.<b> </b></li>\n</ul>\n<div>\n <p><b>Our Workplace Model</b> </p>\n <p>We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:</p>\n <ul>\n <li>\n <p>For most teams, this means coming into the office two days per week.</p></li>\n <li>\n <p>Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.</p></li>\n <li>\n <p>For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.</p></li>\n </ul>\n <p>The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews. </p>\n <p></p>\n</div>\n<div>\n</div>\n<ul></ul>\n<p><b>Physical Requirements:</b></p>\n<p>Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.</p>\n<p><a href=\"https://www.blueshieldca.com/physical-job-requirements\" target=\"_blank\" rel=\"nofollow\">Please click here for further physical requirement detail.</a> </p>\n<p><b>Equal Employment Opportunity:</b></p>\n<p>External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.</p>",
"primaryLocationCoordinates": [
{
"Latitude": "38.67842",
"Longitude": "-121.07748",
"CountryCode": "US",
"GeographyId": 300000007265571,
"GeographyNodeId": 100000724265611
}
],
"ExternalResponsibilitiesStr": "<p style=\"line-height: normal;\"><strong>Your Work </strong></p><p style=\"line-height: normal;\">In this role, you will: </p><ul style=\"list-style-type: disc;\"><li style=\"color: windowtext; line-height: normal;\">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.</li><li style=\"color: windowtext; line-height: normal;\">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.</li><li style=\"color: windowtext; line-height: normal;\">Determines appropriateness of referral for CM services, mental health, and social services.</li><li style=\"color: windowtext; line-height: normal;\">Provides Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD).</li><li style=\"color: windowtext; line-height: normal;\">Conducts member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental cases.</li><li style=\"color: windowtext; line-height: normal;\">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.</li><li style=\"color: windowtext; line-height: normal;\">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.</li><li style=\"color: windowtext; line-height: normal;\">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.</li><li style=\"color: windowtext; line-height: normal;\">Determines realistic goals and objectives and provides appropriate alternatives. Actively solicits client’s involvement.</li><li style=\"color: windowtext; line-height: normal;\">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.</li><li style=\"color: windowtext; line-height: normal;\">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.</li><li style=\"color: windowtext; line-height: normal;\">Develops appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes.</li><li style=\"color: windowtext; line-height: normal;\">Recognizes need for contingency plans throughout the healthcare process.</li><li style=\"color: windowtext; line-height: normal;\">Develops and implements the plan of care based on accurate assessment of the member and current of proposed treatment. </li></ul>",
"InternalResponsibilitiesStr": "<p style=\"line-height: normal;\"><strong>Your Work </strong></p><p style=\"line-height: normal;\">In this role, you will: </p><ul style=\"list-style-type: disc;\"><li style=\"color: windowtext; line-height: normal;\">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.</li><li style=\"color: windowtext; line-height: normal;\">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.</li><li style=\"color: windowtext; line-height: normal;\">Determines appropriateness of referral for CM services, mental health, and social services.</li><li style=\"color: windowtext; line-height: normal;\">Provides Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD).</li><li style=\"color: windowtext; line-height: normal;\">Conducts member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental cases.</li><li style=\"color: windowtext; line-height: normal;\">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.</li><li style=\"color: windowtext; line-height: normal;\">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.</li><li style=\"color: windowtext; line-height: normal;\">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.</li><li style=\"color: windowtext; line-height: normal;\">Determines realistic goals and objectives and provides appropriate alternatives. Actively solicits client’s involvement.</li><li style=\"color: windowtext; line-height: normal;\">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.</li><li style=\"color: windowtext; line-height: normal;\">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.</li><li style=\"color: windowtext; line-height: normal;\">Develops appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes.</li><li style=\"color: windowtext; line-height: normal;\">Recognizes need for contingency plans throughout the healthcare process.</li><li style=\"color: windowtext; line-height: normal;\">Develops and implements the plan of care based on accurate assessment of the member and current of proposed treatment. </li></ul>",
"InternationalTravelRequired": null
},
"list_job": {
"Id": "20261029",
"Title": "Care Management - Nurse, Senior (Population Health Management)",
"JobType": null,
"Distance": 1780617600000,
"JobShift": null,
"Language": "US",
"WorkDays": null,
"JobFamily": null,
"Relevancy": 8,
"WorkHours": null,
"Department": null,
"HotJobFlag": false,
"PostedDate": "2026-06-05",
"StudyLevel": null,
"WorkerType": null,
"GeographyId": 300000007265571,
"JobFunction": null,
"JobSchedule": null,
"BusinessUnit": null,
"ContractType": null,
"ManagerLevel": null,
"Organization": null,
"TrendingFlag": false,
"workLocation": [],
"LegalEmployer": null,
"MediaThumbURL": null,
"WorkplaceType": "",
"BusinessUnitId": 300000621286430,
"OrganizationId": 300000092124532,
"PostingEndDate": null,
"LegalEmployerId": 300000001557001,
"PrimaryLocation": "El Dorado Hills, CA, United States",
"WorkDurationYears": null,
"WorkplaceTypeCode": null,
"BeFirstToApplyFlag": false,
"WorkDurationMonths": null,
"otherWorkLocations": [],
"secondaryLocations": [
{
"Name": "CA, United States",
"Latitude": 37.71853,
"Longitude": -122.09326,
"CountryCode": "US",
"GeographyId": 300000007245005,
"GeographyNodeId": 100000724265600,
"RequisitionLocationId": 300001807179756
},
{
"Name": "Long Beach, CA, United States",
"Latitude": 33.76672,
"Longitude": -118.1924,
"CountryCode": "US",
"GeographyId": 300000007265842,
"GeographyNodeId": 100000724265601,
"RequisitionLocationId": 300001806931824
},
{
"Name": "Lodi, CA, United States",
"Latitude": 38.13018,
"Longitude": -121.27552,
"CountryCode": "US",
"GeographyId": 300000007266537,
"GeographyNodeId": 100000724265613,
"RequisitionLocationId": 300001807179757
},
{
"Name": "Oakland, CA, United States",
"Latitude": 37.80508,
"Longitude": -122.27307,
"CountryCode": "US",
"GeographyId": 300000007265438,
"GeographyNodeId": 100000724265616,
"RequisitionLocationId": 300001807179758
},
{
"Name": "Rancho Cordova, CA, United States",
"Latitude": 38.57469,
"Longitude": -121.30375,
"CountryCode": "US",
"GeographyId": 300000007266348,
"GeographyNodeId": 100000724265618,
"RequisitionLocationId": 300001807179759
},
{
"Name": "Redding, CA, United States",
"Latitude": 40.5876,
"Longitude": -122.39255,
"CountryCode": "US",
"GeographyId": 300000007266697,
"GeographyNodeId": 100000724265619,
"RequisitionLocationId": 300001807179760
},
{
"Name": "San Diego, CA, United States",
"Latitude": 32.71568,
"Longitude": -117.16171,
"CountryCode": "US",
"GeographyId": 300000007266489,
"GeographyNodeId": 100000724265621,
"RequisitionLocationId": 300001806931825
},
{
"Name": "Woodland Hills, CA, United States",
"Latitude": 34.16889,
"Longitude": -118.61148,
"CountryCode": "US",
"GeographyId": 300000007265893,
"GeographyNodeId": 100000724265623,
"RequisitionLocationId": 300001807179761
}
],
"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.",
"requisitionFlexFields": [],
"DomesticTravelRequired": null,
"PrimaryLocationCountry": "US",
"ExternalQualificationsStr": null,
"ExternalResponsibilitiesStr": null,
"InternationalTravelRequired": null
},
"detail_meta": {
"url": "https://ecge.fa.us2.oraclecloud.com/hcmRestApi/resources/latest/recruitingCEJobRequisitionDetails?expand=all&onlyData=true&finder=ById;Id=%2220261029%22,siteNumber=CX_1003",
"http_status": 200,
"content_type": "application/json",
"response_bytes": 21724
},
"detail_errors": []
}Get this page with API
Rendered from the bluedoor Job Postings API. Reproduce it:
GET https://api.bluedoor.sh/job-postings/v1/jobs/d81594569b06a85947016b1b35af349952b7286d?include=descriptionJSONGET https://api.bluedoor.sh/job-postings/v1/orgs/202edd25-dd99-459f-9155-82b80529e892JSONGET https://api.bluedoor.sh/job-postings/v1/sources/2426c13c-5fb6-4954-b4fc-d0476cec17eeJSONGET https://api.bluedoor.sh/job-postings/v1/jobs/d81594569b06a85947016b1b35af349952b7286d/eventsJSON