Your Role

The Senior Manager Care Management - Outreach and Engagement will report to the Director of Care Management. The Senior Manager of Care Management will play a pivotal role in overseeing and improving outreach and engagement strategies for our health plan members. This leadership position requires a dynamic, results-driven individual who is proficient in using technology, specifically auto-dialers, to enhance member engagement and care management outcomes. The Outreach and Engagement team reaches out, identifies members active needs, and enrolls members into a Care management program that will assist them with accessing services, navigating the health care system, teaching members how to self-manage their disease/condition.

Your Knowledge and Experience

• Current CA RN license.
• Bachelors of Science in Nursing or advanced degree preferred.
• Certified Case Manager (CCM) or is in the process of completing certification when eligible based on CCM application requirements.
• Requires at least ten (10) years of prior experience in healthcare related field including 4 years of management experience.
• Three (3) years conducting Care Management for a health insurance plan or managed care environment preferred
• Proficient with Microsoft Excel, Outlook, Word, Power Point, and the ability to learn and utilize multiple systems/databases
• 3+ years of experience in an administrative management position in a health care setting preferred
• 3+ years of responsibility for the supervision of professional staff, budgeting, program planning and licensing preferred
• Familiarity with NCQA requirements
• Successful track record in building and maintaining positive cross-functional relationships
• Aptitude for developing a quick understanding of people, processes, and technology
• Excellent analytical, communication skills, written skills, time management, and organizational skills
• Possess outstanding interpersonal, organizational, and communication skills, positive attitude, and high level of initiative

Pay Range:

The pay range for this role is: $ 136400.00 to $ 204600.00 for California.

Note:

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's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

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