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CRNA / Case Management / California / Permanent / Behavioral Health RN Case Manager Job
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- Care Managers perform integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members care including clinical nurses and treating physicians.
- Care Managers apply detailed knowledge of Blue Shield of California (BSC) established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each case.
- Applies detailed knowledge of FEP PPO and Blue Shield of Californias (BSC) established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each case.
- Performs effective discharge planning and collaborates with member support system and health care professionals involved in the continuum of care.
- Coordinates Care for Lower Level of Care coordination such as Skilled Nursing Facility, Residential Treatment Center, Home Health, Home Infusion, RehabProvides disease management education on core chronic conditions (Diabetes, Heart Failure, COPD, Asthma and Coronary Artery Disease).
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