Key facts
- Location
- El Dorado Hills, CA, United States
- Workplace
- Not stated
- Pay
- Not stated
- Contract
- Not stated
- Detected
- 8 Nov 2026
- Posted
- 6 Oct 2026
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 tre
The full description is on Blue Shield of California’s careers site (opens in a new tab).