Join Blue Shield of California as a Manager in Utilization Management Nurse Management, where you'll lead a team to enhance operational efficiency and ensure high-quality patient care. Your expertise will directly impact care coordination and compliance in a dynamic healthcare environment.
Key Responsibilities
Establish operational objectives for the department
Develop and maintain FCR workflows, protocols, and policies
Monitor and evaluate the performance of the FCR team
Ensure high-quality, patient-centered care management
Collaborate with other business units to achieve performance goals
Required Qualifications
Current CA RN License
Bachelor of Science in Nursing or advanced degree
7 years of relevant experience
3 years of management experience
Preferred Qualifications
3+ years in inpatient or managed care environment
Excellent communication, interpersonal, and negotiation skills