Director, Case Management Nurse Management, Oakland

Director, Case Management Nurse Management

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Your Role The Director of Transitional Care Services reporting to the Sr Director, Population Health Management, will work to implement whole person integrated healthcare by leading Care Management for the MediCal member population. This role will provide leadership, direction, and oversight to our Medi-Cal Transitional Care Services team and ensure that our beneficiaries receive case management interventions and linkages to essential services while residing in an inpatient setting and post-discharge. Services will include linkage to PCPs and specialist and linkage to other supportive services such as CalAIM Enhanced Care Management, CalAIM Community Supports, the Community Health Worker Benefit and Long-Term Services and Supports. This leader will support the Population Health program designed to engage members, reduce disparities and gaps in care, and improve quality for our Medi-Cal members. This position will drive member experience and engagement, improvement in the overall health of Blue Shield of California members, and affordability and efficiency. The Director contributes to the overall strategy and goals of the Medical Care Solutions organization. This role is being created in compliance with the MediCal mandate requirement outlined by the Cal-AIM Population Health Management program.

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Location:: Oakland

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