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How much do blue shield promise health plan jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for blue shield promise health plan in the United States is $12.50, according to ZipRecruiter salary data. Most workers in this role earn between $12.50 and $12.50 per hour, depending on experience, location, and employer.

What is Blue Shield Promise Health Plan?

Blue Shield Promise Health Plan is a managed care organization that provides health coverage to Medi-Cal and Medicare beneficiaries in California. It is part of Blue Shield of California and offers comprehensive health services, including preventive care, doctor visits, hospital stays, prescription drugs, and more. The plan is designed to ensure members have access to quality healthcare while coordinating services to meet their unique needs. Blue Shield Promise Health Plan focuses on improving member health outcomes through care management and community resources.

What are the key skills and qualifications needed to thrive as a Blue Shield Promise Health Plan professional?

To thrive in a role at Blue Shield Promise Health Plan, you generally need expertise in healthcare administration, a strong understanding of managed care, and relevant educational qualifications such as a degree in health services or a related field. Familiarity with healthcare management systems, regulatory compliance frameworks, and claims processing tools is typically required. Exceptional communication, problem-solving abilities, and a commitment to customer service are valuable soft skills in this environment. These competencies ensure effective delivery of health services, regulatory adherence, and positive member experiences within a complex healthcare landscape.

What are some common challenges faced by team members working at Blue Shield Promise Health Plan, and how can applicants prepare to address them?

Team members at Blue Shield Promise Health Plan often navigate the complexities of working within a regulated healthcare environment, including compliance with state and federal guidelines. Balancing the needs of diverse member populations while ensuring high-quality service can also be challenging. Applicants can prepare by familiarizing themselves with managed care principles, developing strong communication skills, and being proactive in learning about healthcare regulations. Collaboration across departments—such as clinical, customer service, and compliance teams—is essential, so adaptability and teamwork are highly valued.

What is the difference between Blue Shield Promise Health Plan vs Medical Assistant?

AspectBlue Shield Promise Health PlanMedical Assistant
CredentialsVaries; often requires health plan knowledge, certificationsCertified or registered, with CMA or RMA credentials
Work EnvironmentHealthcare offices, clinics, insurance settingsClinics, hospitals, outpatient facilities
Employer & IndustryHealth insurance companies, healthcare providersMedical clinics, hospitals, outpatient centers

Blue Shield Promise Health Plan professionals focus on managing health insurance plans and member services, while Medical Assistants provide direct patient care and administrative support in clinical settings. Both roles require healthcare knowledge but differ in responsibilities and work environments.

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Blue Shield Promise Health Plan jobs near you
Infographic showing various Blue Shield Promise Health Plan job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 16% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $26,000 per year, or $12.5 per hour.

Care Management - Nurse, Senior (DSNP)

Blue Shield of California

Long Beach, CA • On-site

$89K - $133K/yr

Full-time

Re-posted 12 days ago

Blue Shield Of California rating

8.3

Company rating: 8.3 out of 10

Based on 50 frontline employees who took The Breakroom Quiz

129th of 311 rated insurance

Job description


Your Role
The Care Management team coordinates, educates, and advocates care for the Dual-Special Needs (DSNP) population with Blue Shield of California. The Case Management - Nurse, Senior will report to the Manager of Care Management within Medical Care Solutions. In this role you will be responsible for managing a caseload of DSNP members, reviewing Health Risk Assessments and completing Individualized Care Plans, engaging members to reduce readmissions to the hospital, and supporting the DSNP care management team.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Responsibilities
Your Work
In this role, you will:
  • Research and design treatment /care plans to promote quality of care, cost effective health care services based on medical necessity complying with contract for each appropriate plan type.
  • Initiate timely individualized care plans (ICP) based on health risk assessment (HRA) completion, participation in and documentation of interdisciplinary meetings (ICT), assisting in transitions of care across all ages.
  • Determine appropriateness of referral for CM services, mental health, and social services.
  • Provide Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD).
  • Conduct member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental cases.
  • Manage member treatment to meet recommended length of stay. Ensure DC planning at levels of care appropriate for the members' needs and acuity
  • Assess members' health behaviors, cultural influences and clients belief/value system. Evaluates all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriers.
  • Research opportunities for improvement in assessment methodology and actively promote continuous improvement. Anticipates potential barriers while establishing realistic goals to ensure success for the member, providers and BSC.
  • Determine realistic goals and objectives and provide appropriate alternatives. Actively solicit client's involvement.
  • Design appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes. Adjust plans or create contingency plans as necessary.
  • Assess and re-evaluates health and progress due to the dynamic nature of the plan of care required on an ongoing basis. Initiates and implements appropriate modifications in plan of care to adapt to changes occurring over time and through various settings.
  • Develop appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes.
  • Recognize need for contingency plans throughout the healthcare process. Develop and implement the plan of care based on accurate assessment of the members and current of proposed treatment.

Qualifications
Your Knowledge and Experience
  • Current CA RN License required
  • Bachelor's of Science in Nursing or advanced degree preferred
  • Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements
  • Requires 5+ years' experience in nursing, health care or related field.
  • 3+ years managed care experience preferred. Health insurance/managed care experience desired.
  • Transitions of care experience preferred
  • Excellent communications skills

About the Team
About Blue Shield of California
As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities - join us!
Our Values:
  • Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
  • Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
  • Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model
We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:
  • For most teams, this means coming into the office two days per week.
  • Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
  • For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.
Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
Please click here for further physical requirement detail.
Equal Employment Opportunity:
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

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