Behavioral Health Care Mgmt Clinician, Senior (Triage Line)

Blue Shield of CA; Lodi (CA); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Blue Shield of CA is seeking a Behavioral Health Care Management Clinician, Senior to support the Behavioral Health Triage Line. You will perform clinical screenings, assess needs and urgency, provide crisis intervention, and guide members to care management and community resources.

The role emphasizes safety assessment, de-escalation, and care navigation across age groups, with potential for a small caseload and clinical intake support.

Qualifications

• Current unrestricted CA license (LCSW, LMFT, LPCC, RN, or PsyD) required
• Master's degree required for non RN-licensure
• Minimum five years of relevant experience, including three in behavioral health or triage
• Certified Case Manager preferred
• Experience with crisis intervention and triage settings
• Ability to assess safety and deescalate across age groups

Responsibilities

• Provide initial clinical screenings and assess urgency for the Behavioral Health Triage Line
• Conduct crisis intervention and connect members with services and providers
• Facilitate referrals and care routing to appropriate programs
• Maintain a small behavioral health care management caseload as needed
• Assist clinical intake and prioritize referrals for timely access

Skills

Crisis intervention

Care navigation

Deescalation

Psychosocial assessment

Critical thinking

Computer skills

Interdisciplinary collaboration

Education

Master's degree

RN licensure preferred

Tools

Microsoft Excel

Outlook

Word

PowerPoint

Job description

Your Role

Reporting to the Manager, Care Management - Behavioral Health, the Behavioral Health Care Management Clinician, Senior primarily supports the Behavioral Health Triage Line (a behavioral health crisis and support line) serving as a clinical point of contact for members seeking behavioral health support, substance abuse support, crisis assistance, care navigation, and access to behavioral health services.

Approximately 90% of the role will be dedicated to Behavioral Health Triage Line responsibilities, including conducting initial clinical screenings, assessing member needs and level of urgency, providing crisis intervention and support, facilitating appropriate referrals, and connecting members with behavioral health providers, treatment programs, care management services, and community resources. Ability to assess safety and deescalate behavioral health members within all age groups and support families as appropriate.

The Behavioral Health Care Management Clinician, Senior will use clinical judgment to identify the appropriate level of care and service pathway for members, including escalation of urgent or complex situations when appropriate. The role may also maintain a small behavioral health care management caseload based on departmental needs.

In addition, the clinician will support clinical intake and care-routing activities, including reviewing and prioritizing behavioral health referrals, evaluating referral information for clinical appropriateness and urgency, provider searches and other activities facilitating assignment to the appropriate care management program or clinician.

Your Knowledge and Experience

• Current unrestricted CA License (LCSW, LMFT, LPCC, Registered Nurse (RN), or PsyD by the Board of Behavioral Health Sciences required)
• RN Requires an associate's degree or BSN preferred
• Master's degree required for non RN-licensure
• Requires at least five (5) years of prior relevant experience, including three (3) years of experience in behavioral health or triage/crisis line experience
• Experience with behavioral health crisis intervention, including experience working on a crisis line or emergency room, behavioral health triage line, warm or triage line, emergency response team, or other setting involving assessment and management of urgent behavioral health needs preferred.
• Certified Case Manager preferred.
• Experience conducting thorough psychosocial assessments, critical thinking and deescalation, developing care plans and providing necessary interventions identified during assessment with complex client populations that may have, among other things, inadequate coping skills, severe emotional disorders, developmental disabilities, mental illnesses, and/or unstable housing
• Considerable knowledge of a wide range of psychosocial challenges and familiarity with behavioral health diagnoses and treatment
• Proficient with computer programs such as Microsoft Excel, Outlook, Word, and PowerPoint

Hybrid Virtual Work

This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.