Remote Senior Behavioral Health Care Manager (RN)

Blue Shield of California; Arizona; Hybrid; USD 91,000 - 136,000; Full time

Job summary

Blue Shield of California is seeking a Behavioral Health Care Management Clinician, Senior to assist members with behavioral health needs, coordinating assessments, resource coordination, and crisis intervention. This remote, AZ-based role offers a full-time schedule (M-F 8am-5pm PST) with a pay range of $90,860–$136,290 per year.

Ideal candidates have 5+ years in nursing/healthcare, 3+ years in managed care, and an active RN license (CA or compact state).

Qualifications

• Bachelor of Science in Nursing preferred.
• 5 years of nursing/healthcare experience required.
• 3 years of managed care experience preferred.
• Current RN license in CA or a compact state; CCM certification preferred or in process.

Responsibilities

• Collaborate with case managers and team members to complete member assessments.
• Act as a liaison with service coordination staff to ensure timely responses to member needs.
• Support members’ treatment plans and care needs in collaboration with providers.
• Recognize clients’ rights to self-determination and informed choices.
• Assess members’ health behaviors and cultural influences to identify potential barriers.
• Manage a caseload for behavioral health care coordination and case management.
• Maintain an active workload in accordance with National Care Manager performance standards.
• Provide information regarding mental health and substance abuse benefits to members and providers.
• Interact with Utilization department and Physician Advisors on clinical questions.

Skills

Nursing experience

Managed care experience

Patient advocacy

Education

RN license (CA or compact state)

CCM Certification (preferred or in process)

Job description

Blue Shield of California is seeking a Behavioral Health Care Management Clinician, Senior to assist members with behavioral health needs, coordinating assessments, resource coordination, and crisis intervention. This remote, AZ-based role offers a full-time schedule (M-F 8am-5pm PST) with a pay range of $90,860–$136,290 per year.

Ideal candidates have 5+ years in nursing/healthcare, 3+ years in managed care, and an active RN license (CA or compact state).