Senior Behavioral Health Care Manager (RN)

Blue Shield of CA; Denver (CO); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Blue Shield of CA is seeking a Senior Behavioral Health Care Management Clinician to help members navigate the healthcare system for behavioral health needs, linking to providers, treatment, and programs. The role centers on crisis intervention, resource coordination, and collaboration with physicians and care managers to support complex psychosocial cases.

The position supports a hybrid virtual work model, with routine office visits as needed; must be able to work M-F 8am-5pm PST and engage in

Qualifications

• Requires a current and valid CA RN License or valid RN license(s) from other state(s). Preferred licensure from a compact state. If assigned to another state, you must maintain an active, unrestricted RN license in assigned state(s) or the ability to obtain required RN license within 90 days of hire.
• Bachelor of Science in Nursing or advanced degree preferred.
• Certified Case Manager (CCM) Certification or in process of completing certification when eligible based on CCM application requirements.
• Requires 5 years of experience in nursing, healthcare, or related field.
• A minimum of 3 years of managed care experience in inpatient, outpatient, or managed care environment preferred.
• Transitions of care experience preferred.
• Strong knowledge of healthcare delivery systems, managed care principles, and care coordination.
• Excellent communication skills.
• Experience conducting thorough psychosocial assessments, developing care plans and providing necessary interventions identified during assessment with complex client populations.
• 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.

Responsibilities

• The Behavioral Health Care Management Clinician, Senior helps members with behavioral health needs navigate the health care system for linkages to behavioral health providers, treatment, and programs.
• Provides support in assessing members' emotional and psychological well-being and coordinating resources, crisis intervention, substance abuse, and behavioral or mental health referrals.
• Serves as a consultant to physicians and nurse care managers for patients with complex psychosocial needs.
• Focuses on crisis intervention, counseling, problem-solving, and conflict resolution; manages patient and family interactions in collaboration with the team.

Skills

Excellent communication skills

Crisis intervention

Care coordination

Problem-solving

Interdisciplinary collaboration

Psychosocial assessments

Microsoft Excel

Microsoft Outlook

Microsoft Word

Microsoft PowerPoint

Education

Bachelor of Science in Nursing or advanced degree

Tools

Microsoft Excel

Microsoft Outlook

Microsoft Word

Microsoft PowerPoint

Job description

Blue Shield of CA is seeking a Senior Behavioral Health Care Management Clinician to help members navigate the healthcare system for behavioral health needs, linking to providers, treatment, and programs. The role centers on crisis intervention, resource coordination, and collaboration with physicians and care managers to support complex psychosocial cases.

The position supports a hybrid virtual work model, with routine office visits as needed; must be able to work M-F 8am-5pm PST and engage in