Senior Behavioral Health Care Manager (RN) – Hybrid

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

Benefits offered by this job

Hybrid work

Job summary

Blue Shield of CA seeks a Behavioral Health Care Management Clinician, Senior to help members navigate behavioral health services, coordinate care, and provide crisis intervention. The role collaborates with physicians and care managers to address complex psychosocial needs and develop comprehensive care plans.

Candidates should have RN licensure (CA or compact states), a BSN or higher, and CCM certification preferred; managed care experience and strong communication are essential.

Qualifications

• Requires a current CA RN license or valid RN license from another state.
• Bachelor of Science in Nursing or advanced degree preferred.
• CCM Certification or in process of completing certification when eligible.
• Requires 5 years of experience in nursing, healthcare, or related field.
• Minimum 3 years of managed care experience preferred.
• Strong knowledge of healthcare delivery systems and care coordination.
• Excellent communication skills and crisis intervention capability.
• Proficient with MS Excel, Outlook, Word, and PowerPoint.

Responsibilities

• Help members navigate behavioral health needs and link to providers and programs.
• Assess emotional well-being, coordinate resources, and provide crisis intervention.
• Consult physicians and care managers for complex psychosocial needs.
• Develop care plans and conduct psychosocial assessments with diverse populations.

Skills

Excellent communication

Care coordination

Crisis intervention

Interdisciplinary collaboration

Microsoft Office (Excel/Outlook/Word/P

Education

Bachelor of Science in Nursing

RN licensure (CA or compact state)

CCM Certification preferred

Tools

Microsoft Excel

Microsoft Outlook

Microsoft Word

PowerPoint

Job description

Blue Shield of CA seeks a Behavioral Health Care Management Clinician, Senior to help members navigate behavioral health services, coordinate care, and provide crisis intervention. The role collaborates with physicians and care managers to address complex psychosocial needs and develop comprehensive care plans.

Candidates should have RN licensure (CA or compact states), a BSN or higher, and CCM certification preferred; managed care experience and strong communication are essential.