Senior Behavioral Health Care Manager (RN) – Hybrid

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

Job summary

Blue Shield of California is seeking a Senior Behavioral Health Care Management Clinician to help members navigate behavioral health services, coordinate care, and provide crisis intervention. The role focuses on psychosocial assessments, care planning, advocacy, and collaboration with healthcare teams.

The position emphasizes leadership in crisis management, patient-centered care, and community resource linkage, with a hybrid virtual work arrangement and an expectation to work 8am–5pm PST,

Qualifications

• Requires CA RN license or any state RN license; compact state preferred
• Bachelor of Science in Nursing or higher degree preferred
• CCM certification or in process
• Requires 5 years of nursing/healthcare experience
• Minimum 3 years in managed care environment preferred

Responsibilities

• Assist members with crisis intervention and resource coordination
• Assess psychosocial needs and develop care plans
• Coordinate with physicians, nurses, and care managers
• Provide patient and family education, advocacy, and linkages to community resources

Skills

Excellent communication skills

Healthcare delivery systems knowledge

Problem solving & conflict resolution

Interdisciplinary collaboration

Education & advocacy

Education

Bachelor of Science in Nursing

CCM Certification (preferred / in progress)

Tools

Microsoft Excel

Microsoft Outlook

Microsoft Word

PowerPoint

Job description

Blue Shield of California is seeking a Senior Behavioral Health Care Management Clinician to help members navigate behavioral health services, coordinate care, and provide crisis intervention. The role focuses on psychosocial assessments, care planning, advocacy, and collaboration with healthcare teams.

The position emphasizes leadership in crisis management, patient-centered care, and community resource linkage, with a hybrid virtual work arrangement and an expectation to work 8am–5pm PST,