Senior Behavioral Health Care Manager (RN) – Hybrid

Blue Shield of CA; Seattle (WA); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Blue Shield of CA is seeking a Senior Behavioral Health Care Management Clinician to help members navigate the behavioral health system, connect to providers, and coordinate services. The role emphasizes crisis intervention, psychosocial assessments, and resource linkage, with a focus on complex cases and advocacy for patients and families.

The position supports collaboration with physicians and nurse care managers, requires strong communication, and will participate in interdisciplinary teams

Qualifications

• Current and valid CA RN license or license from other state, with compact state preferred.
• BSN or higher degree preferred.
• CCM certification or in process.
• 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 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

• Assist members with navigating the behavioral health care system and linking to providers, treatment, and programs.
• Coordinate resources and care plans, with crisis intervention when needed.
• Consult physicians and nurse care managers for patients with complex psychosocial needs.
• Educate, advocate, and coordinate community resources for patients and families.
• Collaborate with interdisciplinary team members to improve care delivery and outcomes.
• Document psychosocial assessments and develop care plans in appropriate systems.

Skills

RN License

CCM Certification

Managed care experience

Care coordination

Psychosocial assessment

Strong communication

Interdisciplinary collaboration

Problem solving

Tech proficiency

Education

BSN or higher

Tools

Microsoft Excel

Microsoft Outlook

Microsoft Word

PowerPoint

Job description

Blue Shield of CA is seeking a Senior Behavioral Health Care Management Clinician to help members navigate the behavioral health system, connect to providers, and coordinate services. The role emphasizes crisis intervention, psychosocial assessments, and resource linkage, with a focus on complex cases and advocacy for patients and families.

The position supports collaboration with physicians and nurse care managers, requires strong communication, and will participate in interdisciplinary teams