Senior Behavioral Health Care Manager (RN) – Hybrid Role

Blue Shield of CA; Baltimore (MD); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Blue Shield of CA is seeking a Behavioral Health Care Management Clinician, Senior to assist members with navigating behavioral health services, coordinating care, and providing crisis intervention. You will support physicians and care managers for patients with complex psychosocial needs and work to connect clients with resources and programs.

The role emphasizes leadership development, collaboration with high-performing teams, and continuous learning.

Qualifications

• Requires current and valid CA RN License or RN license from other state; compact state preferred.
• Bachelor of Science in Nursing or advanced degree preferred.
• Certified Case Manager (CCM) Certification or in process of completing certification.
• Requires 5 years of experience in nursing, healthcare, or related field.
• Minimum of 3 years in managed care in inpatient/outpatient/managed care environment preferred.
• Transitions of care experience preferred.
• Strong knowledge of healthcare delivery systems, managed care, and care coordination.
• Excellent communication skills.
• Experience conducting thorough psychosocial assessments and developing care plans for complex populations.
• Proficient with Excel, Outlook, Word, and PowerPoint

Responsibilities

• Help members navigate the health care system for linkages to behavioral health providers, treatment, and programs.
• Provide resource coordination, crisis intervention, and referrals for behavioral or mental health needs.
• Consult with physicians and nurse care managers for patients with complex psychosocial needs.
• Focus on crisis intervention, counseling, problem-solving, and conflict resolution.
• Coordinate patient and family management and interdisciplinary collaboration.
• Educate and advocate, linking to community resources.

Skills

RN License

Communication skills

Care coordination

Crisis intervention

psychosocial assessment

Problem-solving

Interdisciplinary collaboration

Education

Bachelor of Science in Nursing

CCM Certification

Tools

Microsoft Excel

Microsoft Outlook

Microsoft Word

PowerPoint

Job description

Blue Shield of CA is seeking a Behavioral Health Care Management Clinician, Senior to assist members with navigating behavioral health services, coordinating care, and providing crisis intervention. You will support physicians and care managers for patients with complex psychosocial needs and work to connect clients with resources and programs.

The role emphasizes leadership development, collaboration with high-performing teams, and continuous learning.