Senior Behavioral Health RN Care Manager - Hybrid

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

Job summary

Blue Shield of California seeks a Senior Behavioral Health Care Management Clinician to guide members with behavioral health needs through the care system, coordinating resources, treatment, and providers. The role emphasizes crisis intervention, psychosocial assessments, and advocacy, working with physicians and care managers.

Ideal candidates hold an active RN license (CA or compact state) with 5+ years in nursing or a related field and 3+ years in managed care, plus CCM certification or

Qualifications

• Requires current and valid RN license; prefer licensure in a compact state.
• Bachelor of Science in Nursing or advanced degree preferred.
• CCM certification or in process based on CCM application requirements.
• Requires 5 years of experience in nursing, healthcare, or related field.
• Minimum 3 years of managed care experience in inpatient/outpatient/managed care environment preferred.
• Experience with transitions of care preferred.
• Strong knowledge of healthcare delivery systems, managed care principles, and care coordination.
• Excellent communication skills.
• Experience conducting thorough psychosocial assessments and developing care plans for complex client populations.

Responsibilities

• Help members with behavioral health needs navigate the health care system and connect to providers, treatments, and programs.
• Provide crisis intervention, resource coordination, and psychosocial support.
• Consult with physicians and nurse care managers for patients with complex psychosocial needs.
• Assess emotional and psychological well-being and develop care plans.
• Collaborate with interdisciplinary teams to coordinate care and facilitate transition of care.
• Educate, advocate, and link community resources to members and families.

Skills

Excellent communication skills

Crisis intervention

Care coordination

Interdisciplinary collaboration

Problem-solving

Patient and family management

Conflict resolution

Education

Bachelor of Science in Nursing

Advanced degree

Certified Case Manager (CCM) Certification

Tools

Microsoft Excel

Microsoft Outlook

Microsoft Word

PowerPoint

Job description

Blue Shield of California seeks a Senior Behavioral Health Care Management Clinician to guide members with behavioral health needs through the care system, coordinating resources, treatment, and providers. The role emphasizes crisis intervention, psychosocial assessments, and advocacy, working with physicians and care managers.

Ideal candidates hold an active RN license (CA or compact state) with 5+ years in nursing or a related field and 3+ years in managed care, plus CCM certification or