Case Management
1 month ago
Your Role
Reporting to the Manager, Social Services Management, the Behavioral Health Care Manager helps members with behavioral health needs navigate the health care system for linkages to behavioral health providers, treatment, and program. The Behavioral Health Care Manager will offer support in assessing member’s emotional and psychological well-being and providing resource coordination, crisis intervention, substance abuse, and with any behavioral or mental health referrals. The Behavioral Health Care Manager will be available to physicians and nurse care managers as a consultant for patients with complex psychosocial needs. The position demands for an intensive focus on crisis intervention and counseling, problem-solving and conflict resolution, patient and family management, interdisciplinary collaboration, psychosocial assessments, education, advocacy, and community resource linkages.
Your Work
In this role, you will:
- Collaborate with case managers and other team members to complete member assessments related to social and resource needs to support member access to services
- Collaborate with service coordination staff and act as liaison to ensure timely and accurate response to member need
- Collaborate with providers to support members treatment plan and care needs
- Recognize the clients right to self-determination as it relates to the ethical principle of autonomy, including the client/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare team
- Assess members health behaviors, cultural influences and clients belief/value
- system and evaluates all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriers
- Efficiently manages and maintains a caseload of members for behavioral health care coordination and or BH case management for persons experiencing severe and persistent mental illness.
- Maintains an active workload in accordance with National Care Manager performance standards.
- Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.
- Interacts with Utilization department and Physician Advisors to discuss clinical questions and concerns regarding specific cases.
- Coordinates services with state and community programs on behalf of the member, particularly when the member is unable to effectively do so independently
- As a mandated reporter, files and follows-up on reports made to the appropriate government agency (e.g., Adult Protective Services, Child Protective Services, etc.)
- Actively participates in Interdisciplinary Team Meetings and case consultations with Licensed Manager.)
Your Knowledge and Experience
- Current CA RN License, LCSW, LMFT, LPCC, or PsyD by the Board of Behavioral Health Sciences required.
- Advanced degree preferred, commensurate with field.
- Certified Case Manager (CCM) or is in process of completing certification when eligible based on CCM application requirements, or National Certification in related field. Generally, requires moderate to extensive experience in nursing, health care or related field. Requires 5+ years’ experience in nursing, health care or related field. 3+ years managed care experience preferred.
- Experience conducting thorough psychosocial assessments, developing care plans and providing necessary interventions identified during assessment with complex client populations that may have, among other things, inadequate coping skills, severe emotional disorders, developmental disabilities, mental illnesses, and/or unstable housing
- 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
Pay Range:
The pay range for this role is: $ 77990.00 to $ 116930.00 for California.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
#LI-MM4
-
Senior Case Manager
2 months ago
Vista, CA, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms! Hiring Senior Case Managers in Washington Come join our growing team! A few of our perks: Create your own schedule!$44/hr. (including 100% of Hourly Wage Paid for All Drive Time) Bonus Eligible Direct assigned team members of RN Case Managers in the provision of care in accordance with Agency policy...
-
Case Management
1 month ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role The Children’s Health Program (CHP) team provides identification, referrals, and care management for all Medi-Cal members under 21 years old and collaborates within Promise Clinical Team. The Case Management Nurse, Senior will report to the CHP Manager. In this role you will be Perform clinical review, assessment, evaluation of medical services...
-
Mental Health Case Manager
4 weeks ago
Long Beach, CA, United States Telecare Corporation Full timeTelecare Corporation is seeking a dedicated and compassionate Case Manager II to provide primary support and case management services to individuals with mental illness and co-occurring disorders.Key Responsibilities:Assist clients to live independently in their chosen communityProvide direct supervision and support to clientsCollaborate with healthcare...
-
Senior Case Management Director
4 weeks ago
Long Beach, CA, United States MemorialCare Health System Full timeCare Coordination Leadership OpportunityMemorialCare Health System is seeking a seasoned Senior Case Management Director to drive the success of our care coordination department. As a key member of our leadership team, you will oversee and manage case management operations to ensure optimal efficiency and effectiveness.Key Responsibilities:Lead and develop a...
-
Case Management
1 month ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. The Triage Registered Nurse Case Manager will report...
-
Case Management
4 days ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role Work schedule is Mon- Fri 10am-7pm The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. The Triage...
-
RN Case Manager III
1 month ago
Long Beach, United States MemorialCare Health System Full timeDescription TitleRN Case Manager III LocationLong Beach Department Care Coordination StatusFull time ShiftDay Pay Range $59.87/hr - $83.39/hr Sign on$10,000 At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in...
-
Case Manager, LTSS
4 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) works with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.Key ResponsibilitiesCompletes face-to-face comprehensive assessments of...
-
Case Management
4 days ago
Long Beach, CA, United States Blue Shield of California Full timeSchedule is Mon-Fri 10am-7pm The Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive assessment of the member’s needs. The Federal Employee Program (FEP) team performs integrated case management (CM) and disease...
-
Case Management
1 month ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role The Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive assessment of the member’s needs. The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM)...
-
Case Management
4 days ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role Schedule is Mon-Fri 10am-7pm The Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive assessment of the member’s needs. The Federal Employee Program (FEP) team performs integrated case management (CM)...
-
Nurse Case Manager
4 weeks ago
Long Beach, California, United States Incredible Health Full timeJob Summary:We are seeking a skilled Registered Nurse to join our team as a Case Manager. The ideal candidate will have experience in clinical pathways, navigation, and utilization review.Responsibilities:Manage patient care and coordinate with healthcare teamsDevelop and implement clinical pathways to improve patient outcomesConduct utilization reviews to...
-
Nurse Manager
4 weeks ago
Long Beach, California, United States Incredible Health Full timeJob Summary:Incredible Health is seeking a highly skilled Nurse Manager to lead our Case Management team in the Long Beach, CA area. As a key member of our healthcare operations team, you will be responsible for overseeing the management of patient care and ensuring the highest level of quality and service.Key Responsibilities:Develop and implement effective...
-
RN Hospice Case Manager
4 weeks ago
Long Beach, California, United States MCM & Associates Full timeAbout the JobWe are seeking a compassionate RN Case Manager to join our team at MCM & Associates. This is a full-time position that offers a sign-on bonus and a competitive salary of $56.00 per hour.Job SummaryThe RN Case Manager will be responsible for planning, organizing, and directing hospice care. The ideal candidate will have experience in nursing,...
-
RN Case Manager
4 weeks ago
Long Beach, California, United States MemorialCare Health System Full timeJob SummaryThe RN Case Manager is a licensed professional responsible for planning, coordinating, and facilitating the ongoing care and appropriate discharge plan of a specific caseload of patients through the continuum of care. This role requires strong verbal and written communication skills with the ability to communicate well with people from diverse...
-
Case Management
3 months ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
-
Case Management
3 weeks ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
-
Case Management
3 weeks ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
-
Case Management
4 days ago
Long Beach, United States Blue Shield of California Full timeYour Role Work schedule is Mon- Fri 10am-7pm The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. The Triage...
-
Nurse Case Manager Position
4 weeks ago
Long Beach, California, United States Fifth Commandment Healthcare Staffing Full timeJob Summary:As a Case Manager at Fifth Commandment Healthcare Staffing, you will be responsible for providing exceptional patient care and coordinating services to ensure seamless transitions and optimal outcomes. This role requires a skilled and compassionate Registered Nurse with experience in case management and a strong understanding of Level I Trauma...
