Behavioral Health Case Manager

5 days ago


Rancho Cordova, California, United States Blue Shield of California Full time

Join Blue Shield of California as a seasoned Behavioral Health Case Manager to provide expert care coordination services for our members. With your clinical expertise and passion for delivering high-quality patient outcomes, you will play a critical role in ensuring our members receive timely, effective, and compassionate care.

About the Role

This is a permanent position offering a competitive salary range of $85,000 - $110,000 per annum, depending on experience, with opportunities for career growth and professional development.

Responsibilities
  1. Assess member needs and develop personalized care plans, collaborating with healthcare professionals to ensure seamless transitions between care settings.
  2. Utilize evidence-based practices and clinical guidelines to guide case management decisions, promoting cost-effective and high-quality care.
  3. Work closely with internal stakeholders, including quality management and appeals teams, to resolve complex cases and drive positive outcomes.
  4. Foster strong relationships with providers, payers, and community resources to coordinate care and navigate complex systems.
  5. Maintain accurate records and documentation, leveraging technology to streamline workflows and enhance productivity.
Requirements
  • Current RN licensure in California
  • Minimum 2 years of experience in behavioral health or case management
  • Strong clinical knowledge and skills, with expertise in disease management and population health
  • Excellent communication and interpersonal skills, with ability to work effectively with diverse stakeholders
  • Proficiency in electronic health records (EHRs) and other relevant software applications


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