Behavioral Health Care Mgmt Clinician, Senior (RN ONLY)

Your Role

The Behavioral Health Care Management Clinician, Senior helps members with behavioral health needs navigate the health care system for linkages to behavioral health providers, treatment, and programs. The Behavioral Health Care Manager will offer support in assessing members' 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 requires 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 Knowledge and Experience

• Requires a current and valid CA RN License or valid RN license(s) from other state(s). Preferred licensure from a compact state. If assigned to another state, you must maintain an active, unrestricted RN license in assigned state(s) or the ability to obtain required RN license (in addition to primary state license) within 90 days of hire
• Bachelor of Science in Nursing or advanced degree preferred
• Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements
• 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, managed care principles, 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 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