California Licensed Utilization Review Clinician

Virtual Vocations Inc

To support the California Market, the full-time California Licensed Utilization Review Clinician will perform clinical reviews and assess care related to mental health and substance abuse while working remotely, with a schedule of Monday through Friday from 9 am to 6 pm or 9:30 am to 6 pm Pacific Time. Key responsibilities: Evaluates treatment for mental health and substance abuse to ensure medical appropriateness of care levels and services Conducts prior authorization reviews and concurrent reviews for behavioral health inpatient services Analyzes member data to enhance service quality and utilization, while providing education to providers and families on the utilization process Required qualifications: Graduate of an accredited nursing school or bachelor's degree with 2-4 years of related experience Master's degree for behavioral health clinicians is required California state licensure as an LCSW, LMHC, LPC, LMFT, LMHP, or RN is required Clinical knowledge of mental health and substance abuse treatment plans is preferred Experience in behavioral health utilization review processes and working with healthcare providers is preferred

Apply

Vacancy posted 1 day ago

Similar jobs that could be interesting for youBased on the California Licensed Utilization Review Clinician in United States vacancy

Oregon Licensed Utilization Review Clinician
...To support Oregon Medicaid, the full-time Oregon Licensed Utilization Review Clinician will conduct clinical reviews and assessments related to mental health and substance abuse services, ensuring medical appropriateness for both inpatient and outpatient care in a fully...
Suggested
Full time
Remote work
Virtual Vocations Inc
United States
3 days ago
State Licensed Utilization Review Clinician
...Working remotely on a full-time basis, the State Licensed Utilization Review Clinician will perform clinical reviews and assess care related to mental health and substance abuse, ensuring the appropriateness of services and levels of care while working second shift from...
Suggested
Full time
Remote work
Afternoon shift
Virtual Vocations Inc
United States
1 day ago
New York Licensed Utilization Review Clinician
...Evaluating treatment plans for mental health and substance abuse, the full-time New York Licensed Utilization Review Clinician will perform clinical reviews, prior authorization assessments, and concurrent reviews while working remotely Monday through Friday from 8:30...
Suggested
Full time
Remote work
Monday to Friday
Virtual Vocations Inc
United States
4 days ago
Inpatient Review Nurse (Remote | California RN/LVN License Required | PacificTime Schedule)
$77.91k - $116.86k
...Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient... ...completion of an accredited Licensed Vocational Nursing ProgramPreferred... ...unrestricted LVN or RN license in California (Non-Compact)Immediately upon hire...
Suggested
Immediate start
Remote work
Monday to Friday
Alignment Health
Clifton, TX
3 days ago
California Licensed Claims Review Nurse
...Working remotely, the full-time California Licensed Claims Review Nurse will conduct timely medical reviews of facility and professional claims and... ...and recommend process improvements between Claims and Utilization Management teams Exercise independent judgment in clinical...
Suggested
Full time
Work experience placement
Remote work
Virtual Vocations Inc
United States
1 day ago
California Licensed Inpatient Review Nurse
...Seeking a California Licensed Inpatient Review Nurse, the full-time remote position will manage patient care through collaboration with healthcare... ...thinking and problem-solving skills related to nursing utilization review Ability to communicate effectively and collaborate...
Full time
Remote work
Virtual Vocations Inc
United States
5 days ago
Board Certified Pain Management Physician Reviewer - California License
Overview Dane Street is an Independent Review Organization and a national provider of Utilization Review services. We are expanding our physician panel with... ...board certified in Pain Management with active California licenses and experience in the California Independent...
Extra income
Contract work
Remote work
Dane Street
Sacramento, CA
3 days ago
Board Certified Occupational Medicine Physician Reviewer - California License
Dane Street is an Independent Review Organization and a national provider of Utilization Review services (among other offerings) and we are expanding our... ...certified in Occupational Medicine with active California licenses with experience in the California Independent Medical...
Extra income
Contract work
Remote work
Dane Street, LLC
Los Angeles, CA
2 days ago
Remote RN - Utilization Management & Appeals Reviewer (NY RN License Required)
$52 - $56 per hour
...medical necessity judgment you built in utilization management. 100% remote (U.S.) | Contract... ...to end: intake, investigation, clinical review, decision and notification Apply... ...Active, unrestricted New York State RN license (compact alone does not qualify) ~3+...
Contract work
Remote work
Afternoon shift
Phaxis
United States
5 days ago
Travel Nurse RN - Utilization Review - $2,229 to $2,324 per week in Arcata, CA
$2,229 - $2,324 per week
...Registered Nurse (RN) | Utilization Review Location: Arcata, CA... ...Utilization Review RN in Arcata, California, 95518! Contract - W2 Case... ...per diems for eligible clinicians based on nationally published... ...and vision insurance ~ License reimbursement for new licenses...
Hourly pay
Weekly pay
Full time
Contract work
Immediate start
Shift work
TravelNurseSource
Arcata, CA
7 hours ago
Travel Nurse RN - Utilization Review - $2,186 to $2,281 per week in Burbank, CA
$2,186 - $2,281 per week
...Registered Nurse (RN) | Utilization Review Location: Burbank, CA... ...Job Location: Burbank, California Start Date: November 2,... ...lodging per diems for eligible clinicians based on nationally published... ...and vision insurance ~ License reimbursement for new licenses...
Hourly pay
Weekly pay
Full time
Contract work
Immediate start
Shift work
GQR Healthcare
Burbank, CA
10 days ago
Travel Nurse RN - Utilization Review - $405 to $500 per week in Palm Springs, CA
$405 - $500 per week
...Registered Nurse (RN) | Utilization Review Location: Palm Springs, CA... ...Location: Palm Springs, California Start Date: October 12,... ...lodging per diems for eligible clinicians based on nationally published... ...and vision insurance ~ License reimbursement for new...
Hourly pay
Weekly pay
Full time
Contract work
Temporary work
Immediate start
Shift work
GQR Healthcare
Palm Springs, CA
9 days ago
Travel Nurse RN - Utilization Review - $1,459 to $1,554 per week in Torrance, CA
$1,459 - $1,554 per week
...Registered Nurse (RN) | Utilization Review Location: Torrance, CA... ...Job Location: Torrance, California Start Date: November 9,... ...lodging per diems for eligible clinicians based on nationally published... ...and vision insurance ~ License reimbursement for new...
Hourly pay
Weekly pay
Full time
Contract work
Immediate start
Shift work
GQR Healthcare
Torrance, CA
10 days ago
Travel Nurse RN - Utilization Review - $2,441 to $2,536 per week in San Francisco, CA
$2,441 - $2,536 per week
...Registered Nurse (RN) | Utilization Review Location: San Francisco,... ...Location: San Francisco, California Start Date: November 16,... ...lodging per diems for eligible clinicians based on nationally published... ...and vision insurance ~ License reimbursement for new...
Hourly pay
Weekly pay
Full time
Contract work
Immediate start
Shift work
GQR Healthcare
San Francisco, CA
7 hours ago
Travel Nurse RN - Utilization Review - $3,088 to $3,183 per week in Glendale, CA
$3,088 - $3,183 per week
...Registered Nurse (RN) | Utilization Review Location: Glendale, CA... ...Job Location: Glendale, California Start Date: November 2,... ...lodging per diems for eligible clinicians based on nationally published... ...and vision insurance ~ License reimbursement for new...
Hourly pay
Weekly pay
Full time
Contract work
Immediate start
Shift work
GQR Healthcare
Glendale, CA
7 hours ago
Travel Nurse RN - Utilization Review - $1,900 per week in Arcata, CA
$1,900 per week
...Registered Nurse (RN) | Utilization Review Location: Arcata, CA Agency: Hired by Matrix... ...Schedule: 40 Hours Certifications/License: ~ BLS Mandatory Experience:... ...- 40 hrs./week guaranteed. Active California license, BLS and ACLS certification....
Full time
Contract work
Temporary work
Local area
Shift work
Hired by Matrix Inc.
Arcata, CA
2 days ago
Travel Nurse RN - Utilization Review - $2,405 to $2,500 per week in Roseville, CA
$2,405 - $2,500 per week
...Registered Nurse (RN) | Utilization Review Location: Roseville, CA... ...Job Location: Roseville, California Start Date: November 2,... ...lodging per diems for eligible clinicians based on nationally... ...and vision insurance ~ License reimbursement for new licenses...
Hourly pay
Weekly pay
Full time
Contract work
Temporary work
Immediate start
Shift work
GQR Healthcare
Roseville, CA
10 days ago
Travel Nurse RN - Utilization Review - $40 to $45 per hour in Harrisburg, PA
$40 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Harrisburg, PA Agency: 22nd Century... ...active Pennsylvania Registered Nurse license. Possess a documented work history... ...Health professionals to various states – California, Connecticut, District of Columbia,...
Hourly pay
Full time
Contract work
Work at office
Immediate start
Shift work
22nd Century Healthcare, Inc.
Harrisburg, PA
3 days ago
Travel Nurse RN - Utilization Review - $3,499 per week in Los Angeles, CA
$3,499 per week
...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare... ...Utilization Review RN in Los Angeles, California, 91367! **Job Title: Case Manager •... .... **Requirements:** • Active CA RN License. • BLS and LA County Fire Card. •...
Full time
Contract work
Immediate start
Shift work
Day shift
TravelNurseSource
Los Angeles, CA
10 days ago
Travel Nurse RN - Utilization Review - $2,213 to $2,308 per week in Beverly Hills, CA
$2,213 - $2,308 per week
...Registered Nurse (RN) | Utilization Review Location: Beverly Hills,... ...Location: Beverly Hills, California Start Date: September 28... ...lodging per diems for eligible clinicians based on nationally published... ...and vision insurance ~ License reimbursement for new...
Hourly pay
Weekly pay
Full time
Contract work
Immediate start
Shift work
GQR Healthcare
Beverly Hills, CA
10 days ago
Travel Nurse RN - Utilization Review - $2,595 to $2,690 per week in Oakland, CA
$2,595 - $2,690 per week
...Registered Nurse (RN) | Utilization Review Location: Oakland, CA... ...Job Location: Oakland, California Start Date: September 14... ...lodging per diems for eligible clinicians based on nationally published... ...and vision insurance ~ License reimbursement for new licenses...
Hourly pay
Weekly pay
Full time
Contract work
Immediate start
Shift work
GQR Healthcare
Oakland, CA
10 days ago
Travel Nurse RN - Utilization Review - $2,286 to $2,381 per week in Eureka, CA
$2,286 - $2,381 per week
...Registered Nurse (RN) | Utilization Review Location: Eureka, CA... ...) Job Location: Eureka, California Start Date: November 2,... ...lodging per diems for eligible clinicians based on nationally published... ...and vision insurance ~ License reimbursement for new licenses...
Hourly pay
Weekly pay
Full time
Contract work
Immediate start
Shift work
GQR Healthcare
Eureka, CA
10 days ago
Utilization Review Clinician
$80k - $90k
...Join Us as a Utilization Review Clinician! Schedule: Onsite Monday-Friday, 40 hours/week Holyoke, MA. As a Utilization Review Clinician for... ..., preferably in an inpatient psychiatric setting. License eligible (LMHC or LICSW preferred) or RN. Possess sufficient...
Full time
Temporary work
Local area
Monday to Friday
Flexible hours
MiraVista Behavioral Health Center
Holyoke, MA
5 hours ago
Travel Nurse RN - Utilization Review - $2,370 to $2,465 per week in Eureka, CA
$2,370 - $2,465 per week
...Registered Nurse (RN) | Utilization Review Location: Eureka, CA... ...) Job Location: Eureka, California Start Date: November 16,... ...lodging per diems for eligible clinicians based on nationally published... ...and vision insurance ~ License reimbursement for new licenses...
Hourly pay
Weekly pay
Full time
Contract work
Immediate start
Shift work
GQR Healthcare
Eureka, CA
7 hours ago
Utilization Review RN - Arcata, California | 40 hours Guaranteed | Negotiable Pay
...Contract: Starting October 26, 2026 ~ California Location: Arcata area, with temporary... ...Registered Nurse with a background in Utilization Review or Utilization Management for a 13-... ...Requirements Active California RN license. Minimum 3 years of nursing experience...
Contract work
Temporary work
Monday to Friday
Shift work
Day shift
Weekday work
Talented Medical Solutions
Arcata, CA
12 days ago
Licensed Vocational Nurse /LVN - Utilization Review (HEDIS Abstractor)
Licensed Vocational Nurse /LVN - Utilization Review (HEDIS Abstractor) HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical...
Private practice
Work at office
Monday to Friday
Healthcare Support Staffing
Sacramento, CA
1 day ago
Care Review Clinician (BH Licensed)
...ReviewerProvides support for member clinical service review processes specific to behavioral health.... ...to promote Molina care model.Adheres to utilization management (UM) policies and procedures.... ...of relevant education and experience.Licensed Clinical Social Worker (LCSW), Licensed...
Work at office
Molina Healthcare
Long Beach, CA
3 days ago
Remote Behavioral Health Utilization Review Clinician
...Corporation offers a fully remote clinical reviewer position focused on mental health and substance use care within the California Market. The role requires evaluating care,... ...degree and master’s level behavioral health training, with licenses to practice. #J-18808-Ljbffr
Remote work
Centene Corporation
Sacramento, CA
1 day ago
Remote Utilization Review Clinician - Behavioral Health
...Corporation seeks a behavioral health clinical reviewer to conduct comprehensive BH reviews for... ...with independent licensure and BH utilization review experience are preferred. Master’... ...behavioral health is required, and multiple BH licenses are listed as acceptable credentials....
Remote work
Weekday work
Centene Corporation
United States
1 day ago
Remote Behavioral Health Utilization Review Clinician
Centene seeks an Utilization Review Clinician - Behavioral Health for a fully remote role serving New York. You will perform clinical reviews, assess... ...health/substance abuse services. Requires a clinical license (RN or LMSW/LCSW/LMHC/LPC/LMFT/LMHP) and a bachelor’s degree...
Remote work
Day shift
Centene Corporation
New York, NY
5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to California Licensed Utilization Review Clinician. Be the first to apply!