Senior Behavioral Health Utilization Review Clinician

Blue Shield of CA

Blue Shield of CA is seeking a Behavioral Health Utilization Management Clinician, Senior, to conduct clinical reviews of mental health and substance use authorization requests across levels of care. This role supports medical necessity, coding accuracy, and policy compliance using established guidelines. You will join a Hybrid Virtual Work model, with occasional office visits based on business needs. A CA license (LCSW/LMFT/LPCC/PhD-PsyD or an RN with BH experience) and 5 years of relevant #J-18808-Ljbffr

Apply

Vacancy posted 16 hours ago

Similar jobs that could be interesting for youBased on the Senior Behavioral Health Utilization Review Clinician in Redding, CA vacancy

Behavioral Health Utilization Mgmt Clinician, Senior
...Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced... ...Behavioral Health Utilization Management Clinician, Senior, will report to the Manager of...
Senior
Full time
Contract work
Work at office
Blue Shield of CA
Redding, CA
17 hours ago
RN Behavioral Health
$113k
...Behavioral Health caregivers begin with a thorough assessment of each patient, then build personalized... ...assessment and reassessment visits utilizing observation/assessment skills. Informs... ...ordered medication regimen and reviews medications and compliance. Administers...
Suggested
Job Juncture
Redding, CA
2 days ago
Care Management - Nurse, Senior
...member treatment plans and care continuity Evaluate member health behaviors, cultural influences, and belief systems to identify barriers... ...needs, and requirements are subject to change with periodic reviews. Physical Requirements: Office Environment - roles involving...
Senior
Full time
Contract work
Part time
Work at office
Local area
Work from home
Home office
Afternoon shift
2 days per week
Blue Shield Of California
Redding, CA
2 days ago
Mental Health Clinician II
...IN THE SHASTA COUNTY HEALTH AND HUMAN SERVICES AGENCY... ...CALIFORNIA BOARD OF BEHAVIORAL SCIENCE EXAMINERS RESPONSES... ..., specifically the Utilization Management and Quality... ..., service utilization review, medication monitoring... .... Mental Health Clinician II applicants should have...
Suggested
Hourly pay
Contract work
Work at office
Local area
Southern Arkansas University
Redding, CA
2 days ago
Mental Health Clinician II
...Mental Health Clinician II – Utilization Management & Quality Assurance Unit Shasta County, Health and Human... ...is organized into four branches: Behavioral Health & Social Services, Public Health... ...chart auditing, service utilization review, medication monitoring,...
Suggested
Hourly pay
Work at office
Local area
Austin Community College
Redding, CA
1 day ago
Registered Nurse / Behavioral Health, Home Health, PRN
$113.21k - $138.37k
...Psych / Registered Nurse, Home Health Location: Redding, CA... ...care under physician's orders utilizing nursing theory, skills and techniques... ..., the resume of the Behavioral Health/Psychiatric Home Care... ...ordered medication regimen and reviews medications and compliance....
Full time
Part time
Relief
Remote work
Monday to Friday
Flexible hours
AccentCare, Inc.
Redding, CA
13 days ago
Registered Nurse (RN) - Behavioral Health
$43.28 - $71.14 per hour
...nation's 50 Top Cardiovascular Hospitals recognized by Watson Health and holds an 'A' Grade from Leapfrog Group, the nation's premier... ...Working knowledge of interdisciplinary treatment team process, behavioral health programming and daily nursing functions for inpatient and...
Full time
Part time
Local area
Shift work
Night shift
Prime Healthcare
Redding, CA
1 day ago
Registered Nurse Behavioral Health
...Crestwood Behavioral Health in California is seeking an experienced Registered Nurse (RN) to provide direct nursing care to clients under physician orders within established standards. You will supervise non-licensed staff and help run the unit with a commitment to compassionate...
Full time
Shift work
Afternoon shift
Crestwood Behavioral Health
Redding, CA
4 days ago
Care Management - Nurse, Senior
...Demonstrated competence in care management functions and standards of practice ~ Knowledge of community resources, treatment options, home health services, funding sources, and specialty programs ~ Working knowledge of regulatory and accreditation standards including CMS,...
Senior
Full time
Contract work
Work at office
Afternoon shift
Blue Shield of CA
Redding, CA
1 day ago
Clinician - Redding, CA $75,000 Retention Bonus
...PPNorCal)is seeking an Advanced Practice Clinician for our Redding Health Center. The position is full-time, 32... ...APPLICATION INSTRUCTIONS: After review of your application, resume and qualifications... ...-based practice protocols. Utilize knowledge of and experience in...
Hourly pay
Full time
Work at office
Local area
Relocation
Planned Parenthood Northern California
Redding, CA
16 days ago
Psychiatrist Part Time
...provide comprehensive mental health care to patients in a correctional... .... Conduct regular medication reviews to assess efficacy, side... ...suicidal ideation, and aggressive behaviors. ~ Offer individual and group psychotherapy sessions, utilizing evidence-based therapeutic...
16 hours
Part time
Immediate start
MEDIKO INC
Redding, CA
17 days ago
Admissions Registered Nurse
$48 - $51 per hour
...hospice referral process Serve as a resource to review and consult available patient information related... ...the DPCS Provide professional nursing care by utilizing all elements of the nursing process Use health assessment data to determine nursing diagnosis...
Monday to Friday
Flexible hours
Shift work
Bristol Hospice
Redding, CA
1 day ago
Flight Nurse
$97.45k - $139.21k
...elevate your career to new heights? PHI Health is looking for dynamic, driven individuals... ...by attending mandatory meetings, chart reviews, equipment reviews, skill labs, clinical... ..., our communities and each other. Behavioral Competencies Drive & Energy – The ability...
Hourly pay
Local area
Relocation package
Shift work
Phi Health, LP
Redding, CA
1 day ago
Registered Nurse (RN)
$38 - $44 per hour
...Registered Nurse (RN) Are you looking for a meaningful role in behavioral health and have the desire to work with an organization that puts... ...Pursuant to the California Consumer Privacy Act (CCPA), please review this link to provide information on how we collect and use...
Full time
Local area
Crestwood Behavioral Health
Redding, CA
4 days ago
Radiology Technologist
$40 - $45 per hour
...established protocols. Verify patient identity, review medical history, and explain procedures... ...safety standards and ALARA principles Utilize protective devices and safe practices to... ..., Arizona. We specialize in ensuring the health and well-being of workers through a range...
Hourly pay
Monday to Friday
Night shift
Weekend work
Agile Occupational Medicine
Redding, CA
17 hours ago
Flight Nurse
...support, monitor and treat patients in critical care situations. Utilize critical thinking skills to manage the critically ill or... ...benefit options at GlobalMedicalResponse.com/Careers. GMR's Core Behaviors -keep care at the center, raise your hand,seekto understand, find...
Immediate start
Relocation
Shift work
Rural/Metro
Redding, CA
1 day ago
Associate Clinician I
...Qualifications Masters Degree in Psychology or related field Minimum of 1 years’ experience in clinical setting Registered with Board of Behavioral Sciences Knowledge, Skills, Abilities Working knowledge of theory and application of Cognitive-Behavioral Treatment Working...
Full time
New Beginnings
Redding, CA
2 days ago
Associate Clinician
$70.3k - $74.88k
...Description The Associate Clinician position is designed for a dynamic professional who will... ...role is central to providing mental health services to youth and families, helping... ...BBS Requirements Actively participate in behavioral health team meetings, clinical discussions...
Full time
Work at office
Local area
Afternoon shift
Children's Legacy Center
Redding, CA
2 days ago
Radiology Technologist
...Technologist \n Discipline: Allied Health Professional \n Duration:... ...services to patients. The senior technologist shall operate imaging... ...provide imaging service utilizing various modalities and in multiple... ...'s performance and behavior shall be both reflective and...
Full time
Relocation package
Monday to Friday
Shift work
Tenet Desert
Redding, CA
5 days ago
Physician - Occupational Medicine
...patient care in an occupational health setting. As a key member of... ...visit times. Supervising clinicians and support staff, ensuring compliance... ..., and patient safety. Utilizing clinical systems for... ...regulations. Proficiency in reviewing clinical work and supervising...
Weekend work
i4 Search Group
Redding, CA
5 days ago
Primary Care Physician
$230k - $324k
...Physician at the VA Northern California Health Care System, Redding Clinic! Are you driven... ...healthcare team members. * Utilize evidence-based practices to enhance patient... ...competitive with inflation. * *Biennial Salary Review:* Regular evaluations every two years to...
Traineeship
Work at office
Flexible hours
Weekend work
Department of Veterans Affairs
Redding, CA
1 day ago
Registered Nurse Case Manager
$43 - $53 per hour
...Home & Health Care Management is the oldest home health care agency... ...duties successfully: Review of Medical Records including... ...regarding clients’ care needs. Utilize electronic health record as required... ...Certifications Professional behavior when on duty Discharge...
Full time
Work experience placement
Work at office
Monday to Friday
Healthcare Management
Redding, CA
3 days ago
Speech Language Pathologist
$55 - $65 per hour
...Equipment and Technology Annual Performance Reviews with performance-based increases Access... ...with your core strengths as a therapist. Utilize AgeRight Therapy’s evidence-based... ...highly motivated patients, many of them seniors, helping them achieve therapy goals and a...
AgeRight Therapy
Redding, CA
2 days ago
Urgent Care Physician
$230k - $325k
...care is a new facility with a very positive reviews from and interactions with the veterans... .... Our urgent care has the capability to utilized CT/US and MRI in addition to labs for diagnostic... ...by VA Insurance: Federal health/vision/dental/term life/long-term care (many...
Full time
Contract work
Freelance
Local area
10 hours per week
Shift work
VETERANS HEALTH ADMINISTRATION
Redding, CA
3 days ago
Licensed Vocational Nurse | LVN
$32 per hour
...Are you looking for a meaningful role in behavioral health and have the desire to work with an organization that puts people first? If you... ...Pursuant to the California Consumer Privacy Act (CCPA), please review this link to provide information on how we collect and use your...
Hourly pay
Full time
Local area
Night shift
Crestwood Behavioral Health
Redding, CA
3 days ago
Travel Physical Therapist - $2,700 per week
$2,700 per week
...weeks in Redding, California. Vivian Health provides transparent Travel Physical... ...Therapist Salary information and unbiased reviews from leading Travel Therapy Agencies... ...Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol...
Weekly pay
Long term contract
Permanent employment
Temporary work
Work at office
Shift work
LanceSoft
Redding, CA
2 days ago
Travel Physical Therapist - $2,700 per week
$2,700 per week
...the permanent staff holiday rotation Utilize Cerner EMR for documentation and... ...connects nursing, allied, therapy, and behavioral health professionals to rewarding travel and PRN... ...structures, and facility expectations so every clinician understands the “why” behind each...
Daily paid
Permanent employment
Contract work
Zero hours contract
Relief
Flexible hours
Shift work
Weekend work
Concentric Healthcare
Redding, CA
1 day ago
Occupational Therapist
$48 - $54 per hour
...Equipment and Technology Annual Performance Reviews with performance-based increases... ...with your core strengths as a therapist. Utilize AgeRight Therapy's evidence-based clinical... ...highly motivated patients, many of them seniors, helping them achieve therapy goals and a...
Marquis Companies
Redding, CA
4 days ago
Physical Therapist
$50 - $60 per hour
...Equipment and Technology Annual Performance Reviews with performance-based increases... ...with your core strengths as a therapist. Utilize AgeRight Therapy's evidence-based clinical... ...highly motivated patients, many of them seniors, helping them achieve therapy goals and a...
AgeRight Therapy
Redding, CA
3 days ago
LVN
$48.45 - $54.64 per hour
.... Powered by humankindness. CommonSpirit Health is building a healthier future for all through... ...-paced environment are essential. Utilizes the nursing process for planning and... ...available opportunities. Participates in peer review and staff development, which includes...
CommonSpirit Health
Redding, CA
2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Behavioral Health Utilization Review Clinician. Be the first to apply!