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

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Vacancy posted 3 days ago

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