Senior Behavioral Health Utilization Review Clinician

Blue Shield of CA

Blue Shield of CA is seeking a Senior Behavioral Health Utilization Management Clinician in Virginia Beach. The role involves conducting clinical reviews of mental health and substance use authorization requests, assuring coding accuracy, and adhering to medical policy compliance. The ideal candidate will have a current CA license, advanced degree, and extensive experience in the behavioral health field. This position allows for hybrid work, requiring occasional office presence based on operational needs. #J-18808-Ljbffr Blue Shield of CA

Apply

Vacancy posted 1 day ago

Similar jobs that could be interesting for youBased on the Senior Behavioral Health Utilization Review Clinician in Virginia Beach, VA 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
Virginia Beach, VA
1 day ago
Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN for Substance Abuse - Flexible W
...VA Work Shift Weekend Days Overview: Sentara Health Plans is hiring a Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN for Substance Abuse - Flexible... ...Utilization Management clinician is responsible for review of clinical information received from...
Suggested
Permanent employment
Full time
Temporary work
Remote work
Flexible hours
Shift work
Weekend work
Day shift
Sentara Health
Norfolk, VA
3 days ago
Senior Clinician & Human Rights Coordinator
A leading workforce solutions company is seeking a Clinician III/Counselor - Human Rights Coordinator in Virginia Beach, VA. The role involves assessing and investigating in behavioral health settings, and implementing human rights procedures ensuring compliance with regulations...
Senior
Abacus Corporation
Virginia Beach, VA
2 days ago
Nurse Practitioner - Per Diem - Senior Care - Norfolk, VA - Optum
$52.64 - $78.85 per hour
...Senior Community Care (SCC) Advanced Practice Clinician Optum Home & Community Care, part of the Optum... ...something new in health care. We are uniting industry... ...Past medical history review, medication... ...patients with complex behavioral, social and/or functional...
Senior
Hourly pay
Daily paid
Minimum wage
Temporary work
Work experience placement
Local area
UnitedHealthcare At Home
Norfolk, VA
2 days ago
Nurse Case Mgr Sr
$83.75k - $137.59k
...designed to optimize member health care across the care continuum... ...Assists with development of utilization/care management policies and... ...our associates. Our values and behaviors are the root of our culture.... ...screened under Florida law should review the education and awareness...
Senior
Temporary work
Work experience placement
Work at office
Local area
Visa sponsorship
1 day per week
Elevance Health
Norfolk, VA
2 days ago
Behavioral Health Case Management Clinician #46808
$25 - $28 per hour
Join to apply for the Behavioral Health Case Management Clinician #46808 role at City of Virginia Beach 1 day ago... ...substance use issues, to include utilizing community resources in Hampton Roads... ...is an Equal Opportunity Employer. Seniority level Seniority level Associate...
Full time
Interim role
Internship
City of Virginia Beach
Virginia Beach, VA
3 days ago
Behavioral Health Advocate (RN) - Field based, Virginia
$60.2k - $107.4k
...number: 2358299 Job category: Behavioral Optum is a global... ...our team will directly improve health outcomes by connecting people... ...condition education, medication reviews, and connections to resources... ...coordination of benefits and utilization of multiple groups and...
Minimum wage
Full time
Work experience placement
Local area
Remote work
Monday to Friday
Shift work
UnitedHealth Group
Virginia Beach, VA
2 days ago
Senior Clinician, Psychosocial Rehab & Team Lead
...The position involves performing assessments, treatment planning, and providing high-level clinical services to adults with mental health and substance abuse issues. Candidates should have five years of relevant experience, ensuring compliance with Medicaid regulations...
Senior
Abacus Solution Group
Virginia Beach, VA
4 days ago
Group Underwriter, Senior
...Group Underwriter, Senior Location: This role... ...applying for commercial health coverage. Coordinates... ...prospective business utilizing a combination of other... ...Performs post-sale reviews. Works with product... ...associates. Our values and behaviors are the root of our...
Senior
Temporary work
Work at office
Local area
1 day per week
Elevance Health
Norfolk, VA
1 day ago
Group Underwriter Senior
$84.48k - $126.72k
...Group Underwriter Senior Location: This role requires... ...for group prospects, utilizing a combination of other... ...your salary, Elevance Health offers benefits such... .... Our values and behaviors are the root of our culture... ...Florida law should review the education and awareness...
Senior
Temporary work
Work experience placement
Work at office
Local area
2 days per week
1 day per week
Elevance Health
Norfolk, VA
5 days ago
Clinician III
...), or Licensed Mental Health Professional (LMHP).... ...functions and assess/review for medical necessity... ...Additional Requirements: BEHAVIORAL HEALTH POSITIONS:... ...work) and five (5) years utilizing the required knowledge... ...with such positions as clinician, counselor, therapist,...
Abacus Solution Group
Virginia Beach, VA
3 days ago
Group Underwriter Consultant Senior
...Group Underwriter Consultant, Senior Location: This role... ...structures for prospective business utilizing a combination of other... ...Performs post-sale reviews. Prepares or supervises... ...Experience with Healthcare or Behavioral Health Underwriting preferred....
Senior
Temporary work
Work experience placement
Work at office
Local area
2 days per week
1 day per week
Elevance Health
Norfolk, VA
2 days ago
Provider Contract/Cost of Care Analyst Senior
.../Cost of Care Analyst Senior Job Description:... ...scenarios based on member utilization patterns and 'what if'... ...cost savings. Reviews results post-implementation... ...Family: RDA Health Economics & Cost of Care... .... Our values and behaviors are the root of our culture...
Senior
Contract work
Temporary work
For contractors
Work at office
Local area
1 day per week
Elevance Health
Norfolk, VA
1 day ago
Senior Medical Assistant
..., and practices. Productive and efficient in daily operations. Utilizes appropriate resources that are safe, effective, ethical, and fiscally... ...patient care experience required. Keywords: Talroo-Allied Health, Medical Assistant, MA, CMA, CCMA, EMT Benefits: Caring For...
Senior
Temporary work
Remote work
Relocation package
Shift work
Sentara Healthcare
Norfolk, VA
2 days ago
Travel Nurse RN - Pediatric Behavioral Health - $1,627 per week
$1,627 per week
...OneStaff Medical is seeking a travel nurse RN Pediatric Behavioral Health for a travel nursing job in Norfolk, Virginia. Job Description... ...Pediatric Behavioral Health Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States...
Weekly pay
Immediate start
Shift work
Night shift
OneStaff Medical
Norfolk, VA
4 days ago
Senior Medical Recruitment Consultant - Growth Focus
...Shape Your Future as a Senior Medical Recruitment Consultant - Create a Personal Brand that Resonates Welcome to a New Chapter... ...complemented by your own networks and innovative communication tools. Utilize Our Enhanced Platform to manage candidates, track outreach,...
Senior
Permanent employment
Remote work
Shift work
MLee Medical Employment
Norfolk, VA
3 days ago
MRI Technologist III/Senior MRI Tech
...our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit. Sentara Health is an equal opportunity...
Senior
Temporary work
Remote work
Shift work
Weekend work
Sentara Healthcare
Norfolk, VA
4 days ago
Senior Medical Staffing Consultant
...Senior Healthcare Recruiter - Elevate Your Career with Limitless Potential Background MLR stands at the forefront of tech-driven... ...our proprietary CRM/ATS and your vast professional network. Utilize Our Innovative Platform to manage candidates, streamline...
Senior
Permanent employment
Immediate start
Remote work
MLee Medical Employment
Virginia Beach, VA
3 days ago
Travel Nurse RN - Pediatric Behavioral Health - $1,763 per week
$1,763 per week
...TravSource is seeking a travel nurse RN Pediatric Behavioral Health for a travel nursing job in Norfolk, Virginia. Job Description & Requirements... ...Pediatric Behavioral Health Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States...
Weekly pay
Zero hours contract
Immediate start
Shift work
Night shift
TravSource
Norfolk, VA
3 days ago
License Eligible Crisis Clinician, PRN (Emergency Services Counselor I)
$59.75k - $100.09k
...License Eligible Crisis Clinician, PRN (Emergency... ...significant others with mental health services in the least... ...of Norfolk geography. Utilizes maps and traffic... ...the client's history, behavior and least restrictive... ...Performs as shift lead, reviews and supervises preadmission...
Permanent employment
Full time
Temporary work
Part time
Traineeship
Relief
Seasonal work
Work at office
Local area
Flexible hours
Shift work
City of Norfolk, VA
Norfolk, VA
5 days ago
Senior Echocardiographer
...Service, and Integrity. Join a team that has a mission to improve health every day! Sentara prides itself on the diversity and... ...neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the...
Senior
Full time
Temporary work
Remote work
Shift work
Sentara Healthcare
Norfolk, VA
5 days ago
Assessor/Clinician- State of Virginia Licensed LMHP and LCSW - OUTPATIENT
...individuals experiencing a behavioral health crisis. Services are deployed... ...Director/Program Director for review. Responsible for... ...providers. Implement and utilize resources during sessions as... ...Registrations: Licensed Therapist/Clinician must be an authorized...
Full time
Part time
Currently hiring
Immediate start
Remote work
MINKS YFS
Norfolk, VA
28 days ago
Travel Nurse RN - Behavioral Health - $1,475 to $1,635 per week in Norfolk, VA
$1,475 - $1,635 per week
...Registered Nurse (RN) | Behavioral Health Location: Norfolk, VA Agency: LRS Healthcare Pay: $1,475 to $1,635 per week Shift Information: Nights Contract Duration: 13 Weeks Start Date: 6/15/2026 About the Position Ready to start your...
Full time
Contract work
Immediate start
Shift work
Night shift
LRS Healthcare
Norfolk, VA
9 days ago
Senior Account Manager - Select Business Unit
...Towne Insurance is hiring a Senior Account Manager - Select Business... ...take time to invest in their health, happiness, and education. We... ...according to agency standards Utilize the service centers with core... ...further information, please review the Know Your Rights notice from...
Senior
Towne Family of Companies
Norfolk, VA
6 days ago
Senior Patient Access Representative
...Senior Patient Access Representative Location: Norfolk, VA Work Shift: Rotating... ...the interviewing process, preparing and reviewing reports, performing QA audits,... ...oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including...
Senior
Temporary work
Remote work
Relocation package
Rotating shift
Sentara Healthcare
Norfolk, VA
1 day ago
Military Behavioral Health LCSW - Clinician & Research
A prominent healthcare contractor is seeking a Behavioral Health Care Provider in Virginia Beach, Virginia. The role involves providing mental health support, conducting assessments, and collaborating with medical teams. Candidates must hold a Master's in Social Work and...
For contractors
Loyal Source
Virginia Beach, VA
1 day ago
Primary Care Physician
$214.7k - $306.71k
...primarily in the ambulatory health care center setting, or... .../family conferences to review treatment goals, optimize resource utilization, provide family... ...caregiver for positive behavioral change. Demonstrates... ...transforming healthcare for seniors and changing America’s...
Immediate start
ChenMed
Norfolk, VA
1 hour ago
Senior Nurse Case Manager - Care Coordination
A healthcare staffing organization is seeking a Nurse Case Manager in Virginia Beach to provide comprehensive nursing care and manage treatment plans for patients. The ideal candidate will possess a valid RN license, relevant certifications, and at least two years of nursing...
Senior
Loyal Source
Virginia Beach, VA
5 days ago
Senior EAP Case Manager - Substance Abuse SAP
$67.6k - $80k
...Acentra Health, located in Virginia Beach, is seeking an EAP Case Manager, Senior - Substance Abuse Professional. This role involves providing expert clinical consultation... ...Program, guiding on complex workplace and behavioral health issues. Candidates should hold a Master...
Senior
Acentra Health
Virginia Beach, VA
2 days ago
Senior RN Case Manager - Home Health + Equity Options
$49.15k - $73.73k
UnitedHealth Group is seeking a Home Health Patient Care Manager in Virginia Beach to supervise and coordinate clinical services for home health patients. This role requires a current RN license and the ability to assess and address patient needs effectively. You will...
Senior
UnitedHealth Group
Virginia Beach, VA
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!