Senior Behavioral Health Utilization Review Clinician
Blue Shield of CA
Blue Shield of CA in Seattle is seeking a Behavioral Health Utilization Management Clinician, Senior, to conduct clinical reviews for mental health and substance use authorizations. This vital role requires a current CA license and extensive experience in healthcare. Leverage your analytical skills and clinical knowledge while working in a hybrid environment. The ideal candidate will be passionate about leadership and continuous development. #J-18808-Ljbffr Blue Shield of CA
- ...Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced... ...Health Utilization Management Clinician, Senior, will report to the Manager of Behavioral...SeniorFull timeContract workWork at office
$119.58k - $149.47k
Position Summary The Senior Director of Behavioral Health provides operational and program leadership for Akin’s behavioral... ...across behavioral health programs, utilizing operational data, performance indicators, and collaborative review processes to strengthen service quality...SeniorFlexible hours- ...Providence Health & Services is hiring a Utilization Review RN for a remote position focused on administering medical management programs, including prior authorization and review processes. Candidates must have a strong clinical nursing background with 5 years of experience...SuggestedRemote work
- ...considered. Care Manager RN, Per diem / On call, Day shift.The Utilization Review (UR) Nurse has a strong clinical background blended with... ...so you can focus on delivering our mission of improving the health and wellbeing of each patient we serve.About ProvidenceAt Providence...SuggestedDaily paidLive inRemote workShift workDay shift
- ...COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum...SuggestedFull timeRemote work
$45.9 - $71.4 per hour
...Description Utilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration of medical management programs that... ...Preferred Qualifications Bachelor's Degree in Nursing or related health care field. Experience in utilization review, discharge...Hourly payLocal areaRemote work- ...experience in prior authorizations and/or behavioral health outpatient services. Staff will work... ...(Seattle) Summary: Works with the Utilization Management team primarily responsible... ...inpatient medical necessity/utilization review and other utilization management...Work at officeRemote workMonday to Friday
- COMAGINE HEALTH is seeking a Supervisor, Clinical Review based in Alabama. This role requires an active RN license and involves the supervision of clinical staff conducting utilization reviews. A successful candidate will have at least 3 years of clinical experience, 1...
$42.56 per hour
...Department has an outstanding opportunity for a Senior Social Worker to join us in our new Center for Behavioral Health and Learning building. WORK SCHEDULE •... ..., improving patient care through effective utilization of resources by transitioning from the acute care...SeniorHourly payFull timeTemporary workWork experience placementWork at officeShift workDay shift- A well-established private practice in Seattle is seeking a Behavior Analyst to design and supervise the implementation of Applied Behavior Analysis (ABA) programs for children with autism. The role involves developing clinical plans, ensuring compliance with regulations...SeniorPrivate practice
- ...is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates should possess a BSN and a...Hourly payDaily paidRemote workDay shift
$56.71k - $90.84k
WA Licensed Clinician: LASW or LICSW | Behavioral Health WhoWeAre Concert Health is the leading national behavioral health medical group committed to integrating... ...) experiencing mild to moderate symptoms and utilizes evidence-based therapeutic interventions to promote symptom...Temporary workLocal areaImmediate startRemote workMonday to FridayFlexible hours$109.5k - $164k
...is creating something new in health care. We are uniting industry... ...anywhere. As a team member of our Senior Community Care (SCC) team, we... ...: Past medical history review, medication reconciliation, vital... ...of patients with complex behavioral, social and/or functional needs...SeniorMinimum wageTemporary workWork experience placementLocal areaRelocation package$109.5k - $164k
...Senior Community Care Advanced Practice Clinician $40K Student Loan Repayment Or $30K Sign-on Bonus... ...something new in health care. We are uniting industry... ...Past medical history review, medication reconciliation... ...of patients with complex behavioral, social and/or...SeniorMinimum wageTemporary workWork experience placementLocal areaRelocation package$33.92 - $58.15 per hour
...Nurse Reviewer I Virtual : This role enables associates... ...of the Elevance Health family of companies, is... ...-connecting physical, behavioral, social, and pharmacy... ...diagnostic imaging services by utilizing appropriate policies,... ...guidance by more senior colleagues and/or...Full timeTemporary workWork experience placementWork at officeLocal area1 day per week$250.24k - $428.98k
...Behavioral Health Medical Director- Child Psychiatrist Location: This role enables associates... ...for completing medical necessity reviews for general child psychiatry cases as... ...Applies clinical knowledge and skills to utilization review processes. Adheres to medical...Full timeTemporary workWork experience placementWork at officeLocal areaMonday to Friday1 day per week$25k
...abound at SOUND! SOUND Behavioral Health is growing, and we are hiring an Adult Services Clinician in Seattle, WA! We offer a supportive... ..., which includes periodic reviews for appropriateness of... ...treatment compliance. • Monitor utilization of services and the success...Work at officeLocal areaMonday to FridayFlexible hours$49.7k - $88.8k
...Requisition number: 2358996 Job category: Behavioral Optum WA, (formerly The Everett Clinic) is seeking an experienced Integrated Behavioral Health Clinician to join our team in Marysville, WA. Optum is a clinician-led care organization that is changing the way...Minimum wageWork experience placementLocal areaWork from home$155k - $225k
...Senior Data Engineer Seattle, WA Our... ...and monitor digital health for patients. We... ...Modeling and Design, utilizing dimensional... ...translate clinical user behaviors into rich,... ...Contribute to code reviews, system design discussions... ...EHR, it enables clinicians to prescribe, automate...SeniorPermanent employmentWork at officeHome officeFlexible hours- ...direction of day to day processes and workflow of the technical areas utilizing effective communication skills with the imaging team. Ensures... ...not simply valued they're invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of...Senior
$36.16 per hour
...Description Job Description Description: Crisis Services Clinician Seattle, WA | In-Person | Full-Time & Part-Time Available... ..., you’ll play a vital leadership role on the front lines of behavioral health—supporting individuals in crisis while guiding and mentoring...Full timePart timeImmediate startFlexible hoursShift workNight shift$29.05 - $67.97 per hour
...Job Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level... ...in Healthcare Quality (CPHQ), or other health care certifications. • Nursing experience in critical...Hourly payWork experience placementWork at office$51.6 - $91.3 per hour
...RN - Psychiatry and Behavioral Medicine Unit (PBMU), 0.9 FTE Night Shift We are looking... ...developmental disabilities. The PBMU program utilizes a model of care that emphasizes an... ...practitioners; psychologists; mental health therapists; social workers; pediatric mental...Hourly payFull timeNight shift- ...Washington state. Who we are Community Health Plan of Washington is an equal opportunity... ...environment. About the Role The Level I Utilization Management Clinician performs utilization review for medical or behavioral health requests using utilization review...Full timeTemporary workPart timeWork at officeRemote workTrial periodAll shiftsFlexible hours
$46.74 - $73.78 per hour
...difference-every single day. As a Senior Clinic RN in Hematology... ...with other members of the health care team. This position serves... ...requirements and supports clinicians in delivering quality health... ...patient care and leadership roles. Utilizes a collegial and systematic...SeniorMinimum wageFull timeLocal areaShift work$51.55 - $78.98 per hour
...technologist or under their direction. Depending on location, utilize general radiography skills to perform diagnostic radiology exams... ...you, so you can focus on delivering our mission of improving the health and wellbeing of each patient we serve. About Providence At...SeniorDaily paidMinimum wageFull timeLocal areaShift work$51.6 - $91.3 per hour
...Psychiatric And Behavioral Medicine Unit Registered Nurse The Psychiatric and Behavioral... ...developmental disabilities. The PBMU program utilizes a model of care that emphasizes an... ...practitioners; psychologists; mental health therapists; social workers; pediatric mental...Hourly payFull time$24.83 - $35.71 per hour
...Medical Assistant - Behavioral Health At MultiCare, you're more than just a job title — you're part of a team built on trust that cares... ..., assisting medical staff with patient care and follow-up Utilize your knowledge towards the integration of available standards...Contract workWork at officeLocal areaMonday to FridayShift work$43.39 - $67.37 per hour
...direction of day to day processes and workflow of the technical areas utilizing effective communication skills with the imaging team. Ensures... ...simply valued - they're invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of...SeniorDaily paidMinimum wageLocal areaShift work- International Community Health Services is hiring a Behavioral Health Specialist II in Bellevue, WA. This full-time position integrates behavioral health care in primary care settings, working alongside a collaborative care team. Applicants must hold a graduate degree...Full time
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