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
...Job Description POSITION SUMMARY The Senior Director of Behavioral Health provides operational and program... ...initiatives across behavioral health programs, utilizing operational data, performance indicators, and collaborative review processes to strengthen service quality...SeniorFlexible hours$52.26 - $81.13 per hour
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization... ...so you can focus on delivering our mission of improving the health and wellbeing of each patient we serve. About Providence...SuggestedDaily paidMinimum wageLocal areaShift work- Providence Swedish Medical Center in Seattle is seeking a Utilization Review Nurse with a strong clinical background and skills in Utilization... ...position offers a comprehensive benefits package, including health care and retirement plans. #J-18808-Ljbffr Providence Swedish...Suggested
$52.26 - $81.13 per hour
Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well‑developed knowledge and skills in Utilization... ...a retirement 401(k) Savings Plan with employer matching, health‑care benefits (medical, dental, vision), life insurance, disability...SuggestedDaily paidShift work- 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...Remote jobFull time
$29.05 - $67.97 per hour
...Washington, is looking for a Registered Nurse (RN) with at least 2 years of clinical nursing experience. You will utilize your clinical knowledge to review documentation for medical necessity and appropriate levels of care. The position involves facilitating medical reviews...Hourly pay- 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...
- ...Senior Manager, BHT (Behavioral Health Technician) Key Works provides comprehensive substance use disorder treatment and work skills training to... ...treatment for co-occurring disorders. Participate in case reviews and treatment team interventions as appropriate....SeniorFlexible hours
$25k
...Opportunities abound at SOUND! SOUND Behavioral Health is growing and we are hiring an Expanded Community Services clinician in Tukwila, WA! Sound is one of King County... ...in various roles. Having the freedom to utilize individual strengths and abilities. Staff can...Hourly payWork at officeLocal areaMonday to FridayFlexible hours$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$41.38 - $69.02 per hour
...RN Utilization Management Nurse (InPatient) – California... ...HMO is responsible for review of the most complex or... ...as a resource for Clinicians. May work on special projects... ...to practice as a health professional within the... .... Our values and behaviors are the root of our culture...Full timeTemporary workWork experience placementWork at officeLocal areaShift work1 day per week- Akin (formerly Childhaven) is looking for a Senior Director of Behavioral Health in Seattle, WA. This role provides operational leadership across behavioral health services, ensuring quality and compliance within programs. The ideal candidate will possess a Master’s degree...Senior
- ...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...Remote jobHourly payDaily paidDay shift
- The Department of Community and Human Services (DCHS) at King County is searching for a Behavioral Health Senior Data & Evaluation Manager to oversee data evaluators and analysts. This role will direct performance measurement and evaluation efforts for the Behavioral Health...Senior
$109.5k - $164k
...creating something new in health care. We are uniting... ...a team member of our Senior Community Care (SCC)... ...The Advanced Practice Clinician within SCC provides care... ...Past medical history review, medication reconciliation... ...patients with complex behavioral, social and/or...SeniorMinimum wageTemporary workWork experience placementLocal areaRelocation package$45 - $55 per hour
...-centered care, helping patients achieve their rehabilitation goals. The role emphasizes a transformative approach to therapy and utilizes evidence-based programs to enhance patient outcomes. Join a supportive team that values your skills and offers opportunities for professional...Senior- Providence Health Plan Group is looking for a Senior Clinic RN in Hematology Oncology based in Seattle, WA. This role encompasses providing comprehensive nursing care in an ambulatory environment, utilizing advanced clinical skills and fostering collaboration amongst healthcare...SeniorFull time
$40.86 per hour
...Sea Mar Community Health Centers, a Federally Qualified... ...0 medical, dental, and behavioral health clinics and a... ...Job Description Senior Accountant Sea Mar... ...analysis.. Prepare and review journal entries while maintaining... ...ledger information. Utilize Workday Financial...SeniorHourly payFull timeMonday to Friday$36.16 per hour
Description Crisis Services Clinician Seattle, WA | In-Person | Full-Time & Part-Time Available $36.16/hour + $4/hour graveyard... ..., 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$81.78k - $122.68k
A leading educational institution in Seattle seeks a Continuing Education Specialist for an 80% FTE position. The role involves designing and delivering educational programs for substance use disorder treatment and managing relationships with community stakeholders. Candidates...Senior- A healthcare organization in Seattle is seeking a full-time Senior Social Worker to join their team. You will partner with patients and... ...required. Join a leading institution committed to transformative health care, offering a supportive work environment and competitive...SeniorFull time
$85k
Sea Mar Community Health Centers, a Federally Qualified... ...medical, dental, behavioral health, and other services... ...services. We are recruiting a Senior Accountant to support... ...analysis. Prepare and review journal entries with... ...general ledger information. Utilize Workday Financial...SeniorHourly payFull timeMonday to Friday$30.91 - $34.79 per hour
Job Overview Frontier Behavioral Health’s presence in Spokane... ...to adults, youth and seniors who are dealing with... ...person‑centered therapy utilizing evidence‑based... ...program, Mental Health Clinician II who hold a credential... ...and onsite visits or reviews when required by...Hourly payContract workReliefWork at officeRelocation packageFlexible hours$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$76.5k - $103.5k
...economically sustainable health care system. Who We... ...team of Appeals Clinicians are living our mission... ...our Appeals Clinician I utilizes clinical expertise to... ...insurance, coding/claims review, case management or equivalent... ...(e.g. medical vs. behavioral health) and at least 3...Full timeImmediate startWork from homeFlexible hours- ...imaging exams and radiology tasks. Provides leadership and direction of day to day processes and workflow of the technical areas utilizing effective communication skills with the imaging team. Ensures the department quality standards, safety and compliance and regulatory...SeniorLocal area
$45.62 - $65.66 per hour
...Nurse (RN) functions independently when utilizing the nursing process and is responsible for... ...an optimal level of functioning and health for the patient. Independently triages... ...Practice Program About Navos Behavioral Health Navos, part of...Daily paidContract workLocal areaMonday to FridayShift workWeekday work$24.83 - $35.71 per hour
...:00a- 4:30p Position Summary The Medical Assistant - Behavioral Health is an ideal opportunity for those seeking to be an integral part... ...medical staff with patient care and follow-up You will utilize your knowledge towards the integration of available standards...Contract workWork at officeLocal areaMonday to FridayShift work$88k - $129k
...supervision to clinical teams. The ideal candidate will have a Master’s degree, relevant licensure, and extensive experience in mental health settings, particularly with adolescents. Compensation ranges from $88,000 to $129,000 annually, based on experience and education....Senior
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