Senior Behavioral Health UM Clinician - Hybrid
Blue Shield of CA
Blue Shield of CA in Long Beach, California is seeking a Behavioral Health Utilization Management Clinician, Senior to conduct reviews of mental health and substance use authorization requests. This role requires a current CA license and at least three years of experience in healthcare. The candidate should have strong analytical and communication skills, with proficiency in Microsoft Office tools. This position allows for hybrid virtual work but will require occasional office attendance based on business needs. #J-18808-Ljbffr
$84k - $103k
...A leading behavioral health organization in Long Beach is looking for a BCBA Clinical Supervisor to provide mentorship and develop treatment plans. This full-time hybrid position offers a competitive salary between $84,000 and $103,000, depending on experience, along with...SeniorFull timeRemote work$90.86k - $136.29k
...Job Title Senior Care Manager Job Description... ...patients in maintaining health and wellness in the outpatient... ...management (UM) and care management (CM... ...Assesses members health behaviors, cultural influences and... ...communications skills Hybrid Virtual Work This...SeniorFull timeContract workWork at office- ...Your Role The Behavioral Health Utilization Management team performs... ...Health Utilization Management Clinician, Senior, will report to the Manager... ...Utilization Management (BH UM). In this role you will conduct... ...guidance as needed Hybrid Virtual Work This role...SuggestedFull timeContract workWork at office
- ...Senior Care Manager The Care Management team will... ...patients in maintaining health and wellness in the outpatient... ...management (UM) and care management (CM... ...Assesses members health behaviors, cultural influences and... ...communications skills Hybrid Virtual Work This...SeniorFull timeContract workPart timeWork at officeLocal areaWork from homeHome office2 days per week
$325k - $380k
...Providence Little Company of Mary is recruiting a Physician Advisor/UM Medical Director in Torrance, California. This role involves fostering strong relationships between the medical center and its physicians to improve clinical outcomes. You will provide clinical expertise...Senior$84k - $103k
...Clinical Supervisor – Remote, Hybrid & Senior Opportunities Available Job... ...$1,000 CEU reimbursement Health benefits: Medical, Dental, and... ...much more! About Us At 360 Behavioral Health, we are more than a workplace... ...driven community. As a clinician led organization and the...SeniorFull timeStart working todayRemote workRelocation packageFlexible hours- ...skills in a managed care or clinical environment Prior experience in health plan, ASO, or IPA/MG setting, preferred Experience supporting... ...interpretation of genetic testing medical policies, preferred. Hybrid This role requires employees to be in-office based on our hybrid...SeniorWork at office2 days per week
$115k - $120k
...Licensed Clinician (LCSW/LMFT/LPCC) – Youth Trauma Residential Program Hayward, CA (Full-Time, On-site) Licensed Clinician – Short... ...assessment tool • Background in residential or community-based behavioral health programs Nice to Have • Bilingual Spanish • Experience...SeniorFull timeTemporary work- ...services at appropriate times. Candidates should possess a master’s degree in Genetic Counseling, certification as a Genetic Counselor, and at least 7 years of relevant experience. The position allows for a hybrid work model with in-office collaboration. #J-18808-Ljbffr...SeniorWork at office
- ...support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the... ...function of utilization management (UM) and care management (CM)... ...Excellent communications skills Hybrid Virtual Work This role...SeniorFull timeWork at office
- ...healthcare nutrition provider is seeking a Clinical Dietitian for a hybrid remote/onsite role in Torrance, CA. The candidate must be a... ...Registered Dietitian with at least two years of clinical experience in senior living, responsible for providing Medical Nutrition Therapy and...SeniorRemote jobLive in
- ...Job Description Job Summary Performs behavioral health utilization reviews, applying evidence-based criteria, and collaborating with physicians... ...requirements (e.g., NCQA, URAC, CMS). Participates in UM quality audits, internal case reviews, and peer-to-peer...Hourly payWork experience placement
- ...Behavioral Health Utilization Management Clinician, Senior The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews... ...independently, seeking guidance as needed Hybrid Virtual Work This role allows employees to work...Full timeContract workPart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...in a managed care or clinical environment Prior experience in health plan, ASO, or IPA/MG setting, preferred Experience supporting... ...of genetic testing medical policies, preferred. Hybrid Virtual Work This role allows employees to work virtually full...SeniorFull timeContract workPart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...United Cerebral Palsy of Georgia is seeking a Senior Care Manager to join their Care... ...design and implement care plans, assess health needs, and collaborate with various specialists... ...healthcare. The position offers flexibility with hybrid virtual work arrangements. #J-18808-...SeniorRemote work
$80k - $95k
Creative Solutions For Autism Inc is seeking a full-time Clinical Supervisor for their Norwalk, CA office. This position involves supervising Case Managers, ensuring the delivery of excellence in client services through comprehensive support plans and data oversight. The...SeniorFull timeWork at office$89.1k - $133.65k
...population at Blue Shield of California. As a Senior Nurse in Case Management, you will report... ...a caseload of DSNP members, assess Health Risk Assessments, create Individualized Care... ...needs and acuity. Assess members' health behaviors and cultural influences, evaluating all...Senior- ...HROB. The Utilization Management Nurse, Senior will report to the Manager, Utilization... ...supporting the department by supporting the clinicians who perform first level determination... ...Requires strong critical thinking skills Hybrid Virtual Work This role allows...SeniorFull timeWork at office
$88k - $110k
...Join the largest female clinician-led ABA agency in the... ...first interview)! Hybrid Role: Combination of in... ...and family Generous health insurance package, 401(... ...Clinical Director, and Senior Clinical Director For... ...Support: Inspire and guide Behavior Technicians through...SeniorTemporary workWork at officeRemote workWork from homeRelocation packageFlexible hoursDay shift- ...revolutionize medicine by bridging the gap between health span and life span, where our members... ...our team of highly trained, passionate clinicians! What’s in it for you? You will be... ...biotech companies Health coaching and behavioral change training Knowledge of clinical genetics...Senior
- ...Job Title Behavioral Analyst Job Description Provides support for member clinical review processes specific to applied behavioral... ...(ABA) services. Responsible for verifying that behavioral health services are medically necessary and align with established clinical...Contract workWork at officeLocal area
$92.1k - $135.41k
Pipeline Health System is seeking a Senior Accountant in Gardena, CA, to manage and reconcile all accounting related activities. Candidates should have... ...accuracy in financial statements. The position offers a hybrid work model and a competitive salary ranging from $92,102....Senior$92.1k - $135.41k
Pipeline Health System is looking for a Senior Accountant to manage financial operations in an acute care hospital setting. The position demands experience... ...experience. Located in Gardena, CA, this full-time hybrid role offers a competitive salary range of $92,102.40 to...SeniorFull time- ...United Cerebral Palsy of Georgia is seeking a Senior Nurse in Case Management to coordinate care for the Dual-Special Needs (DSNP) population at Blue Shield of California. This role involves creating individualized care plans, managing a caseload, and advocating for quality...Senior
$50 - $60 per hour
...Beach, California, is seeking a Physical Therapist to join their team. The role involves delivering person-centered therapy care to seniors, crafting individualized care plans, and utilizing evidence-based programs for optimal patient outcomes. Candidates must be...Senior- UC Irvine in Lakewood, California is seeking a Charge Nurse responsible for delivering patient care using the nursing process. The role demands a current California RN License, BLS and ACLS certification, and at least one year of nursing experience. Candidates must possess...Senior
- ...join their healthcare team in Long Beach, California. This position focuses on providing exceptional care to patients, particularly seniors, and involves creating unique care plans to enhance their quality of life. The ideal candidate will have a degree in Physical...Senior
- ...Services, LLC is seeking a Physical Therapist in Long Beach, California to provide person-centered care to patients, particularly seniors. You will develop personalized care plans and utilize evidence-based practices to enhance patient outcomes. This role offers a variety...Senior
- ...Job Title Pediatric Mental Health Nurse Job Summary Provides senior level support for health education activities. Responsible for developing,... ...standards and regulations. This position is focused on behavioral health and is seeking a board certified Pediatric...SeniorContract workWork at officeLocal areaRemote workNight shift
- ...HealthPro Heritage is offering an exciting opportunity for a part-time Occupational Therapist at our senior living facility in Cypress, CA. This role emphasizes purpose-driven work and continuous learning within a collaborative culture. Ideal candidates will possess an...SeniorPart timeFlexible hours
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