Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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 #J-18808-Ljbffr Blue Shield of CA

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Senior Behavioral Health Utilization Review Clinician in Redding, CA vacancy
  • 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

    Redding, CA
    5 days ago
  •  ...Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge planning, and compliance requirements... 
    Senior
    Full time
    Work at office

    Blue Shield of CA

    Redding, CA
    16 hours ago
  •  ...Job Title Utilization Management Team Leader Job Description The Utilization Management...  ...utilization and retrospective clinical reviews across multiple lines of business,...  ...subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services... 
    Senior
    Full time
    Contract work
    Part time
    Work at office
    Local area
    Work from home
    Home office
    Weekend work
    Afternoon shift
    2 days per week

    Blue Shield Of California

    Redding, CA
    4 days ago
  •  ...Grievances team is responsible for clinically reviewing member appeals and grievances that are...  ...denial. The Appeals and Grievances RN Senior will report to the Manager of the...  ...second level appeal reviews for members utilizing Evidence of Coverage, BSC evidenced based... 
    Senior
    Full time
    Work at office
    Monday to Friday
    Shift work

    Blue Shield of CA

    Redding, CA
    1 day ago
  •  ...member treatment plans and care continuity Evaluate member health behaviors, cultural influences, and belief systems to identify barriers...  ...needs, and requirements are subject to change with periodic reviews. Physical Requirements: Office Environment - roles involving... 
    Senior
    Full time
    Contract work
    Part time
    Work at office
    Local area
    Work from home
    Home office
    Afternoon shift
    2 days per week

    Blue Shield Of California

    Redding, CA
    1 day ago
  •  ...IN THE SHASTA COUNTY HEALTH AND HUMAN SERVICES AGENCY...  ...CALIFORNIA BOARD OF BEHAVIORAL SCIENCE EXAMINERS RESPONSES...  ..., specifically the Utilization Management and Quality...  ..., service utilization review, medication monitoring...  .... Mental Health Clinician II applicants should have... 
    Hourly pay
    Contract work
    Work at office
    Local area

    Southern Arkansas University

    Redding, CA
    16 hours ago
  •  ...Mental Health Clinician II – Utilization Management & Quality Assurance Unit Shasta County, Health and Human...  ...is organized into four branches: Behavioral Health & Social Services, Public Health...  ...chart auditing, service utilization review, medication monitoring,... 
    Hourly pay
    Work at office
    Local area

    Austin Community College

    Redding, CA
    4 days ago
  • $45 per hour

     ...Job Description Job Description Utilization Management Nurse Coordinator (RN or LVN)  needed...  ...opportunity with Yoh’s managed care health plan client based out of Redding or Fairfield...  ...setting. The UM RN Nurse Coordinator reviews outpatient authorization requests,... 
    Contract work
    Temporary work
    Remote work
    Monday to Friday
    Weekend work

    Yoh, A Day & Zimmermann Company

    Redding, CA
    6 days ago
  •  ...Life connects adults 65+ with licensed clinicians for behavioral health, geriatric care and longevity...  ...management, cognitive health, medication review and weight management, organized around...  ...to lead longevity days at our partner senior living communities. Each day opens... 
    Senior
    Contract work
    For contractors
    Flexible hours
    Weekday work

    Total Life, Inc.

    Redding, CA
    10 days ago
  •  ...Demonstrated competence in care management functions and standards of practice ~ Knowledge of community resources, treatment options, home health services, funding sources, and specialty programs ~ Working knowledge of regulatory and accreditation standards including CMS,... 
    Senior
    Full time
    Contract work
    Work at office
    Afternoon shift

    Blue Shield of CA

    Redding, CA
    4 days ago
  •  ...PPNorCal)is seeking an Advanced Practice Clinician for our Redding Health Center. The position is full-time, 32...  ...APPLICATION INSTRUCTIONS: After review of your application, resume and qualifications...  ...-based practice protocols.    Utilize knowledge of and experience in... 
    Hourly pay
    Full time
    Work at office
    Local area
    Relocation

    Planned Parenthood Northern California

    Redding, CA
    22 days ago
  •  ...provide comprehensive mental health care to patients in a correctional...  .... Conduct regular medication reviews to assess efficacy, side...  ...suicidal ideation, and aggressive behaviors.  ~ Offer individual and group psychotherapy sessions, utilizing evidence-based therapeutic... 
    16 hours
    Part time
    Immediate start

    MEDIKO INC

    Redding, CA
    10 days ago
  •  ..., monitor and treat patients in critical care situations. Utilize critical thinking skills to manage the critically ill or injured...  ...options at GlobalMedicalResponse.com/Careers. GMR's Core Behaviors -keep care at the center, raise your hand, seek to understand,... 
    Immediate start
    Relocation
    Shift work

    Reach Medical Holdings

    Redding, CA
    1 day ago
  •  ...patient care in an occupational health setting. As a key member of...  ...visit times. Supervising clinicians and support staff, ensuring compliance...  ..., and patient safety. Utilizing clinical systems for...  ...regulations. Proficiency in reviewing clinical work and supervising... 
    Weekend work

    i4 Search Group

    Redding, CA
    3 days ago
  • $40 - $45 per hour

     ...established protocols. Verify patient identity, review medical history, and explain procedures...  ...safety standards and ALARA principles Utilize protective devices and safe practices to...  ..., Arizona. We specialize in ensuring the health and well-being of workers through a range... 
    Hourly pay
    Monday to Friday
    Night shift
    Weekend work

    Agile Occupational Medicine LLC

    Redding, CA
    4 days ago
  •  ...Nurse (RN)  will also educate patients on health conditions, monitor their progress, and...  ...physical assessments and history reviews to determine patient health status and prioritize...  ...eager to make a difference. LPN, RN, Behavioral Health, Practitioner, and other opportunities... 
    Temporary work
    Local area
    Flexible hours
    Night shift

    MEDIKO INC

    Redding, CA
    3 days ago
  • $75 - $80 per hour

     ...Senior Project Scheduler   JOB-10047628   Anticipated...  ...industries and for Health purposes. Oxygen,...  ...Schedule Execution Plan Utilize REX analysis and...  ...(Invitation to Bid) Review subcontractor schedules...  ..., influence, and drive behavior change without formal authority... 
    Senior
    Full time
    Contract work
    Temporary work
    Work experience placement
    For subcontractor
    Work at office
    Local area
    Flexible hours

    Dynamics ATS

    Project, CA
    16 days ago
  • $38 - $44 per hour

     ...Registered Nurse (RN) Are you looking for a meaningful role in behavioral health and have the desire to work with an organization that puts...  ...Pursuant to the California Consumer Privacy Act (CCPA), please review this link to provide information on how we collect and use... 
    Full time
    Local area

    Crestwood Behavioral Health

    Redding, CA
    2 days ago
  • $250k - $300k

     ...expedite case closure Manages clinicians and support staff and...  ...systems evaluation, and human behavior Customer and personal service...  ...to be audited, observed, and reviewed; is positively responsive to...  ...We specialize in ensuring the health and well-being of workers through... 
    Full time
    Work at office
    Monday to Friday
    Night shift
    Weekend work

    Agile Occupational Medicine

    Redding, CA
    1 day ago
  • $125k

     ...elevate your career to new heights? PHI Health is looking for dynamic, driven individuals...  ...by attending mandatory meetings, chart reviews, equipment reviews, skill labs, clinical...  ..., our communities and each other. Behavioral Competencies Drive - The ability to maintain... 
    Hourly pay
    Local area
    Relocation package
    Shift work

    PHI Air Medical

    Redding, CA
    16 hours ago
  • $43 - $53 per hour

     ...Home Health Care Management Home & Health Care Management is...  ...following duties successfully: Review of medical records including...  ...clients' care needs. Utilize electronic health record as required...  ...Professional behavior when on duty Discharge planning... 
    Full time
    Work experience placement
    Work at office
    Monday to Friday

    HOME HEALTH AGENCY INC

    Redding, CA
    1 day ago
  • $2,500 per week

     ...weeks in Redding, California. Vivian Health provides transparent Travel Physical...  ...Therapist Salary information and unbiased reviews from leading Travel Therapy Agencies...  ...Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol... 
    Weekly pay
    Long term contract
    Permanent employment
    Temporary work
    Work at office
    Shift work

    LanceSoft

    Redding, CA
    16 hours ago
  • $20 - $30 per hour

     ...Location: Reading, MA Join a leading clinician-led behavioral health company today! OptiMindHealth (OMH)...  ...offerings and needs to stakeholders, review our specialty areas and note our...  ...seek ways to increase service line utilization and cross-selling opportunities for... 
    Part time
    Traineeship
    Work at office
    Flexible hours
    Night shift

    OptiMindHealth

    Redding, CA
    3 days ago
  •  ...APPLY TODAY ! The Psychiatric Mental Health Nurse Practitioner (PMHNP) provides high...  ...suicidal ideation or self-injurious behaviors.  ~ Collaborate closely with behavioral...  ...treatment planning conferences, and case reviews.  ~ Document promptly and properly.... 
    Part time

    MEDIKO INC

    Redding, CA
    3 days ago
  • $48 - $54 per hour

     ...Equipment and Technology Annual Performance Reviews with performance-based increases...  ...with your core strengths as a therapist. Utilize AgeRight Therapy's evidence-based clinical...  ...highly motivated patients, many of them seniors, helping them achieve therapy goals and a... 

    Marquis Companies

    Redding, CA
    2 days ago
  •  ...Home Health NurseUnit Notes Unit - Home Health "Mileage will not be paid. This is an all-inclusive bill rate***" Required Certifications...  ...antibiotics with PICC line care, labs. Additional Job Duties/Utilization Review involved? No UR required. These positions will be direct... 
    Interim role
    Monday to Friday
    Shift work

    3B Healthcare, Inc.

    Redding, CA
    4 days ago
  • $55 - $65 per hour

     ...Equipment and Technology Annual Performance Reviews with performance-based increases...  ...with your core strengths as a therapist. Utilize AgeRight Therapy's evidence-based clinical...  ...highly motivated patients, many of them seniors, helping them achieve therapy goals and a... 

    Marquis Companies

    Redding, CA
    3 days ago
  • $50 - $60 per hour

     ...Equipment and Technology Annual Performance Reviews with performance-based increases...  ...with your core strengths as a therapist. Utilize AgeRight Therapy's evidence-based clinical...  ...highly motivated patients, many of them seniors, helping them achieve therapy goals and a... 

    Marquis Companies

    Redding, CA
    2 days ago
  • $400k

     ...thriving integrated practice with high pathology patients, and co-managing optometrists. Seeking a cataract surgeon with desire to utilize progressive technologies including femtosecond laser assisted cataract surgery, ATIOL, etc. Proven top tier income with group... 
    Full time
    Immediate start
    Relocation package
    Flexible hours

    Curative

    Redding, CA
    1 day ago
  • $72k - $79k

     ...Description: Under the supervision of a licensed clinician The Associate Clinician position is...  ...adjustments, and seeking general mental health services.  The ideal candidate should...  ...as outlined  Actively participate in behavioral health team meetings, clinical discussions... 
    Full time
    Work at office
    Local area
    Afternoon shift

    Childrens Legacy Center

    Redding, CA
    3 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!