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

Senior Behavioral Health Utilization Reviewer (Hybrid)

Blue Shield of CA

Blue Shield of CA is seeking a Behavioral Health Utilization Management Clinician, Senior to join the team in Redding, California. In this role, you will conduct clinical reviews for mental health and substance use authorization requests, ensuring adherence to compliance standards. The ideal candidate will have a CA license and relevant experience in healthcare and Behavioral Health Utilization Management. This hybrid position allows for virtual work with occasional office presence based on business needs. #J-18808-Ljbffr

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Senior Behavioral Health Utilization Reviewer (Hybrid) in Redding, CA vacancy
  •  ...Your Role The Utilization Management team manages accurate and timely...  ...and inpatient stays reviews for our members and correctly...  ...Utilization Management Nurse, Senior will report to the Manager, Utilization...  ...thinking skills Hybrid Virtual Work This role allows... 
    Senior
    Full time
    Work at office

    Blue Shield of CA

    Redding, CA
    5 days ago
  • $90.86k - $136.29k

     ...Job Title Senior Care Manager Job Description...  ...in maintaining health and wellness in...  ...function of utilization management (UM) and...  ...Conducts member care review with medical groups...  ...members health behaviors, cultural influences...  ...communications skills Hybrid Virtual Work... 
    Senior
    Full time
    Contract work
    Work at office

    Blue Shield Of California

    Redding, CA
    4 days ago
  •  ...Senior Care Manager The Care Management...  ...patients in maintaining health and wellness in...  ...function of utilization management (UM) and...  ...Conducts member care review with medical groups...  ...members health behaviors, cultural influences...  ...communications skills Hybrid Virtual Work... 
    Senior
    Full time
    Contract work
    Part time
    Work at office
    Local area
    Work from home
    Home office
    2 days per week

    Blue Shield Of California

    Redding, CA
    2 days ago
  •  ...support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the...  ...perform a blended function of utilization management (UM) and care management...  ...communications skills Hybrid Virtual Work This role allows... 
    Senior
    Full time
    Work at office

    Blue Shield of CA

    Redding, CA
    2 days ago
  •  ...Your Role The Commercial Utilization Management team manages accurate...  ...and access to care clinical review determinations. The Utilization...  ...environment Prior experience in health plan, ASO, or IPA/MG setting,...  ...medical policies, preferred. Hybrid This role requires employees... 
    Senior
    Work at office
    2 days per week

    Blue Shield of CA

    Redding, CA
    1 day ago
  •  ...Consonus Pharmacy Services, LLC is hiring a Physical Therapist in Redding, California. You will provide person-centered care to senior patients and utilize evidence-based clinical programs to achieve optimal outcomes. The role offers fantastic benefits including a Student Loan... 
    Senior

    Consonus Pharmacy Services, LLC

    Redding, CA
    2 days ago
  • $87.8k - $123.03k

     ...needs and ensure efficient use of resources. Utilize available technology resources to plan,...  ...implement SCHC computerized information, health-related, and telephone systems. Perform...  ...of Microsoft Azure service platform with hybrid experience. • Knowledge of application... 
    Senior
    Work at office
    Remote work

    Shasta Community Health Center

    Redding, CA
    2 days ago
  •  ...Utilization Management Genetic Counselor The Commercial Utilization...  ...and access to care clinical review determinations. The Utilization...  ...Prior experience in health plan, ASO, or IPA/MG setting,...  ...medical policies, preferred. Hybrid Virtual Work This role allows... 
    Senior
    Full time
    Contract work
    Part time
    Work at office
    Local area
    Work from home
    Home office
    2 days per week

    Blue Shield Of California

    Redding, CA
    4 days ago
  • Consonus Pharmacy Services, LLC seeks a Speech Language Pathologist to join their team in Redding, California. In this role, you will deliver personalized care to patients, leveraging evidence-based clinical programs. Responsibilities include crafting individualized therapy...
    Senior

    Consonus Pharmacy Services, LLC

    Redding, CA
    1 day ago
  • $25k

     ...Inc. as a Registered Nurse (RN) for the FT Noc Shift in Redding, California. Here, you will make a positive impact in the lives of seniors, providing compassionate nursing care in a supportive environment. Your responsibilities will include delivering quality nursing care... 
    Senior
    Full time
    Night shift

    Marquis Companies

    Redding, CA
    1 day ago
  • A private medical practice in California is seeking a skilled Interventional Cardiologist to join their team. This role involves performing diagnostic procedures, managing patients with heart disease, and collaborating with healthcare professionals to ensure optimal patient...
    Senior
    Private practice

    Commonwealth Medical Services

    Redding, CA
    1 day ago
  • Shasta Regional Medical Center is looking for a Radiology Tech III in Redding, California. The role includes performing various imaging procedures, ensuring customer satisfaction, and supervising staff when required. Applicants must have national certification in three...
    Senior

    Shasta Regional Medical Center

    Redding, CA
    2 days ago
  • $42.53 - $58.87 per hour

    Shasta Regional Medical Center is seeking a full-time Radiologic Technologist to perform various imaging procedures including CT and Ultrasound. The ideal candidate will have relevant licensure and certifications, effective communication skills, and a strong dedication...
    Senior
    Hourly pay
    Full time

    Shasta Regional Medical Center

    Redding, CA
    1 day ago
  •  ...DevOps Analyst, Senior This role resides within the Claims & Payment team under Core Health Plan Platform. The DevOps Analyst, Senior...  ...sustainable design practices Hybrid This role requires...  ...subject to change with periodic reviews. Physical Requirements:... 
    Senior
    Full time
    Part time
    Work at office
    Local area
    Work from home
    Home office
    2 days per week

    Blue Shield Of California

    Redding, CA
    2 days ago
  • Marquis Companies is seeking a full-time Registered Nurse (RN) for the night shift in Redding, California. The role involves providing quality nursing care, administering medications, and supervising CNAs in a supportive environment that celebrates compassionate care. ...
    Senior
    Full time
    Night shift

    Marquis Companies

    Redding, CA
    1 day ago
  • $39.55 - $54.74 per hour

    Prime Healthcare is searching for a Radiology Tech III in Redding, California. This full-time position offers a competitive salary range of $39.55 to $54.74, along with a comprehensive benefits package, including medical, dental, vision coverage, and tuition reimbursement...
    Senior
    Full time

    Prime Healthcare

    Redding, CA
    1 day ago
  • $42.53 - $58.87 per hour

    Prime Healthcare is seeking a full-time Diagnostic Radiographer at Shasta Regional Medical Center, a distinguished facility in Redding, California. Join an award-winning team that emphasizes quality, compassion, and community care. The ideal candidate will have a strong...
    Senior
    Full time

    Prime Healthcare

    Redding, CA
    1 day ago
  • $30.52 - $35.97 per hour

     ...Electricians in Redding, California. This position offers competitive hourly pay ranging from $30.52 to $35.97 and excellent low-cost health benefits. Responsibilities include coordinating and directing electricians, troubleshooting electrical systems, and managing... 
    Senior
    Hourly pay

    Sierra Pacific Industries

    Redding, CA
    1 day ago
  •  ...a Bachelor’s degree in a relevant science and a Clinical Laboratory Scientist license. Competitive compensation and comprehensive benefits package are offered, including paid time off and health coverage. The position is full-time with night shifts. #J-18808-Ljbffr... 
    Senior
    Full time
    Night shift

    Prime Healthcare

    Redding, CA
    2 days ago
  •  ...Pharmacy Transformation. The DevOps Analyst, Senior will report to the Pharmacy Development...  ...workflows and processes Experience utilizing the Atlassian suite of products Requires...  ..., and sustainable design practices Hybrid This role requires employees to be in... 
    Senior
    Work at office
    2 days per week

    Blue Shield of CA

    Redding, CA
    5 days ago
  • $101.6k - $146k

     ...Our team is looking to add a Senior Project Controls Analyst to its...  ...opportunities. Jacobs Engineering Group utilizes advanced Enterprise System...  ...office 2‑3 days a week, on a Hybrid work schedule. Here's what you...  ...experience is a bonus. Our health and welfare benefits are... 
    Senior
    Full time
    For contractors
    Work at office
    Local area
    2 days per week
    3 days per week

    Jacobs Engineering Group Inc

    Redding, CA
    1 day ago
  • $74.94k - $105.51k

     ...experienced aircraft mechanic looking to make a difference? PHI Health is seeking a A&P-licensed mechanic with 2+ years as a Certified...  ...standard of safety, period. Responsibilities Include: Review and evaluate daily maintenance or inspection requirements and carry... 
    Senior
    Local area
    Relocation package
    Shift work
    Night shift

    Phi Health, LP

    Redding, CA
    3 days ago
  • $159k

     ...: Business Operations / Strategy  Job Level: Senior Manager Business Unit: Strategy & Growth Work Type: Hybrid Job Location: Oakland; Alameda; Alta; American...  ...Electrical engineer with experience in the utility industry to support technical interpretations and... 
    Senior
    Contract work
    Work experience placement
    Work at office
    Flexible hours
    2 days per week
    3 days per week

    PG&E Corporation

    Redding, CA
    5 days ago
  •  .../or other significant adults; develops an educational plan or behavior program that will help facilitate student learning. 13...  ...behavior/learning problems. 14. Be responsible for the utilizing outside sources in the interest of helping students who have... 

    Redding Elementary School District | Shasta Montessori Eleme...

    Redding, CA
    6 days ago
  • $21.56 - $24.26 per hour

     ...Date: This job is open until filled. The first application review date will be 07/01/2025. Key Responsibilities:...  ...amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements . Misconduct... 
    Senior
    For contractors
    Local area
    Flexible hours

    Government of Northwest Territories

    Redding, CA
    4 days ago
  •  ...The Pharmacy Resident will report to the Senior Director of Clinical Pharmacy Program. In...  ...graduate training in managed care pharmacy in a health plan setting and directly contribute to...  ...status, within 4 months of hire Hybrid This role requires employees to be... 
    Senior
    Work at office
    2 days per week

    Blue Shield of CA

    Redding, CA
    2 days ago
  • $105k - $124k

     ...a Licensed Clinical Social Worker or LMFT for a growing mental health and addiction medicine practice. This is a full time position....  ...experience ~ Treat a broad range of patients in both age and behavioral health conditions. ~ Full time outpatient position ~ Monday... 
    Full time
    Relocation package
    Monday to Friday

    Ron Sunshine Associates LLC

    Redding, CA
    14 days ago
  •  ...Small Business lines of business. The Program Manager, Senior - Middle Markets and Small Business will report to the...  ...with sales teams and/or business partners Health plan experience preferred Hybrid This role requires employees to be in-office based... 
    Senior
    Work at office
    2 days per week

    Blue Shield of CA

    Redding, CA
    5 days ago
  •  ...requirements. The Product Implementation Analyst, Senior will report to the Senior Manager. In...  ...Strong knowledge of employer group health plans, benefits, federal and state mandates...  ...communication skills required Hybrid This role requires employees to be... 
    Senior
    Work at office
    2 days per week

    Blue Shield of CA

    Redding, CA
    6 days ago
  •  ...transition to operational owners. The Business Systems Analyst Senior will report to the Senior Manager, Enterprise Mandates Delivery....  ...influence process improvement activity to support the mandate. Hybrid This role requires employees to be in-office based on our... 
    Senior
    Work at office
    2 days per week

    Blue Shield of CA

    Redding, CA
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Behavioral Health Utilization Reviewer (Hybrid). Be the first to apply!