Senior Behavioral Health UM Clinician - Hybrid
Blue Shield of CA
Join Blue Shield of CA as a Senior Behavioral Health Utilization Management Clinician in Rancho Cordova, CA. In this hybrid role, you will conduct clinical reviews for mental health and substance use requests, ensuring compliance with evidence-based guidelines. The position requires a relevant CA license and offers opportunities for professional development. The ideal candidate will possess strong analytical and communication skills with a minimum of three years in healthcare and experience in Behavioral Health Utilization Management. #J-18808-Ljbffr
- ...is seeking an Appeals and Grievances RN Senior to join their team. The successful... ...medical policies. This role allows for hybrid virtual work, with the expectation of office... ...in nursing, preferably with emphasis on Behavioral Health. #J-18808-Ljbffr Blue Shield of CASeniorWork at office
$125.4k - $215.98k
Scan-Health-Plan is looking for a Behavioral Health Manager, Nurse Practitioner-Integrated Care Delivery to lead high-quality, integrated behavioral health... ...care with leadership and program development in a hybrid work environment. Requires a graduate degree, California...Senior$54 - $66 per hour
...Sacramento, CA, responsible for managing the daily operations of the UM Pre-Authorization team. The ideal candidate will ensure accurate... ...of UM experience and offers a pay range of $54-$66/hour as a hybrid role. Join a collaborative environment dedicated to quality healthcare...Senior$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
- ...Dignity Health Medical Foundation is seeking a Behavioral Health Clinician in Citrus Heights, California. In this role, you will help patients and their families receive... ...client-facing work and administrative duties, with a hybrid work environment offered. #J-18808-Ljbffr...
- ...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
- CommonSpirit Health seeks a Behavioral Health Clinician in California to support patients and their families through effective treatment and support. You... ...current unrestricted California license. The role includes hybrid working options. #J-18808-Ljbffr CommonSpirit Health
- ...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
- Blue Shield of CA is looking for a Medicare Appeals RN to join the Appeals and Grievances team in Rancho Cordova. This role involves clinically reviewing member appeals and grievances while ensuring compliance with various Medicare guidelines. The successful candidate should...SeniorFull timeWork at office
$40 - $50 per hour
...leading hospitality company is seeking a Clinical Dietitian for a hybrid role in Sacramento, CA. Responsibilities include performing... ...Registered Dietitian with at least 2 years of clinical experience in senior living. The position offers a flexible schedule of 0-30 hours...SeniorRemote jobHourly payFlexible hours- ...experience. The position emphasizes analytical and documentation skills, with a hybrid workplace model allowing for in-office collaboration two days a week. Ideal candidates will have experience in health plans or genetic testing policy development. #J-18808-Ljbffr...SeniorWork at office2 days per week
- ...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
- A leading food service provider is hiring a Hybrid Remote/Onsite Dietitian in Sacramento, CA. You will play a crucial role in providing Medical Nutrition Therapy and education in senior living, collaborating with teams to enhance resident outcomes through nutrition care...SeniorRemote job
- A national food service leader is seeking a Hybrid Remote/Onsite Dietitian in Sacramento, CA. In this role, you will provide Medical Nutrition Therapy and education in a senior living environment. You will assess nutritional needs, develop personalized care plans, and...SeniorRemote work
- ...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
- The California Institute for Behavioral Health Solutions (CIBHS) is looking for a Senior Associate in Sacramento, CA. This role requires leading training and technical... ...excellent communication skills. This full-time, hybrid position supports impactful systems-level change....SeniorFull time
- ...denial. The Appeals and Grievances RN Senior will report to the Appeals and Grievances... ...related fields with an emphasis on Behavioral Health/Mental Health preferred but not required... ...Microsoft, shared drives, TEAMS, PDF etc. Hybrid Virtual Work This role allows employees...SeniorFull timeWork at office
- ...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
$78.4k - $107.8k
...Humana Inc is seeking a Senior Provider Contracting Professional to initiate, negotiate, and manage provider contracts, focusing on Behavioral Health. The position allows for remote work anywhere in the United States, but candidates must be able to work EST or CST hours...SeniorRemote work- ...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 workFlexible hours
$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- ...A leading consulting firm is seeking a Senior Medical Planner in Sacramento, CA. In this role, you will lead the Behavioral Health business development initiatives while mentoring design staff and ensuring design excellence. With a focus on collaboration and advocacy,...SeniorWork experience placement
- ...SuperCare Health is seeking a Senior Accountant to maintain the integrity of financial records and support financial reporting. The ideal candidate... ...4-7+ years of progressive experience. The role offers a hybrid work model, allowing for flexibility in the workplace, with...Senior
- ...Greater Good Health in Sacramento, CA, is seeking a full-time Nurse Practitioner to provide exceptional care to senior Medicare patients. This hybrid role involves working in clinics and performing home visits. Responsibilities include developing care plans, conducting...SeniorFull time
- ...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
- ...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... ...purpose driven community. As a clinician led organization and the...SeniorRemote jobFull timeStart working todayRelocation packageFlexible hours
$58.6k - $111.02k
...Behavioral Health/EAP Clinician Location : Anywhere in the United States; but ideally within a commutable distance to a Elevance Health PulsePoint... ...skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...Full timeTemporary workWork experience placementWork at officeLocal areaShift workWeekend workAfternoon shift1 day per week- ...Behavioral Health Clinician I General Purpose: Responsible for the development and implementation of person-centered treatment plans that seek to resolve the current presenting difficulty and support the individual in stepping down to less intensive community settings...
- Dignity Health is seeking a Behavioral Health Clinician in Citrus Heights, CA, to provide effective treatment and support to patients and their families. In this role, you will assess and monitor clients' health, collaborate with a multidisciplinary team, and provide crisis...
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