Senior Behavioral Health Utilization Review Clinician
Blue Shield of CA
Blue Shield of CA is seeking a Senior Behavioral Health Utilization Management Clinician in Denver, Colorado. The role involves conducting clinical reviews for mental health and substance use requests while ensuring compliance with established guidelines. Ideal candidates will possess strong analytical and communication skills, a California license, and at least five years of relevant healthcare experience. This position offers opportunities for professional growth in a hybrid work environment. #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
- ...Senior Utilization Management Nurse Integrated Resources, Inc is a premier staffing firm... ...supervision, provides medical and/or behavioral health utilization management for members of... ...regulatory requirements. Completes clinical review to determine whether a request can be...SeniorContract work
- A leading behavioral health provider in Englewood is seeking an experienced behavioral health clinician. This role involves providing mental health counseling and therapy, assessing patients, and coordinating care in a supportive environment. The ideal candidate will possess...Senior
$29 - $34 per hour
The Colorado Coalition for the Homeless is seeking a Behavioral Health Clinician I to provide clinical services to homeless families in Denver. This role involves collaboration with case management teams and addressing mental health issues, substance abuse, and domestic...SeniorHourly pay- This position will be responsible for conducting utilization review/medical management for all services including training/mentoring other... ...~3 - 5 years recent experience working in a clinical or behavioral health environment ~ This contract requires a valid California...SeniorContract workRemote work
- ...Open Rank Adolescent Behavioral Health Therapist (MST) (Entry – Senior) Synergy, the adolescent component of Addiction Research and Treatment Services,... ...involvement in the criminal justice system. This position will utilize the MST principals to develop interventions with the...SeniorFull timeWork at officeLocal areaImmediate startRemote workWork from homeMonday to FridayWeekend work3 days per week1 day per week
$50.68 per hour
...Location Aurora Position Type Flex Regular/Temporary Regular Add to Favorite Jobs Email this Job Job Overview The Utilization Review RN participates as a member of a multidisciplinary team to support medical necessity reviews, ensure compliance, and actively...Hourly payTemporary workLive inImmediate startRemote workRelocationFlexible hoursShift workWeekend workDay shiftAfternoon shift- ...Your future role at a glance Location: Wichita, KS Facility: Ascension Via Christi St Joseph Department/Speciality: Senior Behavioral Health Schedule: Night Shift | Full-Time Sign on Bonus: Up to $12,500 Via Christi associates are eligible for tuition discounts and priority...SeniorFull timeLocal areaRelocation packageNight shift
$32.72 - $49.09 per hour
...an incredible group of clinicians dedicated to providing... ...Clinical Dietitian Senior a lead team member who... ...department peers to gather and utilize data to develop... ...model for standards of behavior, NFPE process,... ...policy and procedure review, quality improvement and...SeniorHourly payReliefImmediate startShift work$60.2k - $107.4k
...UnitedHealthcare, we're simplifying the health care experience, creating... .... Growing together. The Senior Clinical Administrative Nurse... ...and guide members regarding behavioral health and substance use... ...appropriate emergency department utilization and alternative levels of...SeniorMinimum wageFull timeWork experience placementLocal areaRemote workWeekday work$1,600 - $1,800 per week
...NOW HIRING: Registered Nurse - Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $1,600 - $1,800/week (based... ...in Utilization Management, Utilization Review, or Case Management ~• Preferred Certifications...Contract workImmediate startRemote workMonday to Friday- ...Intake Clinician Responsibilities Highlands Behavioral Health System is an 86 bed, acute care psychiatric hospital... ...for adolescents, adults, and seniors, and offers inpatient acute care... ...efforts with the Business Office, Utilization Review and the Department of Nursing...ReliefWork at officeLocal areaImmediate startShift workNight shift
$50.68 per hour
Children's Hospital Colorado is seeking a Utilization Review RN to support medical necessity reviews and compliance in a hybrid role based in Colorado. This position requires strong pediatric nursing experience and knowledge of utilization review. Responsibilities include...Remote jobHourly payFlexible hours- ...a variety of services to improve the health, well-being, and stability of those it... ...judiciously and effectively. The Behavioral Health Clinician provides comprehensive mental health... ...challenges, trauma, and housing instability, utilizing evidence-based practices to support...Full timeFlexible hours
$70.18k - $80.7k
...a variety of services to improve the health, well-being, and stability of those it... ...for the Homeless seeks an Outreach Behavioral Health Clinician II who works directly with street outreach... ...biopsychosocial assessments and utilizes DSM-V-TR criteria for diagnosis....Hourly payFull timeFlexible hours$73.17k - $109.76k
...The Behavioral Health Clinician is responsible for direct patient care and safety including diagnostic, assessment, treatment, and discharge planning... ...instruction. Work product is subject to continual review. Minimum Qualifications Degrees Master...Work at officeImmediate startShift workWeekend workWeekday work- A pediatric healthcare institution in Aurora, Colorado is seeking a Behavioral Health Specialist Sr to provide direct patient care for children and adolescents with behavioral health needs. The role includes implementing treatment plans and providing mentorship. The ideal...Senior
- Nearterm is seeking a Director of Health Plan Utilization Management to lead strategic and operational functions within a large health system. This senior role focuses on ensuring compliance and high-quality member outcomes. The ideal candidate will have a Master's Degree...Senior
- ...manner that promotes efficient and effective utilization of resources and facilitates the ongoing... ...to community patient care, utilization review, case management, administrative staff/... ...a good working relationship with other health care professionals and colleagues in the...SeniorFull timePart timeReliefWork at officeShift work
- ...manner that promotes efficient and effective utilization of resources and facilitates the ongoing... ...to community patient care, utilization review, case management, administrative staff/... ...a good working relationship with other health care professionals and colleagues in the...SeniorFull timeReliefWork at officeShift work
- ...opportunity, supporting three Senior Living communities within a 2... ...efficient and effective utilization of resources and facilitates... ...community patient care, utilization review, case management,... ...working relationship with other health care professionals and colleagues...SeniorFull timePart timeReliefWork at officeShift work
- ...dependency, Substance use treatment, Mental Health Employee Type FT Exempt Required Degree... ...teams to ensure continuity of care. Utilize motivational interviewing and evidence-based... ...areas for program improvement. Apply behavioral analysis principles to develop and implement...Afternoon shift
$66.58k - $142.58k
...We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience... ...one community at a time. Oak Street Health Title: Senior Behavioral Health Specialist Requires LCSW, LPC or LMFT Location:...SeniorHourly payFull timeTemporary workTraineeshipLive inLocal areaImmediate startFlexible hours- ...manner that promotes efficient and effective utilization of resources and facilitates the ongoing... ...to community patient care, utilization review, case management, administrative staff/... ...a good working relationship with other health care professionals and colleagues in the...SeniorFull timePart timeReliefWork at officeShift work
- ...a variety of services to improve the health, well-being, and stability of those it... ...and effectively. The Behavioral Health Clinician provides comprehensive mental health... ...challenges, trauma, and housing instability, utilizing evidence-based practices to support overall...Full timeFlexible hours
$109.5k - $164k
...Senior Community Care Advanced Practice Clinician $40K Student Loan Repayment Or $30K Sign-on Bonus... ...something new in health care. We are uniting industry... ...Past medical history review, medication reconciliation... ...of patients with complex behavioral, social and/or...SeniorMinimum wageTemporary workWork experience placementLocal areaRelocation package$109.5k - $164k
...Colorado PA is seeking an Advanced Practice Clinician to provide care to high-risk health plan members across various Colorado locations. This role entails conducting comprehensive assessments, supporting rehabilitation, and collaborating with an interdisciplinary care...Senior- ...the Medical Staff Coordinator Senior position is to ensure quality... ...committee meetings, MEC, Peer Review, department meetings, identification... ...management requirements. Utilize critical thinking skills to... ...Commission, CMS, and Department of Health standards. Demonstrated...SeniorContract workMonday to Friday
- A healthcare company is seeking an intern for the Utilization Management Behavioral Health Registered Nurse role. This position supports military service members or spouses and focuses on clinical review, communication with providers, and documentation. Candidates must...Remote jobInternshipWork from homeWeekday work
$44.39 - $66.58 per hour
...The Operating Room Nurse Senior provides highly skilled patient... ...activities and ensures that behaviors adhere to documentation standards... ...and coordinates with health care team members to assess,... ...unit with appropriate resource utilization and management of staffing....SeniorHourly payFull timeTemporary workLocal areaImmediate startRelocationRelocation packageShift workNight shift
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