Senior Behavioral Health Utilization Review Clinician
Blue Shield of CA
Blue Shield of CA in Atlanta is seeking a Senior Behavioral Health Utilization Management Clinician to lead clinical reviews of mental health and substance use authorization requests. The role requires a current CA license and extensive experience in Behavioral Health Utilization Management. Candidates must showcase strong analytical skills, proficiency in Microsoft Office, and the ability to work virtually while fulfilling office requirements as needed. Join a team focused on growth and excellence in healthcare. #J-18808-Ljbffr
- Blue Shield of CA in Atlanta is seeking a Senior Behavioral Health Utilization Management Clinician to lead clinical reviews of mental health and substance use authorization requests. The role requires a current CA license and extensive experience in Behavioral Health...SeniorWork at office
- ...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
- ...Fulton Behavioral Health Crisis Center Grady Health System offers many career paths... ...Health Crisis Center The Senior Licensed Mental Health (MH) Clinician provides services to people who experience... .... May provide clinical quality review of other's work. Provides service...SeniorFull timeTemporary workWork from homeNight shift
- ...want to hear from you.Job SummaryThe Senior Licensed Mental Health (MH) Clinician provides services to people who... ...necessary. May provide clinical quality review of other's work. Provides service... ...'s degree in Counseling or Behavioral Sciences is required.Two (2) years...SeniorFull timeReliefWork from homeFlexible hoursShift work
$50 - $52 per hour
...Registered Nurse (RN) | Utilization Review Location: Atlanta, GA Agency: Compunnel Healthcare Pay: $50 to $52 per hour Shift... ...Healthcare Facilities, Acute Care and Teaching Hospitals, Health Systems, Laboratories, Pharmaceutical Companies, Medical Device...SuggestedHourly payFull timeContract workTemporary workPrivate practiceWork at officeLocal areaImmediate startShift work$2,200 - $2,320 per week
...Registered Nurse (RN) | Utilization Review Location: Atlanta, GA Agency: Compunnel Healthcare Pay: $2,200 to $2,320 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position...Full timeContract workImmediate startShift workWeekend work$2,200 - $2,320 per week
...Registered Nurse (RN) | Utilization Review Location: Atlanta, GA Agency: Compunnel Healthcare Pay: $2,200 to $2,320 per week... ...Ambulatory Healthcare Facilities, Acute Care and Teaching Hospitals, Health Systems, Laboratories, Pharmaceutical Companies, Medical...Full timeContract workTemporary workPrivate practiceImmediate startShift workWeekend work- Grady Health System offers many career paths for experienced... ...SUMMARY: The Senior Licensed Mental Health (MH) Clinician provides services to people... ...provide clinical quality review of other's work. Provides... ...degree in Counseling or Behavioral Sciences is required....SeniorFull timeWork from homeDay shift
- ...revolutionize healthcare delivery. The Senior Clinician Recruiter will play a pivotal role in... ...market compensation movement. Utilize various channels, including digital media... ...Exhibit growth mindset and team-orientated behaviors Navigate competing priorities and...SeniorLocal areaRemote work
$40 per hour
...Services, LLC is a growing CORE Behavioral Health provider dedicated to... ...experienced Clinical Documentation Reviewer & QA Consultant to support... ...is ideal for a licensed clinician or healthcare professional... ...assurance, auditing, utilization review, or healthcare compliance...Hourly payRemote workFlexible hours- ...A healthcare provider in Atlanta is seeking a Senior Licensed Mental Health Clinician to deliver essential services for individuals with serious mental... ...must hold a Master's degree in Counseling or Behavioral Sciences, possess a Georgia LCSW or LPC license, and have...SeniorFlexible hours
- ...Grade Health System in Atlanta, Georgia, is seeking a Senior Licensed Mental Health Clinician for the adult outpatient day shift. This role involves providing services to... ...necessary. A Master's degree in Counseling or Behavioral Sciences and active Georgia LCSW or LPC...SeniorDay shift
- ...Grady Health System in Atlanta, Georgia is seeking a Senior Licensed Mental Health Clinician to provide essential services to individuals with serious mental illness. This... ...will hold a Master's degree in Counseling or Behavioral Sciences, possess an active Georgia LCSW or...Senior
$82.19k - $123.29k
...Nurse Audit Senior (Operating Room) Virtual: This... ...member of the Elevance Health family of companies,... ...aberrant patterns of utilization and/or fraudulent activities... ...prepayment claims review, post payment auditing... ...associates. Our values and behaviors are the root of our...SeniorFull timeTemporary workWork experience placementLocal area1 day per week- Emory Healthcare in Atlanta is seeking a Registry Utilization Review Nurse (PRN) responsible for conducting medical necessity reviews utilizing Milliman and Interqual guidelines. This role requires effective communication with physicians, patients, and payers to ensure...Relief
- ...Nurse Case Manager Senior - Field Nurse Work location... ...to optimize member health care across the care... ...statewide resources including behavioral health, housing,... ...with development of utilization/care management policies... ...Florida law should review the education and awareness...SeniorTemporary workWork at officeLocal areaMonday to FridayAfternoon shift1 day per week
- Grady Health System is seeking a Senior Licensed Mental Health Clinician for the ACT Team to provide essential mental health services. This role involves assessment... ...will hold a Master’s degree in Counseling or Behavioral Sciences and possess an active Georgia LCSW, LPC...Senior
- ...be what you want to be. Benefits We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance... ...development, leadership programs and… more! Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity...Temporary workCasual workReliefShift work
- Grady Health System is looking for a Senior Licensed Mental Health Clinician to join the Fulton Behavioral Health Crisis Center. The clinician will provide services to individuals with serious mental illness, including assessment, treatment planning, and crisis intervention...SeniorDay shift
- ...Description View Point Health Job Title: Behavioral Health Clinician Job Code: HCP051/Social Worker, Licensed 2 Shift: Full-Time 40 hour (M-F with... ...daily to discuss client progress and 72 hour treatment reviews. Document ongoing client progress. Gathering...Full timeTemporary workFlexible hoursShift workAfternoon shift1 day per week
- ...providers to employers and health networks. Our seamless... ...can thrive. About Senior Health: One Medical... ...and integrated behavioral health models to engage... ...drive behavior change. Utilize our proprietary Electronic... ...above, practicing clinicians also receive Malpractice...SeniorFull timeTemporary workFor contractorsWork at office
- ...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...SeniorWork at officeShift work
- ...disabilities (IDD) and an adult/senior population receiving home and... ...Conduct comprehensive health assessments and ongoing evaluations... ..., nurses, therapists, behavioral health professionals, caregivers... ...wellness visits, medication reviews, and care plan updates. Support...SeniorFull time
- ...Position: Senior Clinician Location: Atlanta, GA Job Id: 1571-CDC - 23-73328 # of Openings: 1... ...and translate it into actionable public health strategies. Strong written and verbal communication... ...Contribute to data-driven projects by reviewing and synthesizing relevant materials and...SeniorTemporary workFor contractors
$78.4k - $107.8k
Humana Inc is looking for a Senior Provider Contracting Professional to manage behavioral health practitioner contracts. This remote position involves negotiations for Indiana Medicaid and Medicare, requiring strong network management skills and the ability to communicate...SeniorRemote job- ...Position Summary The Pediatric Review Nurse, as a member of a professional... ...as contracted by Alliant Health Solutions in the Medical Management and Utilization Review Contract (MMURS). The Pediatric... ...skills and positive behavior. Maintain security and confidentiality...Contract work
- A leading construction consulting firm is seeking a Technical Reviewer for its Atlanta office. This full-time role requires reviewing construction... ...and time management skills. Comprehensive benefits including health insurance and a 401k plan are offered. #J-18808-Ljbffr...SeniorFull timeWork at office
$79.2k - $129.6k
Elevance Health is seeking a Medical Underwriter Sr (Clinical Review) in Atlanta, GA. This role involves determining the acceptability of medically underwritten risks for complex cases while working in a hybrid environment. Candidates will collaborate with sales and actuarial...Senior- ...Hybrid Review Nurse Are you a bedside nurse seeking a change... ...you answered "yes", Alliant Health Solutions, a "2025 Best Place... ...its Prior Authorization and Utilization Management (PA/UM) team. The... ...communication skills and positive behaviors Maintain security and confidentiality...Contract work
- Job Summary The Senior Licensed Mental Health (MH) Clinician provides services to people who experience serious mental illness. This includes assessment,... ...necessary. The clinician may also conduct clinical quality reviews of other clinicians’ work. The role involves service...SeniorWork from homeFlexible hoursDay shift
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