Licensed Clinician, Senior

About the RoleThe Behavioral Health Utilization Management team at Blue Shield of California performs prospective, concurrent, and retrospective utilization reviews and first-level determination approvals for members using evidence-based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business.The Senior Licensed...

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Licensed Clinician,...

Job DescriptionYour RoleThe Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The...

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Licensed Clinician,...

About the RoleWe are seeking a highly skilled and experienced Licensed Clinician, Senior to join our Behavioral Health Utilization Management team at Blue Shield of California. In this critical role, you will play a key part in ensuring that our members receive the highest quality care and support.Key ResponsibilitiesConduct Clinical Reviews: Perform...

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Licensed Clinician,...

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Licensed Clinician,...

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Licensed Clinician,...

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Licensed Clinician,...

Your RoleThe Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Licensed Clinician,...

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Licensed Clinician,...

Job DescriptionYour Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The...

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Licensed Clinician,...

Job DescriptionYour RoleThe Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The...

Job DescriptionYour RoleThe Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The...

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Licensed Clinician,...

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Licensed Clinician,...

Your Role Reporting to the Senior Manager, Case Management - Behavioral Health, the Case Management – Clinician, Senior (Behavioral Health Care Manager) helps members with behavioral health needs navigate the health care system for linkages to behavioral health providers, treatment, and program. The Case Management – Clinician, Senior will offer support...

Your Role Reporting to the Senior Manager, Case Management - Behavioral Health, the Case Management – Clinician, Senior (Behavioral Health Care Manager) helps members with behavioral health needs navigate the health care system for linkages to behavioral health providers, treatment, and program. The Case Management – Clinician, Senior will offer support...

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using Blue Shield of California (BSC) evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Licensed Clinician,...