We have other current jobs related to this field that you can find below
-
Licensed Clinician
1 month ago
Atlantic City, United States Senior Care Therapy Full timeJob Description Licensed Mental Health Counselor LMHC, Licensed Marriage and Family Therapist LMFT What We Offer: No Admin Tasks! No cancellations! No no-shows! Flexible Daytime Hours We offer our clinicians with the support and resources they need to succeed! 401(k) Plan for FT or PT employees Full Time offers Excellent Health, Vision, and...
-
Licensed Clinician
1 month ago
Oklahoma City, United States Real Life Counseling Full timeReal Life Counseling is a private practice in Clark County, WA. It provides mental health outpatient therapy in a private practice setting, utilizing in-office and tele-health/virtual services. We work with clients utilizing a combination of Medicaid/Medicare Funded Insurances, Private Insurances, and Private Pay. 1099 Independent Contractor Licensed...
-
Senior Clinician
1 month ago
Iowa City, United States COVENANT FAMILY SOLUTIONS, LLC Full timeReady to take your leadership to the next level? Covenant Family Solutions is on the lookout for a dynamic Senior Clinician to join our team! 🌟 Your Impact: Lead and inspire a dedicated team of Nurse Practitioners, Nursing Assistants, Licensed Mental Healthcare Providers, and Administrative Assistants. Manage your own client caseload while ensuring a...
-
Senior Clinician
3 months ago
Iowa City, United States Covenant Family Solutions Full timeJob DescriptionJob DescriptionReady to take your leadership to the next level? Covenant Family Solutions is on the lookout for a dynamic Senior Clinician to join our team!🌟 Your Impact:Lead and inspire a dedicated team of Nurse Practitioners, Nursing Assistants, Licensed Mental Healthcare Providers, and Administrative Assistants.Manage your own client...
-
Senior Clinician
1 month ago
Iowa City, United States COVENANT FAMILY SOLUTIONS, LLC Full timeReady to take your leadership to the next level? Covenant Family Solutions is on the lookout for a dynamic Senior Clinician to join our team! ???? Your Impact: Lead and inspire a dedicated team of Nurse Practitioners, Nursing Assistants, Licensed Mental Healthcare Providers, and Administrative Assistants. Manage your own client caseload while ensuring a...
-
Licensed Clinician
1 month ago
Oklahoma City, United States ENDEAVORS UNLIMITED INC Full timeJob Details Job Location Eagle Lake, TX Position Type Full-Time Education Level Masters Degree Salary Range $79,040.00 Salary Travel Percentage Less than 10% Job Shift Various Shifts Description JOB PURPOSE: The Clinician at the Eagle Lake Children’s Center provides professional therapeutic services on a regular basis to unaccompanied minor...
-
Senior Clinician
4 weeks ago
Iowa City, United States COVENANT FAMILY SOLUTIONS, LLC Full timeSenior Clinician are leaders in our clinics! Qualified candidates are a Licensed Mental Healthcare Provider. POSITION SUMMARY: Oversight of Nurse Practitioners, Nursing Assistants, Licensed Mental Healthcare Providers and Administrative Assistants while managing their own client caseload. This position is responsible for ensuring a high quality of care is...
-
Licensed Clinical Social Worker, LCSW
3 weeks ago
Union City, United States Senior Care Therapy Full timeJob DescriptionJob DescriptionLicensed Clinical Social Worker LCSWWhat We Offer:No Admin Tasks! No cancellations! No no-shows! Flexible Daytime Hours We offer our clinicians with the support and resources they need to succeed! 401(k) Plan for FT or PT employees Full Time offers Excellent Health, Vision, and Dental Insurance Benefits Full Time offers...
-
Licensed Clinician
2 months ago
Jersey City, United States CarePoint Health Full timeAbout Us: CarePoint Health is one of New Jerseys leading health care systems comprised of three long-standing and highly-regarded hospitals Christ Hospital in Jersey City, Hoboken University Medical Center and Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical facilities and...
-
Licensed Clinical Social Worker, LCSW
3 weeks ago
New York City, United States Senior Care Therapy Full timeLicensed Clinical Social Worker LCSW What We Offer: No Admin Tasks! No cancellations! No no–shows! Flexible Daytime Hours We offer our clinicians with the support and resources they need to succeed! 401(k) Plan for FT or PT employees Full Time offers Excellent Health, Vision, and Dental Insurance Benefits Full Time offers...
-
Licensed Clinician
3 weeks ago
Jersey City, United States CarePoint Health Management Associates Full timeCarePoint Health is one of New Jersey’s leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical facilities and physician...
-
Licensed Clinician
3 months ago
Jersey City, United States CarePoint Health System Full timeAbout Us CarePoint Health is one of New Jersey’s leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical...
-
Licensed Clinician
3 months ago
Jersey City, United States CarePoint Health Full timeAbout Us CarePoint Health is one of New Jersey’s leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical facilities and...
-
Senior Behavioral Health Clinician
3 days ago
Iowa City, United States University of Iowa Full timeThe Office of Student Affairs and Curriculum (OSAC) is seeking a Senior Behavioral Health Clinician to address psychological needs of medical and physician assistant students through individual, group, and/or couples counseling. Provide outreach and programming aimed at improving students' well-being. Collaborate with other mental health professionals in...
-
Senior Behavioral Health Clinician
3 weeks ago
Oklahoma City, United States UnitedHealth Group Full timeFor those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Refresh Center, part of the Optum family of businesses, is seeking a Senior Behavioral Health Clinician (Therapist) to...
-
Licensed Mental Health Clinician
3 months ago
Gig Harbor, United States LifeStance Health Full timeIs this you?Wanting to deliver high quality behavioral healthcare.Seeking work life balance.Interested in growing professionally.What we offer Therapists:Flexible work schedules. Telemedicine and in-person flexibility. Generous ‘above market’ compensation with unlimited/uncapped earnings. Full benefits package: health, dental, vision, life, 401k (with...
-
Medical Health Clinician
7 days ago
Oklahoma City, OK, United States UnitedHealth Group Full timeRefresh Center, part of the Optum family of businesses, is seeking a Senior Behavioral Health Clinician to join our team in Oklahoma City, OK. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Behavioral Care Team, you'll be an integral part of our vision to make healthcare better for...
-
Senior Behavioral Health Clinician
7 days ago
Oklahoma City, OK, United States UnitedHealth Group Full timeRefresh Center, part of the Optum family of businesses, is seeking a Senior Behavioral Health Clinician to join our team in Oklahoma City, OK. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Behavioral Care Team, you'll be an integral part of our vision to make healthcare better for...
-
Senior Behavioral Health Clinician
3 days ago
Iowa City, United States NA Full timeThe Office of Student Affairs and Curriculum (OSAC) is seeking a Senior Behavioral Health Clinician to address psychological needs of medical and physician assistant students through individual, group, and/or couples counseling. Provide outreach and programming aimed at improving students' well-being. Collaborate with other mental health professionals in...
-
Licensed Clinician
2 weeks ago
Jersey City, United States EDNI Counseling Services, LLC Full timeWho We Are: EDNI Counseling Services is excited to expand our services to include outpatient care. As a community-based organization, we provide short-term Intensive In-Community (IIC) counseling to support youth and their families in developing positive, effective, strength-based, personalized skills for a healthy and productive life. We are thrilled to...
![Blue Shield Of California](https://media.trabajo.org/img/noimg.jpg)
Licensed Clinician, Senior
1 month ago
Your Role
The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The Licensed Clinician, Senior, will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role you will conduct clinical review of mental health and substance use authorization requests at various levels of care for medical necessity, coding accuracy, medical policy compliance and contract compliance.
Your Work
In this role, you will:
- Perform prospective, concurrent and retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare as needed
- Ensure discharge (DC) planning at levels of care appropriate for the members needs and acuity; prepare and present cases to Medical Director (MD) for medical director oversight and necessity determination
- Develop and review member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standards and identify potential quality of care issues, service or treatment delays and intervenes or as clinically appropriate
- Provide information to facilities and providers regarding community treatment resources, mental health care management programs, company policies and procedures, and medical necessity criteria
- Interact with Physician Advisors to discuss clinical questions and concerns regarding specific cases
- Actively participate in Interdisciplinary Team Meetings and case consultations with Licensed Manager
- Recognize the members right to self-determination as it relates to the ethical principle of autonomy, including the members/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare team
- Support team through consistent and successful caseload management and workload to achieve team goals, regulatory timelines, and accreditation standards
Your Knowledge and Experience
- Requires a current CA LCSW, LMFT, LPCC, or Licensed psychologist
- Requires at least 5 years of prior experience in healthcare related field
- Proficient with Microsoft Excel, Outlook, Word, Power Point, and the ability to learn and utilize multiple systems/databases
- Excellent analytical, communication skills, written skills, time management, and organizational skills
- Possess excellent interpersonal, organizational, and communication skills, positive attitude, and high level of initiative
- Requires understanding of behavioral health utilization management including application of multiple standardized clinical criteria sets including but not limited to MCG guidelines, nonprofit association guidelines, and various Medicare guidelines
- Ability to identify problems and works towards problem resolution independently, seeking guidance as needed
Pay Range:
The pay range for this role is: $ 87230.00 to $ 130900.00 for California.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.