Sr. Manager, Behavioral Health Utilization Management
4 days ago
Your Role
The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews by apply evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Sr. Manager, Program Management Clinical will report to the Director, Behavioral Health Utilization Management. In this role you will be responsible for managing all aspects of day-to-day operations of the Behavioral Health UM program, including adherence to regulatory compliance and direct oversight of performance quality. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high performing teams, getting results the right way, and fostering continuous learning.
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Long Beach, California, United States BSC Full time $80,000 - $120,000 per yearYour RoleThe Behavioral Health Operations Oversight team maintains program integrity and ensures compliance with regulatory and accreditation standards. The Program Manager, Principal, Behavioral Health Audits & Accreditation will report to the Senior Manager, Behavioral Health Audits & Accreditation. In this role you will support Blue Shield's Behavioral...
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Long Beach, California, United States 360 Behavioral Health Full time $80,000 - $90,000 per year$5,000 Sign- On BonusSpanish Bilingual Preferred, or must be open to using translation devices/apps such as Google TranslateWho are we?360 Behavioral Health provides exceptional care for individuals with autism and developmental delays. With over 30 years of expertise, we are a leading authority in ABA-based behavioral health services. Founded by a...
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Licensed Mental Health Counselor
1 day ago
Long Beach, California, United States CHE Behavioral Health Services Full time $100,000 - $138,000OverviewCHE Behavioral Health is currently seeking full or part time Licensed Mental Health Counselor (LMHC) in Long Beach/ Nassau County, NY.When you choose CHE Behavioral Health, you will be joining a leading APA-approved, clinician-led behavioral health company CHE provides superior behavioral health services to more than 100,000 patients in 800+...
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Case Manager
6 days ago
Long Beach, California, United States Harborview Center Behavioral Health Full time $60,000 - $90,000 per yearPosition Description:As a Case Manager, youll provide a full range of direct and indirect mental health case management services to support the individuals we serve. Youll be a key part of the treatment team, helping to ensure care is coordinated, documented, and delivered with compassion and professionalism. This role is ideal for someone who thrives on...
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Utilization Management Review Nurse
5 days ago
Huntington Beach, California, United States Clever Care Health Plan Full time $75,000 - $85,000Job Details Job Location: Huntington Beach Office - Huntington Beach, CA Position Type: Full Time Salary Range: $ $ Salary DescriptionAre you ready to make a lasting impact and transform the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership...
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Manager, Medical Management
5 days ago
Long Beach, California, United States SCAN Health Plan Full time $92,400 - $133,671 per yearSCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 277,000 members in California, Arizona, Nevada, Texas and New Mexico. SCAN has...
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Newport Beach, California, United States True Behavioral Health LP Full time $42,000 - $72,000 per yearThe Behavioral Health Technician will provide care and services at the detox and residential levels of care. They will help the Health Care Practitioner and LVNs by carrying out patients' treatment plans. The Behavioral Health Technician will be responsible to provide safe, effective, and efficient implementation of direct care in accordance with established...
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Long Beach, California, United States Mental Health America of Los Angeles Full time $60,000 - $80,000 per yearMental Health America of Los Angeles (MHALA) has been a pioneer in mental health service, advocacy, innovation, and training for nearly a century, working to ensure that people with mental health needs achieve meaningful, healthy lives in their communities.MHALA is among the largest and most comprehensive nonprofit mental health agencies in Los Angeles...
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Manager of Eligibility and Capitation
3 days ago
Long Beach, California, United States Advanced Medical Management Full time $80,000 - $120,000 per yearPosition Overview:The Manager of Eligibility, and Capitation will be responsible for the day-to-day management of eligibility verification, and capitation processes within the MSO. This position supports accurate and timely data exchange between the MSO, payors, and provider networks, ensuring proper handling of member eligibility, claims, and capitation...
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Managing Director Right of Way
1 day ago
Long Beach, California, United States Gannett Fleming, Inc. Full time $200,000 - $260,000GFT is seeking a Managing Director to support a variety of projects in the West Region. This role follows a hybrid work model, requiring regular attendance at our Long Beach office. Working on the Transportation team at GFT offers the opportunity to engage in transformative projects that enhance transportation infrastructure and improve community...
