Current jobs related to Licensed Clinician, Senior - El Dorado Hills - Blue Shield of California


  • Blue Shield of California El Dorado Hills

    Your Role · As a Licensed Clinician, Senior (ABA Case Manager) at Blue Shield of California, you will play a critical role in helping members with behavioral health needs navigate the healthcare system. · This is an ideal opportunity for professionals with a background and experi ...


  • Blue Shield of California El Dorado Hills

    Your Role · The Behavioral Health Utilization Management team conducts reviews and approvals for members using Blue Shield of California's evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. · You will report to the ...


  • Blue Shield of CA El Dorado Hills

    **Behavioral Health Utilization Management Clinician, Senior Role Overview · The Behavioral Health Utilization Management team performs prospective and concurrent utilization reviews and first-level determinations for members using BSC evidenced-based guidelines, policies, and na ...


  • Blue Shield of CA El Dorado Hills

    Your Role: · The Behavioral Health Care Management Clinician, Senior works closely with the Manager, Care Management- Behavioral Health to support members with behavioral health needs. This includes facilitating linkages to behavioral health providers, treatment, and programs, as ...


  • TieTalent Shingle Springs

    Licensed Clinician, Senior (Board Certified Behavioral Analyst) · Job Description · Your Role: · The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines for nationally recognized levels of care ...


  • DaVita Shingle Springs

    Your Role · The Behavioral Health Utilization Management team conducts prospective utilization reviews for our members, adhering to nationally recognized levels of care guidelines. They collaborate directly with the Member, Member's Family, and Interdisciplinary Care Team to achi ...


  • DaVita Rancho Cordova

    Your Role: Behavioral Health Utilization Management · The Behavioral Health Utilization Management team performs prospective utilization review for our members, ensuring correct application of nationally recognized levels of care guidelines. They collaborate with the Member, Memb ...


  • Blue Shield Of California Rancho Cordova

    Job Description · Your Role · Reporting to the Manager, Care Management- Behavioral Health, the Licensed Clinician, Senior (ABA Case Manager) helps members with behavioral health needs navigate the health care system for linkages to behavioral health providers, treatment, and pro ...


  • Blue Shield of CA Rancho Cordova

    **Behavioral Health Utilization Management Clinician, Senior Role** · The Behavioral Health Utilization Management team conducts clinical reviews of mental health and substance use authorization requests to ensure medical necessity, coding accuracy, medical policy compliance, and ...


  • Blue Shield of California Rancho Cordova $100,000 - $125,000 per year

    Your Role · The Behavioral Health Utilization Management team plays a critical role in ensuring that our members receive the highest quality care by conducting prospective and concurrent utilization reviews. As a Senior Behavioral Health Utilization Management Clinician, you will ...


  • Blue Shield of CA Rancho Cordova

    Your Key Responsibilities · As a Behavioral Health Care Management Clinician, Senior at Blue Shield of CA, you will play a vital role in helping members navigate the healthcare system to access behavioral health providers, treatments, and programs. This includes assessing their e ...


  • EmpowerMe Wellness El Dorado Hills

    Overview: · Licensed Certified Occupational Therapy Assistant (COTA) - Care Coordination Program · Occupational Therapy + Care Coordination: The Best of Both Worlds · We're looking for Certified Occupational Therapy Assistants to support our innovative new care coordination progr ...


  • CenterWell Home Health El Dorado $71,100 - $117,500 per year

    Become a part of our caring community and help us put health first · As a therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence—all from the comfort of their homes. By delivering personalized care that focuses ...


  • EmpowerMe Wellness El Dorado Hills

    · Licensed Certified Occupational Therapy Assistant COTA - Care Coordination - Part-Time or Full-Time at EmpowerMe Wellness summary: · Licensed Certified Occupational Therapy Assistants (COTAs) provide occupational therapy and support care coordination in senior living communiti ...


  • EmpowerMe Wellness El Dorado Hills

    Overview: Licensed Certified Occupational Therapy Assistant (COTA)- Care Coordination Program · ">We're seeking a Certified Occupational Therapy Assistant to support our innovative care coordination program This opportunity empowers you to practice at the top of your license, whi ...


  • EmpowerMe Wellness El Dorado Hills, CA

    EmpowerMe Wellness: Where Care Meets Wellness · Licensed Certified Occupational Therapy Assistant (COTA) - Care Coordination Program: · Occupational Therapy + Care Coordination: The Best of Both Worlds · We are seeking a certified occupational therapy assistant to support our inn ...


  • EmpowerMe Wellness Folsom

    Overview · Licensed Clinic Director - Care Coordination Program · Therapy + Care Coordination: The Best of Both Worlds We're looking for a licensed therapist to support our innovative new care coordination program. This opportunity empowers you to practice at the top of your lice ...


  • EmpowerMe Wellness Folsom

    EmpowerMe Wellness Job Description · We are seeking a licensed Physical Therapist (PT) to join our care coordination program. As a PT, you will have the opportunity to practice at the top of your license while branching out into care coordination duties. · This position offers fl ...


  • EmpowerMe Wellness Folsom

    · Clinic Director I - Licensed Therapist OT/PT - Care Coordination at EmpowerMe Wellness summary: · The Clinic Director I - Licensed Therapist OT/PT leads therapy and care coordination programs within senior living communities, enhancing seniors' independence and well-being acro ...


  • Fox Rehabilitation Fair Oaks

    Senior Living Community (SLC) Lead Clinician · We are seeking a top-tier Physical Therapist to lead our Senior Living Community (SLC) team as the Lead Clinician. · Key Responsibilities: · Support staff development, in-service scheduling, and tracking · Drive resident engagement a ...


  • EmpowerMe Wellness Orangevale

    Licensed Clinic Director - Care Coordination Program · We are seeking a licensed therapist to support our innovative new care coordination program, empowering you to practice at the top of your license while giving you the chance to branch out into care coordination duties design ...

  • Licensed Clinician, Senior - El Dorado Hills - Blue Shield of California

    Blue Shield of California
    Blue Shield of California El Dorado Hills

    1 week ago

    Default job background
    Description

    Your Role

    The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines for nationally recognized levels of care.

    They collaborate directly with the Member, Member's Family, and Interdisciplinary Care Team to achieve consensus and promote positive Member health outcomes through the assessment, planning, implementation, and evaluation of the Member's Care Plan.

    The Licensed Clinician, Senior will report to the Manager, Behavioral Health Utilization Management. In this role you will be working with both the Utilization and Care Management teams who provide utilization management, telephonic triage, and care management assistance to members requesting access to Applied Behavioral Analysis (ABA) benefit.

    This role has a primary function of utilization management for our members seeking Behavioral Health Treatment (BHT).

    Your Work

    • Perform prospective utilization reviews and first-level determination for members using BSC evidenced-based guidelines, policies, and/or nationally recognized clinical criteria.
    • Review Functional Behavioral Assessments (FBA) and Board Certified Behavior Analyst (BCBA) Assessments submitted by providers for adherence to BACB

Jobs
>
El Dorado Hills
>
Licensed clinician, senior