More jobs:
Behavioral Health Utilization Mgmt Clinician, Experienced
Job in
Cameron Park, El Dorado County, California, USA
Listed on 2026-02-01
Listing for:
Blue Shield of California
Full Time
position Listed on 2026-02-01
Job specializations:
-
Healthcare
Mental Health, Healthcare Administration
Job Description & How to Apply Below
Your Role
The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The Behavioral Health Utilization Management Clinician, Experienced, 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.
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