Talent.com
Behavioral Health Appeals Clinician
Behavioral Health Appeals ClinicianVirtualVocations • Oxnard, California, United States
Behavioral Health Appeals Clinician

Behavioral Health Appeals Clinician

VirtualVocations • Oxnard, California, United States
2 days ago
Job type
  • Full-time
Job description

A company is looking for a Clinical Review Clinician Appeals - Behavioral Health.

Key Responsibilities

Performs clinical reviews to resolve and process appeals by analyzing medical records and clinical data

Ensures timely review and response to appeals in accordance with relevant standards

Communicates with members, providers, and other departments regarding appeals requests

Required Qualifications, Training, and Education

Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing

2 - 4 years of related experience

RN, LCSW, or LPC licensure required

Knowledge of NCQA, Medicare, and Medicaid regulations preferred

Knowledge of utilization management processes preferred

Create a job alert for this search

Behavioral Health Clinician • Oxnard, California, United States

Related jobs
Arizona Licensed Behavioral Health Clinician

Arizona Licensed Behavioral Health Clinician

VirtualVocations • San Buenaventura, California, United States
Full-time
A company is looking for an AZ Licensed Clinician : LCSW in Behavioral Health and Family Medicine.Key Responsibilities Provide customized care and treatment plans for patients in assigned Care Pod...Show more
Last updated: 30+ days ago • Promoted
Behavioral Health Clinician-243813

Behavioral Health Clinician-243813

Medix • Oxnard, CA, United States
Full-time
Oxnard, CA (Elementary & High School Sites).Monday – Friday, 8 : 00 AM – 5 : 00 PM.An established behavioral health organization in Ventura County is seeking a compassionate and adaptable.This role wil...Show more
Last updated: 22 hours ago • Promoted • New!
Licensed Behavioral Health Therapist

Licensed Behavioral Health Therapist

VirtualVocations • Oxnard, California, United States
Full-time
A company is looking for a Behavioral Health Outpatient Therapist to provide mental health support remotely.Key Responsibilities Utilize specialized clinical knowledge and skills in psychotherapy...Show more
Last updated: 21 hours ago • Promoted • New!
Behavioral Health Therapist / Case Manager - LMFT, LCSW, LPCC - Ventura

Behavioral Health Therapist / Case Manager - LMFT, LCSW, LPCC - Ventura

Kaiser • VENTURA, California, United States
Full-time
The Psychiatric Social Worker is a member of an interdisciplinary team who provides direct assessment, diagnosis formulation, treatment planning, treatment intervention and psycho-education to memb...Show more
Last updated: 30+ days ago • Promoted
Licensed Behavioral Health Advocate

Licensed Behavioral Health Advocate

VirtualVocations • Oxnard, California, United States
Full-time
A company is looking for a Behavioral Health Care Advocate - Utilization Management - Remote.Key Responsibilities Manage and administer behavioral health benefits for facility-based care Utilize...Show more
Last updated: 30+ days ago • Promoted
Outpatient Clinical Director - Mental Health 146

Outpatient Clinical Director - Mental Health 146

Telecare Corporation • Ventura, CA, United States
Full-time
They made it easier for me to live, breathe, eat, and stay clean.Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live. Client from Orange County Region.Telecare's ...Show more
Last updated: 30+ days ago • Promoted
Licensed Utilization Review Clinician

Licensed Utilization Review Clinician

VirtualVocations • San Buenaventura, California, United States
Full-time
A company is looking for a Utilization Review Clinician - ABA.Key Responsibilities Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services Performs prior ...Show more
Last updated: 30+ days ago • Promoted
Psychiatric Technician - Statewide in CA

Psychiatric Technician - Statewide in CA

California Department of Corrections and Rehabilitation • Frazier Park, California, US
Full-time
Psychiatric Technician - Statewide in CA Position : Psychiatric Technician Location : Statewide - Multiple Locations Throughout California Annual Salary Range : $71,460 - $105,084 California Correctio...Show more
Last updated: 30+ days ago • Promoted
RN Clinical Appeals Specialist

RN Clinical Appeals Specialist

VirtualVocations • San Buenaventura, California, United States
Full-time
A company is looking for a Clinical Appeals RN - Remote.Key Responsibilities Perform initial assessments of appeals, medical records, and compliance with coverage criteria Identify additional in...Show more
Last updated: 30+ days ago • Promoted
Clinical Director (LMFT, LCSW, LPCC, Psy. D) - Mental Health - 333

Clinical Director (LMFT, LCSW, LPCC, Psy. D) - Mental Health - 333

Telecare Corporation • Camarillo, CA, United States
Full-time
Sign On / Relocation Bonus $7,500.They made it easier for me to live, breathe, eat, and stay clean.Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live.Client from ...Show more
Last updated: 30+ days ago • Promoted
Licensed Behavioral Health Clinician

Licensed Behavioral Health Clinician

VirtualVocations • San Buenaventura, California, United States
Full-time
A company is looking for a Utilization Review Clinician - Behavioral Health.Key Responsibilities Evaluates treatment for mental health and substance abuse to ensure medical appropriateness Perfo...Show more
Last updated: 30+ days ago • Promoted
Clinical Director (LMFT, LCSW, LPCC, Psy. D) - Mental Health - 333

Clinical Director (LMFT, LCSW, LPCC, Psy. D) - Mental Health - 333

Telecare • Camarillo, CA, US
Full-time
Clinical Director (LMFT, LCSW, LPCC, Psy.Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals with complex needs in recovering their health, h...Show more
Last updated: 30+ days ago • Promoted
Mental Health Therapist (LCSW, LMFT, & LPCC) - Hybrid Role - Goleta, CA

Mental Health Therapist (LCSW, LMFT, & LPCC) - Hybrid Role - Goleta, CA

LifeStance Health • Goleta, CA, US
Full-time
We are actively looking to hire talented therapists in the Goleta area, who are passionate about patient care and committed to clinical excellence. Wanting to deliver high quality behavioral healthc...Show more
Last updated: 30+ days ago • Promoted
California Licensed Behavioral Health Advocate

California Licensed Behavioral Health Advocate

VirtualVocations • Oxnard, California, United States
Full-time
A company is looking for a Behavioral Health Care Advocate - UM (Remote in CA).Key Responsibilities Handle inbound calls from providers and members in a call center environment Conduct initial c...Show more
Last updated: 30+ days ago • Promoted
Clinical Social Worker

Clinical Social Worker

California Department of Corrections and Rehabilitation • PORT HUENEME, California, US
Full-time
Position : Clinical Social Worker Increased Salaries are Just the Beginning… The past few years have seen dramatic shifts in the health care landscape. California Correctional Health Care Services (C...Show more
Last updated: 30+ days ago • Promoted
Licensed Professional Clinical Counselor (LPCC)

Licensed Professional Clinical Counselor (LPCC)

Gotham Enterprises Ltd • Oxnard, CA, US
Full-time +1
Quick Apply
We're Hiring : Licensed Professional Clinical Counselor (LPCC) | California .Are you a skilled and compassionate Licensed Professional Clinical Counselor (LPCC) looking to empower individuals o...Show more
Last updated: 30+ days ago
Missouri Licensed Behavioral Health Case Manager

Missouri Licensed Behavioral Health Case Manager

VirtualVocations • Oxnard, California, United States
Full-time
A company is looking for a Behavioral Health Case Manager to provide support and advocacy for members with mental health conditions. Key Responsibilities Facilitate member education and caregiver ...Show more
Last updated: 2 days ago • Promoted
North Carolina Licensed Intake Clinician

North Carolina Licensed Intake Clinician

VirtualVocations • San Buenaventura, California, United States
Full-time
A company is looking for an Intake Clinician to join their team remotely in Asheville, NC.Key Responsibilities Conduct screenings and level of care assessments utilizing clinical expertise Facil...Show more
Last updated: 30+ days ago • Promoted