Blue Cross and Blue Shield of Louisiana

Behavioral Health Utilization Reviewer

Blue Cross and Blue Shield of Louisiana

4 days ago
Los Angeles, CA
Onsite
Full Time
Senior
0 applicants
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Blue Cross and Blue Shield of Louisiana
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About this role

A Behavioral Health Utilization Reviewer at Blue Cross ensures the medical necessity and appropriateness of behavioral health services through clinical reviews of service requests, claims, and appeals. The role involves applying clinical guidelines, collaborating with medical directors, and communicating decisions to providers and members.

Skills

Qualifications

Bachelor’s degree in nursing, healthcare, or a related field OR master’s degree in social work, counseling, or behavioral healthRN license in Louisiana can OR LPN license in Louisiana + 2 years of related experience can replace the bachelor’s degreeAt least 3 years of clinical or patient care experience in behavioral healthMust have one of the following: LPC, PLPC, LCSW, LMFT, LMSW, LPN, or RN
Blue Cross and Blue Shield of Louisiana

About Blue Cross and Blue Shield of Louisiana

lablue.com

We offer health insurance including medical, dental, Medicare Advantage and prescription drug coverage to individuals, families and employers.

About Blue Cross and Blue Shield of Louisiana

Headquarters

San Francisco, CA

Company Size

201-500 employees

Founded

2018

Industry

Technology

Glassdoor Rating

4.2 / 5

Leadership Team

Sarah Johnson

Chief Executive Officer

Michael Chen

Chief Technology Officer

Emily Williams

VP of Engineering

David Rodriguez

VP of Product

Jessica Thompson

Chief Financial Officer

Andrew Park

VP of Sales

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