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Part Time Insurance Utilization Review Jobs in California

First Steps Recovery

AOD Counselor

Clovis, CA · On-site

$21 - $28/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

PTO / Sick Leave Plans for full time and part time employees * Free Employee Assistance Program for ... Cooperate with health insurance clinical utilization reviews. Provide daily Progress Notes and ...

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Quincey Law, P.C.

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Paralegal - Legal Office Assistant

Dana Point, CA · On-site

$25 - $30/hr

The Part-Time Insurance Bad Faith/Personal Injury Paralegal/Legal/Office Assistant supports a busy ... Review and acquire client declarations, ensuring accuracy and completeness * Interact with clients ...

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All JobsInsurance Utilization Review JobsPart Time Insurance Utilization Review JobsPart Time Insurance Utilization Review Jobs in California

Part Time Insurance Utilization Review information

What is the difference between Part Time Insurance Utilization Review vs Part Time Claims Reviewer?

AspectPart Time Insurance Utilization ReviewPart Time Claims Reviewer
CredentialsTypically requires insurance or healthcare-related certificationsOften requires insurance or claims processing certifications
Work EnvironmentHealthcare settings, insurance companies, or third-party administratorsInsurance companies, claims processing centers, or third-party administrators
Job FocusEvaluating medical necessity and appropriateness of servicesReviewing and processing insurance claims for accuracy and coverage

Part Time Insurance Utilization Review and Part Time Claims Reviewer roles both involve insurance industry work, but focus on different aspects. Utilization review centers on assessing medical necessity, while claims reviewers handle processing and verifying claims. Understanding these differences helps job seekers find the right fit based on their skills and interests.

What are the most commonly searched types of Insurance Utilization Review jobs in California?

The most popular types of Insurance Utilization Review jobs in California are:

What cities in California are hiring for Part Time Insurance Utilization Review jobs?

Cities in California with the most Part Time Insurance Utilization Review job openings:

Part Time Insurance Utilization Review jobs near you

Clinical Director II - Part-Time Hybrid

Turning Point Community Programs

Sacramento, CA • Hybrid

$41 - $43.51/hr

Part-time

Re-posted 28 days ago

Turning Point Community Programs rating

8.1

Company rating: 8.1 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

Job description

Turning Point Community Programs is seeking a part-time Clinical Director II for our Sac Kaiser TBS program in Sacramento. Turning Point Community Programs (TPCP) provides integrated, cost-effective mental health services, employment and housing for adults, children and their families that promote recovery, independence and self-sufficiency. We are committed to innovative and high quality services that assist adults and children with psychiatric, emotional and/or developmental disabilities in achieving their goals. Turning Point Community Programs (TPCP) has offered a path to mental health and recovery since 1976. We help people in our community every single day – creating a better space for all types of people in need. Join our mission of offering hope, respect and support to our clients on their journey to mental health and wellness.

Schedule: 10 hours per week, schedule has some flexiblity, Wednesdays 10-12 required. Position is hybrid.

Compensation: $41.00 - $43.51 per hour

GENERAL PURPOSE

Under the administrative supervision of the Program Director, this position is responsible for the clinical supervision of Personal Service Coordinators, Interns; and assisting the Program Director in the functioning of the program.

DISTINGUISHING CHARACTERISTICS

This is an at-will leadership position within a program. Additionally, this position is responsible for the day-to-day supervision of assigned staff who perform the established duties of the program. This is a management position responsible for ensuring that clinical needs of members are met, and that necessary paperwork is complete and accurate.

ESSENTIAL DUTIES AND RESPONSIBILITIES – (ILLUSTRATIVE ONLY)

The duties listed below are intended only as illustrations of the various types of work that could be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this class

  • Provides individual and group therapy under supervision of LCSW or MFCC.
  • Assists teams with coordination and service plans that reflect measurable objectives; assists teams in prioritizing resources to complete paperwork requirements per county and outlining areas for improvement in documentation.
  • Ensures that paperwork standards are met.
  • Problem solves communication difficulties between staff and members by providing interventions to enhance communication.
  • Provides in-service training and workshops.
  • Reviews and completes Denial of Rights Forms when indicated.
  • Visits members periodically to provide direction and support.
  • Provides prompt intervention in the event of a crisis both to stop the crisis and to notify, when indicated, persons and agencies necessary for the resolution of the crisis situation; provides “on-the-spot” counseling that is both helpful to the members and consistent with the philosophy of the program.
  • Ensures the safety, health, and well being of the members.
  • Completes paperwork as assigned in a timely manner.
  • Enforces the policies and procedures of Turning Point Community Programs.
  • Represents the agency at County utilization review; participates in off-site trainings and provides in-service training for all staff.
  • Conducts Quality Management activities as directed by the Clinical Director and Team Leader, such as preparation for county Utilization and Review audits, internal audits, review of services provision and charting, and other projects as assigned.
  • Facilitate groups, provide individual and family therapy, and update diagnosis for clients not receiving medication management services from the program psychiatrist.
  • Ensures the safety, health, and wellbeing of the members.

Interested? Join us at our open interviews on Wednesdays from 2-4PM,

located at 10850 Gold Center Drive, Suite 325, Rancho Cordova, CA 95670

-or-

CLICK HERE TO APPLY NOW!

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