Behavioral Health Utilization Mgmt Clinician, Senior

3 days ago
California — Hybrid$90K - $153KFull TimeBehavioral Health
✓ No Call✓ No Weekends

Job Description

About the Role

Join Blue Shield of California as a Behavioral Health Utilization Manager – Senior, Hybrid in United States.

Key Responsibilities

  • conduct clinical review of mental health and substance use authorization requests at various levels of care.

Requirements

  • roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork
  • Activity level: Sedentary, frequency most of work day. Please click here for further physical requirement detail. [https://www. blueshieldca. com/physical

Benefits & Compensation

  • Salary: $90K - $153K

Work Schedule

  • Full-Time position.
  • Hybrid position - combination of remote and on-site.

Apply to join Blue Shield of California as a Behavioral Health Utilization Manager – Senior, Hybrid.

Key Skills

Behavioral Health Utilization ManagementClinical ReviewMedical NecessityCoding AccuracyMedical Policy ComplianceContract ComplianceMCG GuidelinesMedicare GuidelinesMedical TerminologyDiagnostic TermsTreatment ModalitiesMicrosoft ExcelAnalytical SkillsCommunication SkillsTime ManagementOrganizational Skills
HealthcareManagement & LeadershipSocial Servicesvia Oraclecloud

Position Insights

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Behavioral Health Utilization Mgmt Clinician, Senior at Blue Shield of California a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Behavioral Health physician listings evaluated on our platform. Contributing factors include no on-call duties, no weekend requirements, remote work flexibility.

This score reflects a generally positive work environment with some areas for improvement. Clinicians should evaluate scheduling and workload expectations carefully.

Behavioral Health — Physician Career Context

This Behavioral Health position at Blue Shield of California is open to physician candidates.

Physicians (MD/DO) are in high demand across healthcare settings, with growing interest in positions that offer sustainable schedules and reduced administrative burden.

Remote physician positions in Behavioral Health have grown significantly in recent years, offering clinicians the ability to maintain a full patient panel without geographic constraints or commute-related burnout.

Compensation Analysis

Blue Shield of California lists compensation for this physician position at $91k to $154k annually.

Location & Logistics

This is a fully remote physician position. Remote clinicians can practice from any state where they hold an active license, eliminating commute time and offering maximum schedule flexibility. Many remote healthcare positions also allow providers to establish a more sustainable long-term practice pattern.

Why This Position Stands Out

  • No on-call requirements — clinicians are completely off-duty after hours
  • No weekend shifts — preserving personal and family time
  • Fully remote — work from anywhere with an active license
  • Transparent compensation ($91k–$154k)

Skills, Responsibilities & Benefits

Key skills and qualifications: Behavioral Health Utilization Management, Clinical Review, Medical Necessity, Coding Accuracy, Medical Policy Compliance, Contract Compliance, MCG Guidelines, Medicare Guidelines. Candidates with experience in these areas may be especially well-suited for this Behavioral Health role.

Core responsibilities: The Behavioral Health Utilization Management Clinician performs prospective and concurrent utilization reviews to determine medical necessity and compliance. They conduct clinical reviews of mental health and substance use authorization requests across multiple lines of business.

About WeekdayDoc

WeekdayDoc is the only healthcare job board that scores every position for burnout risk and work-life balance. Every listing includes a proprietary burnout score, transparent salary data when available, and lifestyle filters for no-call, no-weekends, and remote positions. Browse more Behavioral Health physician jobs on WeekdayDoc to compare work-life balance scores and compensation across employers.

Blue Shield of California logo

About Blue Shield of California

Hospitals and Health Care
5-10
6.0

Work-Life Balance Score

Top 50%

Protective Factors (3)

Hybrid work (Schedule flexibility ↓ burnout)

No on-call (β=6.95; p<0.001 for ↓ exhaustion)

No weekends (57% ↓ work-life conflict)

Interpretation: Position demonstrates strong burnout protection with 3 validated protective factors.

Job Details

Employment Type

Full-time

Posted

3d ago

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