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Utilization review nurse [h1.location_city]

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Utilization review nurse • fresno ca

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Clinical Supervisor - Utilization Review (538)

Clinical Supervisor - Utilization Review (538)

Kings View CorporationFresno, CA, US
[job_card.full_time]
Kings View is a nonprofit leader in providing behavioral health services to the underserved community, is currently seeking a driven Clinical Supervisor – Utilization Review to join our missi...[show_more][last_updated.last_updated_variable_days]
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Formulary Strategy & Utilization Review Pharmacist

Formulary Strategy & Utilization Review Pharmacist

Pharmacy CareersFresno, CA, United States
[job_card.full_time]
Formulary Strategy & Utilization Review Pharmacist.Shape the drug benefit landscape-analyze and optimize medication use.Review prescribing trends and propose cost-saving alternatives.Maintain evide...[show_more][last_updated.last_updated_30]
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Advanced Practice Nurse / Nurse Practitioner

Advanced Practice Nurse / Nurse Practitioner

MLee Healthcare Staffing and Recruiting, IncFresno, CA, United States
[job_card.full_time]
Empower Lives, Embrace Change - Your Journey as a Nurse Practitioner Awaits in the Vibrant Heart of California.In the realm of healthcare, the true value lies not merely in metrics, but in the live...[show_more][last_updated.last_updated_variable_days]
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Licensed Nurse

Licensed Nurse

Skilled Nursing ProfessionalsFresno, CA, United States
[job_card.full_time]
Pacific Gardens Nursing and Rehabilitation Center.Come join our team and start making a difference!.This space is designated for the job description that is externally posted.Please update this fie...[show_more][last_updated.last_updated_variable_days]
LVN Quality Review, Home Health

LVN Quality Review, Home Health

Community Medical CentersFresno, CA, US
[job_card.full_time]
Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek.Free Continuing Education and certification including BLS, ACLS and PALS. Tuition reimbursement, education programs and ...[show_more][last_updated.last_updated_1_day]
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Nurse Supervisor

Nurse Supervisor

TradeJobsWorkForce93745 Fresno, CA, US
[job_card.full_time]
Nurse Supervisor Job Duties : Accomplishes nursing human resource objectives by selecting, orie...[show_more][last_updated.last_updated_30]
FSH RN Discharge / Utilization Review Nurse

FSH RN Discharge / Utilization Review Nurse

USPIFresno, California
[job_card.full_time]
Fresno Surgical Hospital is an extraordinary hospital created entirely to deliver excellence and quality in surgical care to each patient. Our unique facility and staff provide a hospitality- inspir...[show_more][last_updated.last_updated_30]
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LVN Quality Review, Home Health

LVN Quality Review, Home Health

Community Health SystemFresno, California, USA
[job_card.full_time]
Consecutively recognized as a top employer by Forbes and in 2025 by Newsweek.Free Continuing Education and certification including BLS ACLS and PALS. Tuition reimbursement education programs and sch...[show_more][last_updated.last_updated_less]
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Nurse

Nurse

TradeJobsWorkforce93794 Fresno, CA, US
[job_card.full_time]
We are seeking a Nurse Practitioner or Physician Assistantwith experience in the following job duties : Contributes to physician's effectiveness by identifying short-term and long-range patient car...[show_more][last_updated.last_updated_30]
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nurse practitioner

nurse practitioner

Valley ResearchFresno, CA, US
[job_card.full_time]
Nurse practioner, interested in office practice, no call, happy office, great responsibilty, enjoys caring for people, patient first philosophy.[show_more][last_updated.last_updated_30]
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Utilization Review RN

Utilization Review RN

VirtualVocationsFresno, California, United States
[job_card.full_time]
A company is looking for a Utilization Review Registered Nurse (Multiple Openings).Key Responsibilities Perform utilization review using InterQual and / or MCG / Milliman criteria Collaborate with p...[show_more][last_updated.last_updated_variable_hours]
Clinical Supervisor - Utilization Review (610)

Clinical Supervisor - Utilization Review (610)

Kings ViewFresno, US
[job_card.full_time]
Kings View is a nonprofit leader in providing behavioral health services to the underserved community, is currently seeking a Clinical Supervisor Utilization Review to join our mission to provide c...[show_more][last_updated.last_updated_variable_days]
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Registered Nurse

Registered Nurse

HumanGoodFresno, CA, United States
[job_card.full_time] +1
The Registered Nurse (RN) is responsible for the total nursing needs of residents, while actively incorporating our "Philosophy for Person-Directed Care. AM : 6 : 30AM-2 : 30PM / Rotating 4 on 2 off schedu...[show_more][last_updated.last_updated_30]
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Utilization Management (UM) Manager

Utilization Management (UM) Manager

Astiva Health, IncFresno, CA, United States
[job_card.full_time]
Orange, CA is a premier healthcare provider specializing in Medicare and HMO services.With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize acc...[show_more][last_updated.last_updated_variable_hours]
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Nursing Consultant, Program Review-Region II, Fresno

Nursing Consultant, Program Review-Region II, Fresno

State of CaliforniaFresno, CA, United States
[job_card.full_time] +2
Effective July 1, 2025, in accordance with the applicable Memorandum of Understanding, the Personal Leave Program 2025 (PLP 2025) was implemented. PLP 2025 requires each full-time employee in Bargai...[show_more][last_updated.last_updated_variable_days]
Medical Claims Review Medical Director - Remote

Medical Claims Review Medical Director - Remote

UnitedHealth GroupFresno, CA, US
[filters.remote]
[job_card.full_time]
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...[show_more][last_updated.last_updated_30]
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Flexible Online Opportunity - Discover & Review Work-from-Home Gigs

Flexible Online Opportunity - Discover & Review Work-from-Home Gigs

Finance BuzzFresno, California, US
[filters.remote]
[job_card.temporary]
Looking for extra income but not sure where to start? We’re hiring people to explore and review online side hustles listed by FinanceBuzz. No experience needed – just a willingness to try out differ...[show_more][last_updated.last_updated_variable_days]
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Clinical Supervisor - Utilization Review (610)

Clinical Supervisor - Utilization Review (610)

KINGS VIEWFresno, CA, US
[job_card.full_time]
Clinical Supervisor Utilization Review.Kings View is a nonprofit leader in providing behavioral health services to the underserved community, is currently seeking a Clinical Supervisor Utilizatio...[show_more][last_updated.last_updated_variable_days]
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Hindi Document Review Attorney

Hindi Document Review Attorney

Contact Government Services LLCFresno, CA, United States
[job_card.full_time]
Hindi Document Review Attorney.Location : Boston, MA / Remote / Hybrid / Philadelphia, PA.Position : eDiscovery Document Review / Contract Based / Remote. Familiarity with document review workflows.Ex...[show_more][last_updated.last_updated_variable_days]
Clinical Supervisor - Utilization Review (538)

Clinical Supervisor - Utilization Review (538)

Kings View CorporationFresno, CA, US
[job_card.variable_days_ago]
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  • [job_card.full_time]
[job_card.job_description]

Job Description

Job Description

Apply Here : https : / / secure.onehcm.com / ta / KINGSVIEW.jobs?ShowJob=771936069 & TrackId=ZipRecruiter

Kings View is a nonprofit leader in providing behavioral health services to the underserved community, is currently seeking a driven Clinical Supervisor – Utilization Review to join our mission to provide compassionate services to those with limited resources. Our ideal candidate will have a passion to promote social justice and societal awareness, respect for human dignity, and lead with integrity while listening and responding to the community in need.

Clinical Supervisor – Utilization Review (538)

Fresno, CA

The Clinical Supervisor is part of a 24 / 7 Mobile Crisis Response and Crisis Intervention Team, providing services to individuals of all ages experiencing mental health and / or substance use crises. Operating with significant independence, the Clinical Supervisor handles complex clinical and case management tasks under general direction. This role involves overseeing the clinical work of both licensed and unlicensed clinicians, ensuring high-quality care for clients while supporting the professional growth of supervisees. Responsibilities include monitoring clinical documentation to ensure compliance with Medi-Cal and Fresno County DBH standards, assisting with audit preparation, and providing clinical education and training to staff. The Clinical Supervisor must stay current on BBS licensure requirements for ACSWs, AMFTs, and APCCs, complete all CEU certification requirements, and maintain knowledge of local resources for collaboration and care coordination.

How will I contribute

  • Responsible for meeting weekly with unlicensed clinicians to provide individual and group supervision and verify clinical work and supervision hours toward licensure.
  • Participate in 24 / 7 “ON-Call” rotation with other Fresno Co. crisis services clinical supervisors and program managers and be available to provide clinical consultation to clinicians needing support during a crisis call.
  • May perform comprehensive intake assessments for persons with serious mental illness or serious emotional disturbance seeking Specialty Mental Health Services throughout the county utilizing culturally sensitive, client / family-centered, strength-based, and wellness and recovery models of service delivery.
  • Maintain professional and friendly interactions and collaboration with Fresno Co. DBH to meet contractual obligations.
  • Knowledgeable about Trauma informed Care.
  • Maintain professional and friendly interactions and collaboration with other community partners.
  • Provide advocacy and systemic support for client mental health and community activities.
  • In the absence of the Clinical / Program Manager, provide selected administrative directions to the team.
  • Assist in developing and monitoring policies and procedures as assigned.
  • Assist the Clinical / Program Manager and the treatment team in preparing for chart audits.
  • Maintain service logs and produce department statistics and reporting as assigned.
  • Maintain Microsoft Shift staff schedule as assigned.
  • Develop, provide, and participate in training on a variety of topics, such as cultural competency, clinical practice, compliance, treatment planning, and case management. Also, make presentations to local agencies and community groups regarding issues related to mental health and / or substance abuse.
  • Stay current on legal and ethical standards for the profession and educate staff about changes in CA laws affecting the mental health profession.
  • Maintain compliance and awareness of BBS licensing requirements for all AMFT, ACSW, and APCC clinicians.
  • May encounter risk while working with persons with SMI (serious mental illness) that may include, but are not limited to, persons in a mental health crisis, persons that may be intoxicated or impaired by drugs or alcohol, persons who may be DTO (danger to others), DTS (Danger to Self), or GD (Gravely Disabled). If such situations arise, staff must call local emergency personnel to help deescalate the crisis, use crisis intervention techniques, and consult with the supervisor as soon as possible.
  • Perform other duties as assigned to support the overall functioning and success of the program.

What I bring

  • Master Degree : psychology, social work, marriage and family counseling, or related
  • LCSW or LMFT Certification
  • Drivers License : Class C
  • 3 years of professional experience working in mental health counseling, psychotherapy, and related social services in a public or certified private welfare or health agency. 2 years post licensure. 1 year experience supervising / directing others. Experience in risk assessment, crisis intervention, and safety planning is required.
  • Working knowledge of community and hospital resources. Working knowledge of Windows based computer applications to include Microsoft Word, Microsoft Excel, Microsoft Outlook, and Internet access.
  • Ability to quickly develop rapport with individuals to resolve crisis situations. Ability to assess individual’s potential for dangerousness to self, others and / or grave disability. Ability to utilize computer technology as required for admission, documentation and other uses. Ability to organize and prioritize workload in a sometimes-hectic environment with frequent interruptions. Ability to make a differential diagnosis between substance abuse and psychiatric emergencies. Ability to appropriately and immediately document interactions with patients and potential patients.
  • Strong interpersonal and communication skills to develop and maintain effective working relationships with all internal and external customers.
  • The Benefits

    Medical, Dental, Vision Insurance

    Life and Long-Term Disability Insurance

    401k plan

    Vacation time

    Twelve (12) Paid Holidays

    Education Reimbursement Program up to $1000 per year

    Referral Program

    Employee Assistance Program

    An environment of like-minded people reaching for the same goal

    Serving the underserved community

    A sense of purpose

    Who We Are

    Since 1951, Kings View leads the community in providing behavioral health services to the underserved population. We have a strong tradition of commitment, and we focus on serving rural communities where health resources are often limited. Our people treat the community with care and compassion. We stand by our cornerstone and philosophy of valuing each person’s worth, dignity and wholeness in body, mind, and spirit. Our principal core values echo throughout the organization and into our patient-focused programs. At Kings View we are dedicated to continuing our demonstration in the unparalleled commitment to wellness and recovery within each community we serve. Join us and apply today.