Medical Director, Utilization Management - Promise Health Plan
Rancho Cordova, California
Your Role The Healthcare Services team is committed to a single vision of transforming health care delivery for Blue Shield members. Within this framework, the Office of the Promise Chief Medical Officer (CMO) and its Medical Directors repo...
3d
| Job Type | Full Time |
Behavioral Health Utilization Mgmt Clinician, Experienced
Rancho Cordova, California
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...
3d
| Job Type | Full Time |
El Dorado Hills, California
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Vision Director will report ...
3d
| Job Type | Part Time |
Lodi, California
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Vision Director will report ...
3d
| Job Type | Part Time |
Program Manager Clinical, Consultant
Long Beach, California
Your Role The Care Management team meets the member where they are, understandings the member's goals, offers assistance, provides education, and recommends resources to improve member health. The Program Manager Clinical, Consultant- QI & ...
3d
| Job Type | Full Time |
Woodland Hills, California
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Vision Director will report ...
3d
| Job Type | Part Time |
Behavioral Health Utilization Mgmt Clinician, Experienced
Oakland, California
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...
3d
| Job Type | Full Time |
Behavioral Health Utilization Mgmt Clinician, Senior
Rancho Cordova, California
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...
3d
| Job Type | Full Time |
Behavioral Health Utilization Mgmt Clinician, Experienced
Lodi, California
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...
3d
| Job Type | Full Time |
Rancho Cordova, California
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Vision Director will report ...
3d
| Job Type | Part Time |