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Your search generated 4003 results
Blue Shield of CA

Sr. Director, Clinical Quality

San Francisco, California

Blue Shield of CA

Your Role Reporting to the VP, Quality, the role of the Sr Director is critical to the success of Blue Shield of California and the Clinical Quality department in realizing its goals and objectives. This individual will play a key role as p...

Job Type Full Time
Blue Shield of CA

Clinical Services Coordinator, Intermediate (BH Specialty TOC )

Long Beach, California

Blue Shield of CA

Your Role The Behavioral Health Services (BHS) Specialty team provides support to the clinical Behavioral Health Utilization Management team and processes exception requests. The Behavioral Health (BH) Clinical Services Coordinator (CSC), I...

Job Type Full Time
Blue Shield of CA

Behavioral Health Utilization Management Clinician, Experienced

El Dorado Hills, California

Blue Shield of CA

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...

Job Type Full Time
Blue Shield of CA

Behavioral Health Utilization Management Clinician, Experienced

Lodi, California

Blue Shield of CA

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...

Job Type Full Time
Blue Shield of CA

Behavioral Health Utilization Management Clinician, Experienced

San Diego, California

Blue Shield of CA

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...

Job Type Full Time
Lifespace Communities

Director Home Care Operations

Dallas, Texas

Lifespace Communities

Community: Texas Home Office Address: 3501 Olympus BoulevardDallas, Texas 75019 Pay Range $155,000.00-$224,900.00+ Annual At Lifespace Communities, Our Space is where leadership and innovation come together. We're seeking a Director of Home...

Job Type Full Time
University of California - Irvine Health

Managed Care Operations Network Manager - Managed Care Operations - FT Days

Anaheim, California

University of California - Irvine Health

Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hosp...

Job Type Full Time
Vizient, Inc.

Consulting Director - Medical Capital Equipment

Irving, Texas

Vizient, Inc.

When you're the best, we're the best. We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authentic selves. We provide extensive opportun...

Job Type Full Time
VNS Health

Clinical Evaluation Manager, Utilization Management

New York, New York

VNS Health

Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...

Job Type Full Time
VNS Health

RN Care Manager, Medicare

New York, New York

VNS Health

Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...

Job Type Full Time

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