
Sr. Director, Clinical Quality
San Francisco, California
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...
8d
Job Type | Full Time |

Clinical Services Coordinator, Intermediate (BH Specialty TOC )
Long Beach, California
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...
8d
Job Type | Full Time |

Behavioral Health Utilization Management Clinician, Experienced
El Dorado Hills, 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...
8d
Job Type | Full Time |

Behavioral Health Utilization Management 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...
8d
Job Type | Full Time |

Behavioral Health Utilization Management Clinician, Experienced
San Diego, 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...
8d
Job Type | Full Time |

Dallas, Texas
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...
8d
Job Type | Full Time |

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...
8d
Job Type | Full Time |

Consulting Director - Medical Capital Equipment
Irving, Texas
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...
8d
Job Type | Full Time |

Clinical Evaluation Manager, Utilization Management
New York, New York
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...
8d
Job Type | Full Time |

New York, New York
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...
8d
Job Type | Full Time |