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Your search generated 4345 results
New
Blue Shield of CA

Manager, Program Management Clinical

El Dorado Hills, California

Blue Shield of CA

Your Role The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple l...

Job Type Full Time
New
Blue Shield of CA

Manager, Program Management Clinical

Sacramento, California

Blue Shield of CA

Your Role The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple l...

Job Type Full Time
New
Blue Shield of CA

Utilization Management Nurse, Senior

El Dorado Hills, California

Blue Shield of CA

Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...

Job Type Full Time
New
Blue Shield of CA

Utilization Management Nurse, Senior

Long Beach, California

Blue Shield of CA

Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...

Job Type Full Time
New
Blue Shield of CA

Utilization Management Nurse, Senior

San Diego, California

Blue Shield of CA

Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...

Job Type Full Time
New
Blue Shield of CA

Manager, Program Management Clinical

Lodi, California

Blue Shield of CA

Your Role The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple l...

Job Type Full Time
New
Blue Shield of CA

Manager, Program Management Clinical

Long Beach, California

Blue Shield of CA

Your Role The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple l...

Job Type Full Time
New

Practice Manager II, Advocates for Women's Health, Days 8a-430p

Louisville, Kentucky

Norton Healthcare

Responsibilities This position is responsible for over seeing the day to day operations of a physician office(s) which generrally includes a minimum of 30 FTEs and 8 or more providers. The incumbent is responsible for providing leadership, ...

Job Type Full Time
New

Patient Care Director, Emergency Services

Jeffersonville, Indiana

Norton Healthcare

Responsibilities The Director, Patient Care provides oversight and direction in establishing and maintaining a system for developing, reviewing, approving and disseminating standards of clinical practice, such as quality, education, advance...

Job Type Full Time
New
OU Health

Director Interventional Radiology

Oklahoma City, Oklahoma

OU Health

Position Title:Director Interventional Radiology Department:Interventional Radiology Job Description: General Description: Under general direction, and in collaboration with hospital and medical staff leadership; plans, organizes and direct...

Job Type Full Time

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