Medical Director, Utilization Management 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 Medical Director, Utilization
Case Management Nurse, Senior The Care Management team coordinates, educates, and advocates care for the Dual-Special Needs (DSNP) population with Blue Shield of California. The Case Management Nurse, Senior will report to the Manager of Care Management within Medical Care
Case Management Coordinator Provides case management services to a limited caseload of low-risk patients. Coordinates with patients and their caregivers to evaluate needs, goals, and current services. Determines initial eligibility, benefits, and education for all admissions, assessing medical
Learning & Development Specialist QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S., with over 150 locations across 17 states. Our commitment is to educate, protect, and provide exceptional care for the
Business Analyst, Principal The Strategy, Planning, and Performance team in Healthcare Quality and Affordability (HQA) is responsible for the Workforce Management (WFM) forecasting, modeling, and oversight of all HQA productive staff. In this role you will own
Expanded Learning Site Director The Expanded Learning Site Director (ExLD) oversees the ongoing planning and operations of a high-quality education program for students and upholds the mission and values of Aspire Public Schools. This includes training and managing
Position Summary Communicate with or to individuals or groups verbally and/or in writing eg customers suppliers associates Drive and implement the business plan for area of responsibility to achieve facility goals eg production quality safety and
Provider Contracting Specialist, Consultant The Network Management team is responsible for the development and maintenance of all provider networks, including vendor and Plan to Plan relationships necessary to provide our members and clients with access to quality,
Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge planning, and compliance requirements while
Rocketship Public Schools: Senior Associate of Extending Learning At Rocketship Public Schools, we believe in the infinite possibility of human potential. We believe that every student deserves the right to dream, to discover, and to develop their
Expanded Learning Site Director, Interim This is an interim Expanded Learning Site Director role. ABOUT ASPIRE Aspire Public Schools operates a network of high-performing, college preparatory charter schools serving TK-12 scholars in communities across California. Founded in 1998—in
Employment Type:Full time Shift:Day Shift Description:The person will do phone triage, in basket, patient medication training and help with medication PAs POSITION DESCRIPTION: Provides professional nursing care for patients following established standards and practices, which can
Job Overview Join our growing team in Centralia, MO! We are looking for a strong HR Generalist who will be responsible for running the daily functions of the Human Resource (HR) department including hiring, interviewing, benefits
About Asbury Koons Automotive Group is part of Asbury Automotive Group (NYSE: ABG) is a Fortune 500 company and one of the largest franchised automotive retailers in the United States. We are redefining the traditional dealership
At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where Health for all Hunger for none’ is no longer a dream, but a real possibility. We’re doing it with
Are you passionate about improving manufacturing performance through data-driven decision-making, process optimization, and lean methodologies? Do you enjoy identifying inefficiencies, streamlining workflows, and delivering measurable operational improvements? If you answered yes, we should talk! Fleming Baron,
Overview #LI-SB1 FULL TIME & PRN schedules available! When you join Reliant’s therapy team, you join a team that makes a very real impact in the lives of the patients and residents we serve. As a
Mobile Crisis Coordinator Are you a license-eligible clinician with a passion for making a real difference in the lives of people living with mental health challenges and substance use disorders? At Easterseals PORT Health (ESPH), our
About Asbury Koons Automotive Group is part of Asbury Automotive Group (NYSE: ABG) is a Fortune 500 company and one of the largest franchised automotive retailers in the United States. We are redefining the traditional dealership
Job Overview Join our growing team in Centralia, MO! We are looking for a strong HR Generalist who will be responsible for running the daily functions of the Human Resource (HR) department including hiring, interviewing, benefits