Utilization Management Nurse, Senior The Utilization Management team manages accurate and timely prior authorization and inpatient stays reviews for our members and correctly applies the guidelines for nationally recognized levels of care for our Shared Services
Registered Financial Client Associate Under direct supervision, the Registered Financial Client Associate assists the Financial Advisor(s) by providing a wide variety of administrative support to maintain client accounts, including but not limited to client service, account
Pharmacist, Consultant The Prior Authorization (PA) team utilizes clinical knowledge to review authorization requests for coverage under the outpatient pharmacy benefit. The Pharmacist, Consultant will work as part of the pharmacy benefit Prior Authorization (PA) team
Senior LVN, Care Manager The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior LVN,
Utilization Management Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi-Cal and Medicare populations. The Utilization
Clinical Quality Reviewer Nurse, Senior The Clinical Quality Team is responsible for reviewing and abstracting medical records to capture data and to ensure accuracy and completeness. The Clinical Quality Reviewer Nurse, Senior will report to the
Medical Director, Utilization Management Commercial Prior Authorization Review The Medical Management team ensures that Blue Shield of California (BSC) is on the cutting edge of utilization management reimagined to accelerate the development and sustainability of a
Clinical Services Coordinator (CSC), Intermediate The MCS Clinical Service Intake team is responsible for timely and accurate processing of Treatment Authorization Requests. In this role you will be supporting clinical staff with day-to-day operations for Promise
Pharmacist, Consultant The Prior Authorization (PA) team utilizes clinical knowledge to review authorization requests for coverage under the outpatient pharmacy benefit. The Pharmacist, Consultant will work as part of the pharmacy benefit Prior Authorization (PA) team
Job Description The IT Contracting Global Business Services team supports the acquisition of technology products and services across the enterprise including the software and services the IT organization requires in order to support the business of