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Utilization Management Jobs In Applegate, California - 100 Job Positions Available

1 – 20 of 100 jobs
Blue Shield of California jobs

Your Role 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 supporting clinical consistency, process improvement, quality, timeliness,

Blue Shield Of California  27 days ago
Blue Shield of California jobs

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 lines of business. The Manager, Behavioral Health Utilization Management will

Blue Shield Of California  17 days ago
Adventist Health jobs

Job Title Plays a critical role in ensuring that patients receive high-quality care while efficiently utilizing medical resources. Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in

Adventist Health  25 days ago
Blue Shield of California jobs

Job Description 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 lines of business. The Manager, Behavioral Health Utilization Management will

Blue Shield Of California  11 days ago
Blue Shield of California jobs

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 supporting clinical consistency,

Blue Shield Of California  11 hours ago
Adventist Health jobs

Roseville Coordinator Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place

Adventist Health  2 days ago
Adventist Health jobs

RN Supervisor, Health Plan Care Management Adventist Health Roseville is seeking an RN Supervisor, Health Plan Care Management for a full-time position with 8-hour day shifts. We are looking for a qualified and dedicated individual who is able

Adventist Health  2 days ago
Blue Shield of California jobs

Care Management Manager The Care Management team is looking for a leader with Care Management experience who can help design and lead our Population Health Management (PHM) Medi-Cal Care Management line of business. The Manager, Care Management will report to the Director

Blue Shield Of California  11 hours ago
Chico’s FAS, Inc. jobs

beautiful. POSITION OBJECTIVE: The Assistant Store Manager is responsible for supporting the Store Manager in promoting a customer and product-focused sales culture, where our values and guiding principles are at the forefront of all store operations,

Chico’s FAS, Inc.  28 days ago
Discovery Behavioral Health jobs

Discovery Mood & Anxiety Discovery Mood and Anxiety Program is a national leader in behavioral healthcare and one of the fastest growing companies in the field. DBH offers world-class treatment for those struggling with mental health

Discovery Behavioral Health  25 days ago
Chico’s FAS, Inc. jobs

Join our fashion-obsessed team, dedicated to a styling and social experience that makes women feel beautiful. POSITION OBJECTIVE: The Sales Lead is responsible for supporting Management in in promoting a customer and product-focused sales culture, where our

Chico’s FAS, Inc.  21 days ago
Chico’s FAS, Inc. jobs

We are customer obsessed, innovative, and have the best culture in retail. Join our team today! POSITION OBJECTIVE: The Assistant Store Manager is primarily responsible for promoting a customer and product-focused sales culture where our values

Chico’s FAS, Inc.  20 days ago
JELD-WEN jobs

JELD-WEN is currently seeking a Production Supervisor to join our growing team. Summary: The Supervisor, Manufacturing Operations creates and fulfills the monthly and quarterly production schedules that achieve Planned Revenue, Labor Contribution Margins, On-Time Delivery, and

JELD-WEN  19 days ago
JETSET Pilates jobs

JETSET Pilates General Managers are committed to the growth and development of their team and are passionate about sharing the brand and workout with others. The General Manager is a strong leader who is dedicated to

JETSET Pilates  11 days ago
Discovery Behavioral Health jobs

Center for Discovery At Discovery, we offer career opportunities nationwide in residential, day treatment, and intensive outpatient eating disorder treatment. Discovery is currently seeking Program Directors, Primary Therapists, Facility Managers, Counselors/Mental Health Specialists, Dietitians, Diet Techs,

Discovery Behavioral Health  12 days ago
Reliant Rehabilitation jobs

Overview #LI-SB1 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 leading rehab therapy provider for skilled

Reliant Rehabilitation  9 days ago
Reliant Rehabilitation jobs

Overview #LI-RT1 *This role is based in an Assisted Living, Independent Living, and Memory Care setting. PRN Summary: Provide Speech-Language Pathology Therapy and related services for patients while maintaining positive levels of interaction with facilities and

Reliant Rehabilitation  9 days ago
Reliant Rehabilitation jobs

Overview #LI-NB1 $7,500 Sign On Bonus Available *This role is based in an Assisted Living, Independent Living, or Memory Care setting. Summary: Provide Occupational Therapy and related services for patients while maintaining positive levels of interaction

Reliant Rehabilitation  10 days ago
Blue Shield of California jobs

Your Role Our Concierge Customer Experience Teams receive incoming telephone calls from BSC’s top tier customers. Our agents are trained to go above and beyond, providing high quality, white glove, one stop shop service. The Customer

Blue Shield Of California  5 days ago
Marshall Medical Center jobs

Job Description POSITION SUMMARY The Supervisor, Cardiac Services provides clinical, operational, and personnel leadership across Cardiac Services, with accountability for patient care delivery, staffing, resource utilization, and departmental performance. This role exercises independent judgment in daily operations

Marshall Medical Center  25 days ago

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