Your Role 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 Management Manager will report to
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 Management will
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 value-based health care system in
Case Manager The Case Manager is a Registered Nurse (RN) who uses a collaborative process which assesses plans, implements, coordinates, monitors and evaluates options and services to meet an individuals health needs through communication and available
Job Title Senior Care Manager Job Description 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
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
Behavioral Health Utilization Management Clinician, Senior 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 clinical criteria across multiple lines of business. In
Overview WHO WE ARE: We are more than a nonprofit organization. We are a ministry of service that includes nearly 500 paid, professional employees dedicated to helping those in need to rebuild their lives and reach
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
Your Role The Commercial Utilization Management team manages accurate and timely authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Utilization Management Genetic Counselor will report to the Manager, Utilization and Medical Review. In
Your Role The Commercial CMO team works across multiple teams within Blue Shield to ensure smooth implementations for the commercial lines of business. The Program Manager Clinical Consultant, will report to the Regional Medical Director. In
When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will you build meaningful relationships with residents, their families,
At Broadridge, weve built a culture where the highest goal is to empower others to accomplish more. If you’re passionate about developing your career, while helping others along the way, come join the Broadridge team. Broadridge
Overview #LI-NB1 *This role is based in an Assisted Living, Independent Living, and Memory Care setting. This position may be offered as a Full-Time or PRN opening, please apply, and a member of our team will
Overview #LI-NB1 *This role is based in an Assisted Living, Independent Living, and Memory Care setting. This position may be offered as a Full-Time or PRN opening, please apply, and a member of our team will
Overview #LI-AB1 *This role is based in an Assisted Living, Independent Living, and Memory Care setting. *This position can be filled by a Program Manager, PTA DOR wage range for evaluators: $58-$64 and wage range for
Overview #LI-AB1 *This role is based in an Assisted Living, Independent Living, and Memory Care setting. *We are open to full-time, part-time or PRN Full-Time, scheduled up to 40 hours per week ($55-$61/hr) Part-Time, scheduled up
Overview #LI-NB1 *This role is based in an Assisted Living, Independent Living, and Memory Care setting. This position may be offered as a Full-Time or PRN opening, please apply, and a member of our team will
Overview #LI-AB1 *This role is based in an Assisted Living, Independent Living, and Memory Care setting. *We are open to full-time, part-time or PRN Full-Time, scheduled up to 40 hours per week ($55-$61/hr) Part-Time, scheduled up
Job TitleExecutive Business Officer AgencyTexas A&M University - Kingsville DepartmentVice President For Finance & Administration Proposed Minimum SalaryCommensurate Job LocationKingsville, Texas Job TypeStaff Job Description About Texas A&M University–Kingsville Texas A&M University–Kingsville (TAMUK), the oldest institution