Posting number: 26-01191 Department: Family Services Job classification: BEHAVIORAL HEALTH SUPERVISOR Posting type: Open Categories: Social Services, Community and Social Services SummaryAre you a knowledgeable behavioral health professional seeking ways to support youth with intensive needs
The Position Re-Announcement *Open Until Filled * Why Join Contra Costa County Health Services? The Contra Costa Health Department is seeking to fill two (2) Utilization Review Manager positions in Contra Costa Health Plan, in the Case Management
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
About Altais: At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks.
About Altais: At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks.
About IntusCare IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay compliant. IntusCare replaces outdated technology and manual
Description Position Summary: The Manager, Clinical Workforce Utilization owns the end-to-end optimization of field clinician staffing across HealthFlex Home Health Services. This role is accountable for maximizing productive utilization of the clinical workforce, matching clinician capacity to patient
The Utilization Management (UM) team is made up of experienced physicians and clinicians who work together to ensure Clover members receive medically appropriate, evidence-based care while optimizing quality and resource utilization. As the Medical Director, Utilization Management, you will
OUR COMMITMENT TO A HUMAN HIRING PROCESS We believe every candidate deserves thoughtful consideration. That’s why we do not use AI or automated systems to review applications. Every application is reviewed by a real human member of
About Altais: At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks.
At Clover Health, we provide high-quality, affordable, and easy-to-understand healthcare for Americas seniors. Through the Clover Assistant, we combine data, technology, and preventive care to give physicians a more complete view of each members health—helping improve
About IntusCare IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay compliant. IntusCare replaces outdated technology and manual
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united
Become a part of our caring community The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires
About IntusCare: IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay compliant. IntusCare replaces outdated technology and manual
Become a part of our caring community Provides executive leadership to Humana. The Chief Medical Officer, Utilization Management (UM) will serve as the clinical strategist, operator, and visionary for Humana’s Utilization Management organization. This executive role is responsible
Utilization Management Coordinator II MSO Burlingame, CA 94010 Overview Salary Range $39.69 - $45.10 Hourly Description The Utilization Management Coordinator II functions under the direct supervision of a physician or Registered Nurse performing utilization management and care coordination duties
Job Title Clinical Member Services Reviewer Job Description Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations
Wound Care Utilization Management RN Wound Care Utilization Management RN Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and
Vice President of Bill Review Operations About the Company Innovative healthcare solutions provider specializing in insurance services Industry Insurance Type Privately Held Founded 2004 Employees 501-1000 Categories Insurance Specialties bill review out-of-network repricing primary ppo and alternative repricing