relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses... such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to identify business opportunities and tailor...
organization Primary Responsibilities: Develop, implement, and update medical management programs (utilization management..., utilization management (inpatient, outpatient, high-risk case management), and maintain positive relationships with Medical...
unrestricted California Registered Nurse licensure 3+ years of experience at a senior level in medical management, specifically... organization Primary Responsibilities: Develop, implement, and update medical management programs (utilization management...
Anticipated End Date: 2025-02-17 Position Title: Medical Management Clinician Senior Job Description: Be Part... of an Extraordinary Team Medical Management Clinician Senior Location: Remote- Candidates must reside within 50 miles or 1-hour...
Management (UM) functions that focus on the evaluation of medical necessity, appropriateness, and efficiency of the use of health... vocational nurse (LVN) through the California Board required. 6. Knowledge of clinical care practices, operations, and local...
various settings Applies detailed knowledge of FEP PPO and Blue Shield of California's (BSC) established medical/departmental...Job Description: Your Role The Federal Employee Program (FEP) team performs integrated case management (CM...
various settings Applies detailed knowledge of FEP PPO and Blue Shield of California's (BSC) established medical/departmental...Job Description: Your Role The Federal Employee Program (FEP) team performs integrated case management (CM...
Registered Nurse Case Manager will report to the FEP Care Management Department Manager. In this role you will determine, develop... of California's established medical/departmental policies, clinical practice guidelines, community resources, contracting...
various settings Applies detailed knowledge of FEP PPO and Blue Shield of California's (BSC) established medical/departmental...Job Description: Schedule is Mon-Fri 10am-7pm The Behavioral Health Registered Nurse Case Manager will report...
nurses and treating MDs.. The Case Management Nurse, Senior will report to the Manager, Care Management. In this role...Job Description: Your Role The Case Management team performs and case management (CM) activities demonstrating...
and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the... Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical...
and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report... to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review...
nurses and treating MDs.. The Case Management Nurse, Senior will report to the Manager, Care Management. In this role...Job Description: Your Role The Case Management team performs and case management (CM) activities demonstrating...
and treating MDs. The Case Management Nurse, Senior will report to the Sr Manager, Care Management- Behavioral Health. In this role...Job Description: Your Role The Case Management team performs case management (CM) activities demonstrating clinical...
Utilization Management Nurse, Senior will report to the Manager, Utilization and Medical Review. In this role...Job Description: Your Role The Utilization Management Prior Authorization team accurate and timely prior...
Job Description: Your Role 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...
Job Description: Your Role The Care Management team will serve to support the mission of the department... to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
, best practices, and promote holistic and integrated approach to medical care management. . Our leadership model is about developing...Job Description: Your Role The Care management team is looking for a leader with Medi-Cal experience who can help...
Job Description: Your Role The Care Management team will serve to support the mission of the department... to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...
California RN License Requires at least 7 years of prior relevant experience including 3 years of management experience...Job Description: Your Role The Utilization Management Prior Authorization team ensures accurate and timely prior...