San Diego, California
Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and national...
15d
| Job Type | Full Time |
Oakland, California
Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and national...
15d
| Job Type | Full Time |
Manager, Clinical Quality Review - RN
Oakland, California
Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...
15d
| Job Type | Full Time |
Manager, Clinical Quality Review - RN
San Diego, California
Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...
15d
| Job Type | Full Time |
Manager, Clinical Quality Review - RN
El Dorado Hills, California
Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...
15d
| Job Type | Full Time |
Manager, Clinical Quality Review - RN
Los Angeles, California
Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...
15d
| Job Type | Full Time |
Rancho Cordova, California
Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and national...
15d
| Job Type | Full Time |
Long Beach, California
Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and national...
15d
| Job Type | Full Time |
Manager, Clinical Quality Review - RN
Long Beach, California
Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...
15d
| Job Type | Full Time |
Registered Nurse - Manager, Clinical Operations (ALBUQUERQUE/TULSA)
Albuquerque, New Mexico
Health Care Service Corporation
This position is responsible for supervising clinical staff involved in a variety of clinical operations such as risk management and clinical appeals. Responsible for hiring, training, performance reviews, pay administration, change managem...
15d
| Job Type | Full Time |