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Your search generated 4355 results
New
Blue Shield of CA

Utilization Management Nurse, Senior

Woodland Hills, California

Blue Shield of CA

Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...

Job Type Full Time
New
Blue Shield of CA

Utilization Management Nurse, Senior

Oakland, California

Blue Shield of CA

Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...

Job Type Full Time
New
Blue Shield of CA

Manager, Program Management Clinical

Woodland Hills, California

Blue Shield of CA

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 l...

Job Type Full Time
New
Blue Shield of CA

Manager, Program Management Clinical

El Dorado Hills, California

Blue Shield of CA

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 l...

Job Type Full Time
New
Blue Shield of CA

Manager, Program Management Clinical

Sacramento, California

Blue Shield of CA

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 l...

Job Type Full Time
New
Blue Shield of CA

Utilization Management Nurse, Senior

El Dorado Hills, California

Blue Shield of CA

Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...

Job Type Full Time
New
Blue Shield of CA

Utilization Management Nurse, Senior

Long Beach, California

Blue Shield of CA

Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...

Job Type Full Time
New
Blue Shield of CA

Utilization Management Nurse, Senior

San Diego, California

Blue Shield of CA

Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...

Job Type Full Time
New
Blue Shield of CA

Manager, Program Management Clinical

Lodi, California

Blue Shield of CA

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 l...

Job Type Full Time
New
Blue Shield of CA

Manager, Program Management Clinical

Long Beach, California

Blue Shield of CA

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 l...

Job Type Full Time

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