Medical Director, Medical Operations - CalPERS
Woodland Hills, California
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of utilization management reimagined to accelerate the development and sustainability of a value-based health care system in California. The Medical Direc...
2d
| Job Type | Full Time |
Medical Director, Behavioral Health (Part Time)
San Diego, California
Your Role 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, Behavioral...
2d
| Job Type | Part Time |
Medical Director, Utilization Management
Rancho Cordova, California
Your Role The Healthcare Services team is committed to a single vision of transforming health care delivery for Blue Shield members. Within this framework, the Office of the Promise Chief Medical Officer (CMO) and its Medical Directors repo...
2d
| Job Type | Full Time |
Medical Director, Medical Operations - CalPERS
Los Angeles, California
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of utilization management reimagined to accelerate the development and sustainability of a value-based health care system in California. The Medical Direc...
2d
| Job Type | Full Time |
Medical Management Care Coordinator
New York, New York
Overview Collects specific data in the medical management information system for the clinical staff. Resolves authorization issues as well as troubleshoots, researches and resolves related issues in a timely and efficient manner. Works unde...
2d
| Job Type | Full Time |
Clinical Evaluation Manager, Utilization Management, MLTC
New York, New York
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...
2d
| Job Type | Full Time |
Clinical Evaluation Manager, Utilization Management, MLTC
New York, New York
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...
2d
| Job Type | Full Time |
Care Manager (Bronx/Manhattan)
New York, New York
Overview Conducts assessments and develops client/member centered plans of care. Provides coordination of services between the varying providers for clients / members with complex psychiatric, substance use, and/or co-morbid medical conditi...
2d
| Job Type | Full Time |
Clinical Evaluation Manager, Utilization Management, MLTC
New York, New York
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...
2d
| Job Type | Full Time |
Brooklyn, New York
Overview Provides care management for clients in collaboration with the Wellness case management team consistent with WeCARE and the VNS Home Care policy and requirements of the Wellness Care Management program. Facilitates the coordination...
2d
| Job Type | Full Time |