Other Retail - All Jobs
Licensed Clinician, Senior
Description: Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced (more...)
Company: Blue Shield of California
Location: Stanton
Posted on: 07/15/2025
Utilization Management Nurse, Senior
Description: 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 (more...)
Company: Blue Shield of California
Location: Seal Beach
Posted on: 07/15/2025
Behavioral Health Case Management - Nurse, Senior
Description: Your Role The Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive (more...)
Company: Blue Shield of California
Location: Cypress
Posted on: 07/15/2025
Utilization Management Nurse, Senior
Description: 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 (more...)
Company: Blue Shield of California
Location: Hawaiian Gardens
Posted on: 07/15/2025
Licensed Clinician, Senior (ABA Case Manager)
Description: Your Role Reporting to the Manager, Care Management- Behavioral Health, the Licensed Clinician, Senior ABA Case Manager helps members with behavioral health needs navigate the health care system for (more...)
Company: Blue Shield of California
Location: Cypress
Posted on: 07/15/2025
Licensed Clinician, Senior (ABA Case Manager)
Description: Your Role Reporting to the Manager, Care Management- Behavioral Health, the Licensed Clinician, Senior ABA Case Manager helps members with behavioral health needs navigate the health care system for (more...)
Company: Blue Shield of California
Location: Los Alamitos
Posted on: 07/15/2025
Licensed Clinician, Senior
Description: Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced (more...)
Company: Blue Shield of California
Location: Seal Beach
Posted on: 07/15/2025
Utilization Management Nurse, Senior
Description: 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 (more...)
Company: Blue Shield of California
Location: Los Alamitos
Posted on: 07/15/2025
Licensed Clinician, Senior (ABA Case Manager)
Description: Your Role Reporting to the Manager, Care Management- Behavioral Health, the Licensed Clinician, Senior ABA Case Manager helps members with behavioral health needs navigate the health care system for (more...)
Company: Blue Shield of California
Location: Hawaiian Gardens
Posted on: 07/15/2025
Utilization Management Nurse, Senior
Description: 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 (more...)
Company: Blue Shield of California
Location: Stanton
Posted on: 07/15/2025
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