Behavioral Health Utilization Management Clinician, Senior
Oakland, California
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...
1d
| Job Type | Full Time |
Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)
Long Beach, California
Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of a claim denial. The Commercial Post Service Review RN will report to the Manager, Post Service. In this role you will pe...
1d
| Job Type | Full Time |
Medical Director, Behavioral Health
Hartford, Connecticut
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...
1d
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate (BH Specialty Team)
Sacramento, California
Your Role The Behavioral Health Services (BHS) Specialty team manages continuity of care (CoC) requests, exception requests, and provides support for the clinical Behavioral Health Utilization Management team. The Behavioral Health (BH) Cli...
1d
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate (BH Specialty TOC )
San Diego, California
Your Role The Behavioral Health Services (BHS) Specialty team provides support to the clinical Behavioral Health Utilization Management team and processes exception requests. The Behavioral Health (BH) Clinical Services Coordinator (CSC), I...
1d
| Job Type | Full Time |
Medical Director, Behavioral Health
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...
1d
| Job Type | Full Time |
System Director | Marketing | Brand Management
Radnor, Pennsylvania
Main Line Health in Radnor, PA is currently hiring a System Director of Marketing. We are looking for an experienced leader with strong strategic marketing experience coming from a hospital or healthcare environment. Main Line Health, with ...
1d
| Job Type | Full Time |
INTERIM CLINICAL PROGRAM DIRECTOR (RN)
Boulder City, Nevada
Responsibilities Interim Program Director (RN) of Behavioral Health - Boulder City, NV. Horizon Health is seeking an Interim Program Director(RN) of Behavioral Health to work on theBehavioral Health Program at Boulder City Hospital in Bould...
2d
| Job Type | Full Time |
MANAGER QUALITY & RISK - DESERT VIEW HOSPITAL (FULL-TIME)
Las Vegas, Nevada
Responsibilities Desert View Hospital is a 25-bed, acute care hospital set in a rural community. Desert View provides safe and competent nursing care for patients in accordance with facility policies, standards, and philosophy. We provide p...
2d
| Job Type | Full Time |
INTERIM CLINICAL PROGRAM DIRECTOR (RN)
Northport, Alabama
Responsibilities Interim Program Director (RN) of Behavioral Health - Northport, Alabama. *Relocation Assistance is available for this position* Horizon Health is seeking an Interim Program Director(RN) of Behavioral Health to work on the i...
2d
| Job Type | Full Time |