Director, Utilization Management Nurse Management

Your Role   Reporting to the Sr. Director, Utilization Management, the role of the Director, Utilization Management Nurse Management (CalPERS) is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in...

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in delivering and...

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in delivering and...

Your RoleReporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in delivering and...

Job DescriptionYour RoleReporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in...

Job SummaryWe are seeking a highly skilled and experienced Director, Commercial Utilization Management to join our team at Blue Shield of California. This is a critical role that will play a key part in the success of our Utilization Management department in achieving its goals and objectives.Key ResponsibilitiesStrategic LeadershipDevelop and implement...

Job SummaryThe Medical Director, Operations - CalPERS will play a key role in ensuring that Blue Shield of California's medical management team remains at the forefront of medical, medication, and payment policy innovation. This position will report to the Vice President, Medical Management.Key ResponsibilitiesDeliver and collaborate on clinical review...

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in delivering and...

About the RoleAs a key member of the Utilization Management team at Blue Shield of California, the Director, Commercial Utilization Management plays a critical role in driving the success of the organization. This individual will be responsible for leading the development and implementation of utilization management strategies, ensuring alignment with...

Position OverviewThe Utilization Management department is responsible for evaluating inpatient admissions for our members, adhering to established standards of care. The Senior Utilization Management Nurse will report directly to the Nurse Manager of Utilization Management. In this capacity, you will be assigned specific inpatient facilities and will assess...

Your RoleThe Utilization Management division is responsible for evaluating inpatient admissions for our members, ensuring adherence to established guidelines for recognized standards of care.The Senior Utilization Management Nurse will report directly to the Nurse Manager of Utilization Management.In this capacity, you will be assigned a roster of inpatient...

Position OverviewThe Utilization Management department is responsible for evaluating inpatient admissions for our members, adhering to established standards of care. The Senior Utilization Management Nurse will work under the guidance of the Utilization Management Nurse Manager. This role involves assessing clinical data from various inpatient facilities to...

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 nationally recognized clinal criteria across multiple lines of business. The Senior Manager Utilization Management —Behavioral...

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 nationally recognized clinal criteria across multiple lines of business. The Senior Manager Utilization Management —Behavioral...

Position OverviewThe Utilization Management division is responsible for evaluating inpatient admissions for our members, adhering to established standards of care. The Senior Utilization Management Nurse will work under the supervision of the Utilization Management Nurse Manager. This role involves reviewing clinical data from assigned inpatient facilities...

Position OverviewThe Utilization Management department is dedicated to evaluating inpatient admissions for our members, adhering to established standards of care. The Senior Utilization Management Nurse will report directly to the Nurse Manager of Utilization Management. In this capacity, you will be tasked with reviewing clinical data from assigned...

Position OverviewThe Utilization Management department is responsible for evaluating inpatient admissions for our members, adhering to established national care standards. The Senior Utilization Management Nurse will report directly to the Nurse Manager of Utilization Management. In this capacity, you will be tasked with reviewing clinical data from various...

Position OverviewThe Utilization Management division is responsible for evaluating inpatient admissions for our members, adhering to established standards of care. The Senior Utilization Management Nurse will work under the supervision of the Utilization Management Nurse Manager. In this capacity, you will be tasked with reviewing clinical data from various...

Your RoleThe Utilization Management division evaluates inpatient admissions for our members in accordance with established national care standards. The Senior Utilization Management Nurse will report directly to the Utilization Management Nurse Manager. In this capacity, you will be assigned a roster of inpatient facilities and will assess clinical data...

Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical...