Current jobs related to Sr. Manager, Utilization Management Nurse Management - Rancho Cordova - Blue Shield Of California


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    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...


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    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...


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    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...


  • Rancho Cordova, United States Blue Shield of California Full time

    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...


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  • Rancho Cordova, United States Blue Shield of California Full time

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  • Rancho Cordova, United States Blue Shield of California Full time

    Your RoleSkills, Experience, Qualifications, If you have the right match for this opportunity, then make sure to apply today.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...


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  • Rancho Cordova, United States Blue Shield of California Full time

    Your Role The Medical Care Solutions Appeals and Grievance team is hiring an RN who will be responsible for leading the clinical appeals and grievance team for the Commercial line of business. The RN manager will report to the RN Senior Manager. In this role you will be responsible for inventory management, staffing, transformation readiness, audit...


  • Rancho Cordova, United States Blue Shield of California Full time

    Your Role The Medical Care Solutions Appeals and Grievance team is hiring an RN who will be responsible for leading the clinical appeals and grievance team for the Commercial line of business. The RN manager will report to the RN Senior Manager. In this role you will be responsible for inventory management, staffing, transformation readiness, audit...

  • Director, Medicare

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    Rancho Cordova, United States Blue Shield of California Full time

    Your Role   Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal 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 the Utilization Management team in...


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  • Rancho Cordova, California, United States Blue Shield of California Full time

    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...

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    Rancho Cordova, United States Blue Shield of California Full time

    Your Role   Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal 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 the Utilization Management team in...

  • Director, Medicare

    2 weeks ago


    Rancho Cordova, United States Blue Shield of California Full time

    Your Role   Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal 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 the Utilization Management team in...

  • Director, Medicare

    2 weeks ago


    Rancho Cordova, United States Blue Shield of California Full time

    Your Role   Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal 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 the Utilization Management team in...

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    Rancho Cordova, United States Hispanic Technology Executive Council Full time

    Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal 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 the Utilization Management team in...

  • Director, Medicare

    3 weeks ago


    Rancho Cordova, United States Blue Shield of California Full time

    Your Role   Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal 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 the Utilization Management team in...

  • Director, Medicare

    3 weeks ago


    Rancho Cordova, United States Blue Shield of California Full time

    Your Role   Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal 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 the Utilization Management team in...

  • Director, Medicare

    2 weeks ago


    Rancho Cordova, United States Blue Shield of California Full time

    Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal 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 the Utilization Management team in...

Sr. Manager, Utilization Management Nurse Management

2 months ago


Rancho Cordova, United States Blue Shield Of California Full time

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 Management, Manager, Behavioral Health, Nurse, Insurance, Program, Support