Healthcare Manager

Job Title: Mgr I Care MgmtJob Summary:The Mgr I Care Mgmt is responsible for overseeing a team of clinicians who work to promote quality member outcomes, optimize member benefits, and promote effective use of resources.Key Responsibilities:* Assess the medical necessity of inpatient admissions, outpatient services, out of network services, and...

About This RoleIn this Clinical Administrative Coordinator position, you will play a critical role in supporting the operations of our healthcare facilities in California.Job ResponsibilitiesProcess eligibility verification, data entry, authorizations, and out-of-area referrals.Manage phone calls and communicate effectively with providers, families,...

We are seeking a skilled Nurse Practitioner to join our team at beBee Professionals in Woodland. This is a challenging and rewarding role that requires the ability to provide comprehensive patient care.Job Summary:The successful candidate will conduct thorough physical exams, diagnose and manage acute and chronic conditions, prescribe medications, and...

About Blue Shield of California: We are a health plan that is part of the Blue Cross Blue Shield Association. Our mission is to provide high-quality, affordable healthcare to our members in California.Job Summary: The Medical Director, Utilization Management will lead clinical review activities and work closely with the Sr. Medical Director, Utilization...

About Blue Shield of CaliforniaBlue Shield of California is committed to accelerating the emergence of a value-based healthcare system in California. Our team ensures that we stay on the cutting edge of medical, medication, and payment policy.Job Description: Medical Director, Utilization ManagementWe are seeking a highly skilled Medical Director,...

At Blue Shield of California, we are committed to providing exceptional healthcare services to our members. As a Nurse Case Manager, you will play a vital role in ensuring that our members receive high-quality care and support throughout their healthcare journey.About the RoleThis is a challenging and rewarding opportunity for an experienced nurse to join...

At beBee Professionals, we are seeking a skilled Regional Healthcare Professional to provide comprehensive nursing care in various healthcare settings. This contract-based opportunity is available in Woodland.Key Responsibilities:Delivering high-quality patient care.Collaborating with healthcare teams to develop effective care plans.Accurately documenting...

At beBee Professionals, we are seeking a compassionate Registered Nurse to provide exceptional patient care at our healthcare facility in the United States.Role Overview:This is a rewarding position that involves working closely with patients and medical teams to ensure the best treatment and care possible.Key Responsibilities:Assess and monitor patient...

Kaiser Permanente is a leading healthcare organization that seeks an experienced Physical Therapist to join their team in Woodland Hills, California.About the RoleAs a Physical Therapist at Kaiser Permanente, you will be responsible for the physical therapy management of patients with spine dysfunctions.You will work closely with mid-level providers,...

Job OverviewThe Senior Case Management Nurse is responsible for facilitating patient health and wellness in the outpatient setting.About the RoleThis position involves developing individualized care plans, coordinating care with specialists, and ensuring compliance with medical necessity and clinical guidelines.Key ResponsibilitiesDevelop treatment/care...

At Blue Shield of California, we are committed to advancing the healthcare system in the state. As a Medical Director, Healthcare Optimization Specialist, you will play a crucial role in ensuring that our medical management team stays at the forefront of medical, medication, and payment policy.The successful candidate will report to the Senior Medical...

**About Us**CommonSpirit Health is a leading healthcare organization with a vision to create healthy communities and improve the lives of those we serve.We are committed to building a workforce that reflects the diversity of our patients and the communities we serve, and we strive to provide an inclusive work environment that supports the growth and...

About the Role:The Senior Case Management Nurse at Blue Shield of California plays a vital part in supporting patients in maintaining their health and wellness in the outpatient setting. This role involves developing personalized care plans, coordinating with specialists to ensure quality care, and ensuring compliance with medical necessity and clinical...

Job SummaryThe Chief Compliance Officer for Healthcare Privacy will play a crucial role in advancing and enforcing Blue Shield's Privacy Program.About the RoleThis position reports to the Privacy Office Manager or Director and requires a bachelor's degree or equivalent experience, as well as at least 7 years of prior relevant experience in healthcare, legal...

Company Overview">We are a leading health plan in California, dedicated to providing high-quality healthcare services to our members. Our team is passionate about making a difference in the lives of Californians.">Salary">The estimated annual salary for this role is between $254,545.00 and $360,000.00, depending on experience and location.">About the...

About Matrix Medical NetworkMatrix Medical Network is a leading provider of clinical services and proven expertise that give primary care providers and at-risk health plan members the tools and knowledge to better manage their health at home.We help older adults and other at-risk individuals enjoy a better quality of care, experience improved health...

Company OverviewTarzana Treatment Centers, Inc. is a leading non-profit organization providing comprehensive behavioral healthcare services in the community.Salary Range: $46 - $68.50 per hour DOEJob Description:As a Clinical Supervisor II at Tarzana Treatment Centers, Inc., you will play a pivotal role in overseeing counselors and case managers involved in...

Job OverviewWe are seeking a highly skilled and compassionate Critical Care Travel Nurse to join our team in Woodland Hills, California. This is an exceptional opportunity to work in a dynamic and challenging environment while enjoying the beautiful scenery of Topanga Canyon and Shoup Park.Job Summary:The ICU RN will provide high-quality patient care in a...

Role OverviewThis Experienced Provider Relationship Manager role is a pivotal position within Blue Shield of California, focusing on building and maintaining effective relationships with healthcare providers. The successful candidate will be responsible for driving key provider performance metrics, ensuring compliance with regulations, and delivering...

Seeking a skilled Anesthesiologist Pain to join our medical team at the Southern California Permanente Medical Group (SCPMG). We offer a dynamic work environment with opportunities for growth and professional development.About the OpportunityWe provide comprehensive care to our patients, focusing on evidence-based medicine and delivering exceptional patient...