Healthcare Consultant
5 days ago
At Blue Shield of California, we are dedicated to providing quality healthcare services to our members. As a Healthcare Consultant - Case Management, you will play a critical role in ensuring that our members receive the best possible care.
About the RoleIn this position, you will be responsible for managing member needs for specific clinical programs and care coordination. You will perform clinical reviews, assessments, and evaluations of medical services to ensure compliance with established guidelines and protocols.
You will also be responsible for assisting in the improvement of operational processes and implementation of new regulatory requirements. This will include working closely with the CSP Managers to develop and implement effective solutions.
The ideal candidate will have at least 7 years of prior relevant experience, including a minimum of 4 years' experience in Medi-Cal Clinical Review, Case Management, and Care Coordination. A minimum of 2 years' experience with Child Health Programs CCS, EI, ES, DDS, EPSDT, CHDP is preferred.
The pay range for this role is: $77,990.00 to $116,930.00 for California.
About Our CompanyBlue Shield of California is a leading health plan provider in the state, dedicated to delivering high-quality healthcare services to our members. We are committed to improving the health and well-being of our communities through innovative programs and partnerships.
Required Skills and Qualifications- Bachelor's degree or equivalent experience required
- Current California LVN License required
- At least 7 years of prior relevant experience
- Minimum of 4 years' experience in Medi-Cal Clinical Review, Case Management, and Care Coordination
- Minimum of 2 years' experience with Child Health Programs CCS, EI, ES, DDS, EPSDT, CHDP preferred
-
Healthcare Solutions Consultant
6 days ago
Beverly Hills, California, United States Renew Smiles Full timeHealthcare Solutions ConsultantRewards innovative candidates for the role of Healthcare Solutions Consultant at Renew Smiles, where we empower patients to take control of their oral health. As a key member of our sales team, you will guide prospective patients through our comprehensive solutions, ensuring they make informed decisions about their dental...
-
Policy Writer and Governance Consultant
4 weeks ago
El Dorado Hills, California, United States Blue Shield of California Full timeCompany OverviewBlue Shield of California is a nonprofit health plan dedicated to making healthcare more affordable and accessible for all Californians.
-
El Dorado Hills, California, United States Continuum Medical Staffing Full timeWe are Continuum Medical Staffing, a leading provider of healthcare solutions. We are seeking an exceptional Psychiatrist to join our team in El Dorado, Arkansas.About the OpportunityThis is a permanent position with a competitive compensation package that may include:Commencement BonusMedical Education Debt AssistanceCME AllowanceRelocation AssistanceThe...
-
Retail Sales Professional
3 days ago
El Dorado Hills, California, United States Pet Food Express Full timeBenefits and PerksAs a Sales Consultant at Pet Food Express, you can expect a range of benefits and perks that make working here truly special. These include:A competitive salary ranging from $16.05 to $16.55 per hour, based on your experience and qualifications.Ongoing training and education to enhance your product knowledge and sales skills.The opportunity...
-
Leadership Position
4 weeks ago
El Dorado Hills, California, United States Blue Shield of California Full timeAbout UsBlue Shield of California is a leading healthcare organization dedicated to delivering high-quality, affordable care to its members.Job SummaryWe are seeking an experienced Supervisor, Operations for our Commercial Appeals & Grievances department. This role will be responsible for overseeing the daily operations and people management functions within...
-
Operations Supervisor
4 weeks ago
El Dorado Hills, California, United States Blue Shield of California Full timeOverview: Blue Shield of California seeks an experienced Operations Supervisor to lead the Commercial Appeals & Grievances department. This role is responsible for supervising coordinators, conducting research, and managing appeals and grievances.Responsibilities:Foster a collaborative work environment and develop high-performing teams.Manage routine...
-
El Dorado Mental Health Psychiatrist Opportunity
4 weeks ago
El Dorado Hills, California, United States Continuum Medical Staffing Full timeWe are Continuum Medical Staffing, a leading provider of medical staffing solutions. As a highly respected and trusted partner in the healthcare industry, we take pride in connecting talented professionals with exciting career opportunities.About Our Psychiatrist OpportunityOur client is seeking an exceptional BE/BC Psychiatrist to join their team in El...
-
El Dorado Hills, California, United States Blue Shield of California Full timeCompany OverviewAt Blue Shield of California, we are dedicated to providing exceptional service to our members. Our Commercial Appeals & Grievances department plays a crucial role in ensuring that our services meet the highest standards.Salary Range: $66,600 - $98,900 per year, depending on location and experience.About the Role:In this dynamic position as a...
-
Mental Health Professional
1 week ago
El Dorado Hills, California, United States Centurion Health Full timeCompany OverviewCenturion Health is a leading provider of comprehensive healthcare services to the Kansas Department of Corrections. We pride ourselves on transforming the health of communities, one person at a time.SalaryThe estimated annual salary for this position is around $65,000 - $85,000, depending on experience and qualifications.Job DescriptionWe...
-
Operations Management Specialist
6 days ago
El Dorado Hills, California, United States Blue Shield of California Full timeCompany Overview: Blue Shield of California is a leading healthcare organization dedicated to providing exceptional service and support to its members. Our Commercial Appeals & Grievances department plays a vital role in ensuring that our members receive fair and timely resolutions to their complaints, appeals, and grievances.Salary: The estimated annual...
-
Travel Healthcare Professional Wanted
1 week ago
Beverly Hills, California, United States SkyBridge Healthcare Full timeType: PsychiatryAbout the OpportunityBeverly, MA is a great location for this 13-week contract.SkyBridge Healthcare is seeking a Registered Nurse with Psychiatry experience. Our commitment to excellence and consultative approach has helped us become a leader in the Healthcare staffing industry.Job SummaryWe are offering a top of the line weekly pay package,...
-
Safety Specialist
4 weeks ago
El Dorado Hills, California, United States Valmont Industries, Inc. Full timeValmont Industries, Inc. is a Fortune 1000 company that respects hard work, honors diversity and invests in our employees as we focus on creating the world of tomorrow, today.We are seeking an experienced Safety Specialist to join our team in El Dorado, Kansas. This role is responsible for providing environmental, health and safety support and ensuring that...
-
Traveling Healthcare Professional RN OB/GYN
7 days ago
Beverly Hills, California, United States Planet Healthcare Full timeObstetrics and Gynecology Travel Nursing OpportunityAt Planet Healthcare, we strive to deliver exceptional healthcare talent to meet the demands of our clients. We are seeking a skilled OB/GYN Registered Nurse (RN) for a 12-week travel nursing assignment in Beverly, Massachusetts.About the Assignment:Specialty: Obstetrics and GynecologyDiscipline: Registered...
-
Medical Staffing Consultant
6 days ago
Beverly Hills, California, United States National Anesthesia Services, Inc. Full timeAbout the Job:We are seeking a highly skilled Medical Staffing Consultant to join our team at National Anesthesia Services, Inc. As a Medical Staffing Consultant, you will be responsible for recruiting, interviewing, and placing top-notch anesthesia professionals in hospitals and surgery centers across the country.Key Responsibilities:* Source and recruit...
-
Nurse Consultant in Telemetry
2 weeks ago
Beverly Hills, California, United States Winston Resources Full timeAt Winston Resources, we are seeking a skilled Nurse Consultant to join our team. This position is for a 13-week contract in West Hills, California.Job SummaryThis role involves working as a Registered Nurse in the Telemetry department. The successful candidate will have at least 2 years of current experience and an active and unencumbered state license or...
-
Executive Staffing Consultant
5 days ago
Beverly Hills, California, United States National Anesthesia Services, Inc. Full timeAbout the RoleWe are seeking a highly motivated and organized Executive Staffing Consultant to join our team at National Anesthesia Services, Inc. As a key member of our recruitment team, you will be responsible for managing the candidate process from initial inquiry through the end of their assignment.Your day-to-day duties will include full-desk...
-
Traveling Oncology RN Consultant
4 weeks ago
Beverly Hills, California, United States Solomon Page Full timeAbout the RoleWe are seeking a skilled Oncology Registered Nurse to join our team as a travel consultant in Beverly, Massachusetts. As a key member of our healthcare provider community, you will have the opportunity to work with patients and healthcare professionals in a dynamic environment.Job DescriptionThis 13-week assignment offers a unique chance to...
-
Healthcare Professional for Neurology Clinic
4 days ago
El Cajon, California, United States GLIA HEALTH MANAGEMENT LLC Full timeJob DescriptionAs a Medical Assistant at GLIA HEALTH MANAGEMENT LLC's neurology clinic, you will play a crucial role in delivering high-quality patient care while supporting healthcare professionals. If you're passionate about delivering exceptional patient experiences and working collaboratively with our team, we encourage you to apply.About the JobThis is...
-
Radiologist Position in Indiana
4 weeks ago
El Segundo, California, United States Weatherby Healthcare Full timeWeatherby Healthcare is currently seeking a skilled Radiologist to join their team for a locums opportunity in Indiana. With a competitive compensation package, this position offers an exciting chance to work with a reputable healthcare organization.About the OpportunityThis assignment requires a BC (Board Certified) Radiologist to cover weekdays, with no...
-
Travel Nurse Specialist
6 days ago
Beverly Hills, California, United States GQR Healthcare Full timeGQR Healthcare is a renowned healthcare staffing agency seeking an experienced Labor and Delivery Registered Nurse (RN) for a travel nursing position in Massachusetts.About the OpportunitySpecialty: Labor and DeliveryDiscipline: RNThe ideal candidate will have a strong passion for delivering high-quality patient care and a willingness to work collaboratively...