Senior Utilization Management Nurse

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...

Job Title: Utilization Management Nurse, Senior CalPERSAt Blue Shield of California, we are committed to ensuring all Californians have access to high-quality healthcare at a sustainably affordable price. We are seeking a skilled Utilization Management Nurse, Senior CalPERS to join our team.About the RoleThe Commercial Post Service Review team is responsible...

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...

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 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...

About the RoleThe Utilization Management Nurse, Senior will play a critical role in ensuring the quality and appropriateness of care for our members. As a key member of the Utilization Management team, you will be responsible for reviewing inpatient stays to determine medical necessity and level of care.Key ResponsibilitiesPerform prospective utilization...

About the RoleWe are seeking a highly skilled Utilization Management Nurse, Senior to join our team at Blue Shield of California. As a key member of our Utilization Management team, you will play a critical role in ensuring our members receive high-quality, cost-effective care.Key ResponsibilitiesPerform prospective utilization reviews and first-level...

About the RoleAs a Senior Utilization Management Nurse at Blue Shield of California, you will play a critical role in ensuring the quality and cost-effectiveness of healthcare services for our members.Key ResponsibilitiesConduct thorough reviews of inpatient stays to determine medical necessity and ensure compliance with nationally recognized guidelines and...

Your RoleAs a key member of the Utilization Management team at Blue Shield of California, you will play a critical role in ensuring our members receive the most appropriate and cost-effective care.Reporting to the Utilization Management Nurse Manager, you will be responsible for reviewing inpatient stays for our members and applying nationally recognized...

About the RoleThe Utilization Management Nurse, Senior will play a critical role in ensuring the quality and cost-effectiveness of healthcare services for our members. As a seasoned healthcare professional, you will be responsible for reviewing inpatient stays to determine medical necessity, appropriate length of stay, and level of care.Key...

About the RoleWe are seeking a highly skilled Senior Utilization Management Nurse to join our team at Blue Shield of California. As a key member of our Utilization Management team, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key ResponsibilitiesPerform prospective utilization reviews and first-level...

About the RoleThe Director, Commercial Utilization Management plays a critical role in the success of Blue Shield of California and the Utilization Management department in achieving its goals and objectives.Key ResponsibilitiesManage and monitor prior authorization and concurrent review to ensure timely and cost-effective patient care.Develop and lead...

About the RoleWe are seeking a highly skilled and experienced Director, Commercial Utilization Management to join our team at Blue Shield of California. This critical role will play a key part in the success of our Utilization Management department in achieving its goals and objectives.Key ResponsibilitiesDevelop and implement effective utilization...

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...

About the RoleWe are seeking a highly skilled and experienced Director, Commercial Utilization Management to join our team at Blue Shield of California. This critical role will play a key part in driving the success of our Utilization Management department and contributing to the organization's goals and objectives.Key ResponsibilitiesDevelop and implement...

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...

Senior Wealth Management SpecialistAt Franklin Templeton, we're driving our industry forward by developing innovative solutions to help our clients achieve their investment goals. Our dynamic and diversified firm spans asset management, wealth management, and fintech, offering a range of ways to help investors make progress toward their goals.Key...

Job SummaryWe are seeking a highly skilled Senior Care Manager to join our team at Blue Shield of California. As a Senior Care Manager, you will play a critical role in ensuring that our members receive high-quality, cost-effective healthcare services.Key ResponsibilitiesDevelop and Implement Care PlansDesign and implement individualized care plans that...

About Us:Teledyne Defense Electronics is a leading provider of sophisticated microwave/RF components and integrated assemblies for the most demanding challenges. Our products and capabilities are sought after by civilian and military organizations spanning numerous global markets, including Aviation, Communication, Electronic Warfare (EW/ECM/CIED),...

Job Title: Senior Client ManagerAt EPIC Brokers, we are seeking a highly skilled Senior Client Manager to join our team. As a Senior Client Manager, you will be responsible for servicing a book of business for Artisan Contractors, providing expert guidance and support to clients, and driving business growth through strategic partnerships and marketing...