Clinical Practice Manager

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,...

Job Summary:We are seeking a Chief Clinical Officer, Utilization Management to join our team at Blue Shield of California.About Us:At Blue Shield of California, we strive to be on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California.The successful candidate will report to...

About Blue Shield of CaliforniaBlue Shield of California is a leading health plan that is dedicated to transforming healthcare through innovation and collaboration. Our mission is to ensure that Californians have access to high-quality, affordable healthcare services.The RoleWe are seeking a highly skilled Clinical Director, Health Policy and Management to...

About the RoleWe are seeking a highly skilled Regional Medical Director to join our team at Blue Shield of California.This is an exceptional opportunity for a seasoned medical leader to drive clinical excellence and population health management across assigned medical groups and IPAs.About YouYou have a minimum of 5 years direct patient care experience,...

Your RoleThe Regional Medical Director Team is a high-performing group of medical directors and clinical program managers who drive population health and utilization results for strategic partner medical groups and IPAs.In this role, you will be responsible for leading clinical, utilization, quality, and compliance initiatives for assigned medical groups,...

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 the RoleWe are seeking an organized and detail-oriented individual to join our team as a Chiropractic Clinic Coordinator. In this role, you will be responsible for greeting patients, managing patient flow, and ensuring seamless interactions between patients and our healthcare professionals.With your excellent communication skills and passion for health...

Nurse Reviewer I (US)Role OverviewWe are seeking a skilled clinical reviewer to join Elevance Health in conducting preauthorization and appropriateness of treatment reviews for diagnostic imaging services.About the RoleCollaborate with healthcare providers and members to promote the most appropriate, highest quality and effective use of diagnostic...

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...

Job OverviewIn this role, you will serve as a key member of the Blue Shield of California team, providing exceptional patient care and support in the outpatient setting. As a Senior Nurse Case Manager, you will develop individualized care plans, coordinate care with specialists, and ensure compliance with medical necessity and clinical guidelines.About the...

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 SummaryMatrix Medical Network is seeking a skilled Nurse Practitioner to join our team in providing high-quality healthcare services to our patients. As a Nurse Practitioner, you will conduct comprehensive health assessments, develop treatment plans, and provide education to patients and their families.Key Responsibilities:Conduct adult and geriatric...

Job SummaryWe are seeking a highly qualified Clinical Supervisor to join our team at Tarzana Treatment Centers, Inc. The successful candidate will be responsible for supervising counselors and case managers involved in direct patient care.

Kaiser Permanente is seeking a skilled Speech Language Pathologist for a 24-hour fully benefited position in Woodland Hills, California.About the JobThe ideal candidate will have one year of clinical experience in dysphasia management and speech pathology. A Master's or Doctorate Degree in Speech Language Pathology from an accredited program is required....

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...

About the RoleWe are seeking a seasoned leader to oversee our Care Management team. As a key member of our operations team, you will lead outreach and engagement efforts to identify members who require care management services. Your expertise will ensure seamless coordination of care for our members, guaranteeing that all services are delivered...

About the RoleThe Regional Medical Director will lead and contribute to regional and system-wide initiatives, driving clinical, utilization, quality, and compliance results for assigned medical groups and IPAs. As a provider-facing clinical leader, you will be responsible for managing RN Clinical Program Managers and collaborating with teams to support Blue...

About the RoleAs a Regional Medical Director at Blue Shield of California, you will play a vital role in overseeing population health and utilization outcomes for assigned medical groups and IPAs. Your expertise will drive data-driven decisions, leading to improved healthcare outcomes and quality compliance.Key ResponsibilitiesLead clinical initiatives and...

OverviewAt Blue Shield of California, we are seeking an exceptional medical leader to join our team as a Regional Medical Director. This critical role plays a key part in shaping the future of healthcare delivery in California.Salary RangeThe salary for this position ranges from $254,545.00 to $360,000.00 annually, depending on experience and location within...

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...