Director of Commercial Utilization Management

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...

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...

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 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...

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...

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 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...

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...

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...

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...

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 RoleThe Travelers Indemnity Company is seeking a highly skilled Commercial Underwriter and Account Manager to join our team. As a key member of our Commercial Accounts department, you will be responsible for managing a portfolio of commercial insurance accounts, identifying new business opportunities, and developing strategic relationships with...

About the RoleWe are seeking a highly skilled and experienced Senior Medical Director, Behavioral Health to join our team at Blue Shield of California. As a key member of our Medical Management team, you will provide leadership and expertise in behavioral health clinical strategy and subject matter expertise.Key ResponsibilitiesProvide oversight of the...

{"Job Title": "Commercial Sales Manager", "Job Description": "Job SummaryADT Commercial is seeking a highly skilled Commercial Sales Manager to lead our Business Account Representative Sales team. As a key member of our leadership team, you will be responsible for developing and executing sales strategies to drive revenue growth and customer satisfaction.Key...

Job Title: Commercial Sales ManagerCompany Overview:At ADT Commercial, we're committed to delivering exceptional security solutions to our customers. As a Commercial Sales Manager, you'll play a critical role in driving sales growth and customer satisfaction.Position Summary:The Commercial Sales Manager is responsible for leading a team of sales...

About the RoleThe Senior Medical Director, Behavioral Health will provide leadership to the behavioral health medical director team and have core responsibilities in the areas of psychiatric inpatient concurrent review, pre and post service utilization review, and collaboration with RN Care Managers.Key ResponsibilitiesLeadership and OversightProvide...

Your RoleThe Medical Management team at Blue Shield of California is dedicated to ensuring that our organization is at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system in California. As the Senior Medical Director, Behavioral Health, you will report to the Vice President, Medical...