FEP Case Management Professional

About Blue Shield of CaliforniaBlue Shield of California is a leading health plan in the state, dedicated to providing high-quality healthcare services to its members.Job SummaryThe Senior Clinical Care Manager will play a crucial role in our Federal Employee Program (FEP) team, responsible for integrated case management and disease management activities....

Job SummaryWe are seeking a highly skilled Nursing Case Manager to join our Federal Employee Program (FEP) team at Blue Shield of California. As a key member of our care management department, you will play a critical role in delivering exceptional clinical services to our members.About the RoleIn this challenging and rewarding position, you will work...

Job Description:We are seeking a Senior Behavioral Health Case Manager to join our team at Blue Shield of California. As a key member of our care management team, you will play a vital role in providing high-quality care to our members.About the Role:This is a permanent position that requires a Bachelor's degree in Nursing and current RN licensure. The ideal...

Job SummaryWe are seeking a highly skilled and experienced Healthcare Manager to join our team at Blue Shield of California. This role involves providing integrated case management and disease management activities, demonstrating clinical judgment and independent analysis, and collaborating with members and healthcare professionals.About the RoleThe...

Key Responsibilities:The Medical Director, Behavioral Health at Blue Shield of California plays a pivotal role in ensuring the quality and efficiency of mental health services. This position involves overseeing pre- and post-service utilization reviews, collaborating with healthcare providers, and training care management staff to ensure compliance with...

Job SummaryThe Medical Director of Behavioral Health plays a pivotal role in ensuring the quality and efficiency of mental health services. As a key member of our team, you will oversee pre- and post-service utilization reviews, collaborate with healthcare providers to deliver high-quality care, and train care management staff to ensure compliance with...

Job OverviewWe are seeking a skilled Medical Director, Behavioral Health to join our team at Blue Shield of California. In this role, you will play a critical part in ensuring that we provide high-quality behavioral health services to our members.About the RoleThe Medical Director, Behavioral Health will report to the Senior Medical Director, Behavioral...

Job OverviewWe are seeking a Senior Healthcare Utilization Specialist to join our team at Blue Shield of California.Job SummaryThe Senior Healthcare Utilization Specialist is responsible for reviewing inpatient stays and determining medical necessity in compliance with state and federal regulations. This role involves conducting clinical reviews, discharge...

OverviewWe are seeking an experienced Nurse Case Manager to join our team at Applied Home Health and Hospice. As a skilled professional, you will be responsible for coordinating patient care services in the comfort of their own homes.

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 play a vital role in ensuring that we are on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based...

Job SummaryWe are seeking a highly skilled Nurse Case Manager to join our team in the outpatient setting. As a Senior Care Manager, you will play a pivotal role in coordinating and managing patient care services, ensuring continuity of care and compliance with clinical guidelines.About the RoleThis position requires a strong clinical background, excellent...

Overview: Blue Shield of California seeks a skilled Utilization Management Nurse, Senior to review inpatient stays and ensure medical necessity compliance with state and federal regulations.About the Role:In this critical position, you will conduct clinical reviews, discharge planning, and present cases to our Medical Director. You will work closely with...

About the RoleWe are seeking a highly skilled and experienced Nurse Case Manager to join our team at Blue Shield of California. In this senior role, you will play a pivotal part in coordinating and managing patient care services in outpatient settings.As a key member of our Care Management team, your primary responsibility will be to design and implement...

Your OpportunityJoin Blue Shield of California as a Senior Medical Director, Behavioral Health and take the lead in shaping the organization's behavioral health clinical strategy.This role is responsible for overseeing the clinical behavioral health program, managing the behavioral health medical director team, and providing subject matter expertise to...

Job SummaryFPI Management, Inc. is seeking an experienced Multifaceted Property Operations Manager to assist the Community Director with day-to-day property operations and managing assets to meet client goals.About FPI Management, Inc.We are a leading third-party 100% fee-managed Property Management company, managing over 850 communities across the nation...

About Blue Shield of CaliforniaWe are a leading healthcare provider in California, committed to delivering high-quality medical services to our members.Job Title: Medical Management CoordinatorJob Type: Full-timeSalary Range: $20.47 - $28.66 per hourAbout the RoleThe Clinical Services Coordinator (CSC), Intermediate will support clinical staff in their...

Job OverviewThe Senior Care Manager plays a pivotal role in the Care Management team by coordinating and managing patient care services in outpatient settings. This position requires a strong clinical background, excellent communication skills, and a focus on improving patient outcomes.This is an exciting opportunity to work with a dynamic team that shares...

Job SummaryIn this challenging and rewarding role as a Senior Utilization Management Nurse at Blue Shield of California, you will be responsible for reviewing inpatient stays to ensure medical necessity in compliance with state and federal regulations. Your expertise in clinical review, discharge planning, and presenting cases to the Medical Director will...

At Blue Shield of California, we are dedicated to providing exceptional care management services to our members. We are seeking a highly skilled and compassionate Healthcare Specialist - Care Management to join our team.About the RoleThis role will be responsible for ensuring that our members receive high-quality, cost-effective healthcare services. You will...

Job Summary:Cure Healthcare Staffing is currently seeking a dedicated and experienced Registered Nurse (RN) to join their team in Rancho Cordova, California. This is an excellent opportunity for a skilled healthcare professional to work in the dynamic environment of the Emergency Department.About the Role:The ideal candidate will possess strong clinical...