Senior Manager of Behavioral Health Utilization

Senior Manager Utilization Management - Behavioral HealthBlue Shield of California seeks a seasoned Senior Manager Utilization Management - Behavioral Health to lead the Behavioral Health Utilization Management team in performing prospective, concurrent, and retrospective utilization reviews.Your Key ResponsibilitiesOversee the day-to-day operations of the...

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...

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...

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 department is responsible for evaluating inpatient admissions for our members, adhering to established national care standards. 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 various...

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. This role involves reviewing clinical data from assigned inpatient facilities...

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...

Position OverviewThe Senior Utilization Management Nurse plays a crucial role in overseeing inpatient admissions for our members, ensuring compliance with established care standards.Key ResponsibilitiesIn this position, you will be tasked with reviewing clinical data from various inpatient facilities to assess the medical necessity of admissions, appropriate...

Your RoleThe Utilization Management division evaluates inpatient admissions for our members in accordance with established national care standards. The Senior Utilization Management Nurse will report directly to the Utilization Management Nurse Manager. In this capacity, you will be assigned a roster of inpatient facilities and will assess clinical data...

About the RoleThe Medical Director, Operations (Behavioral Health) will play a critical role in ensuring that Blue Shield of California remains at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system in California.This position will report to the Senior Medical Director, Behavioral Health and...

Your RoleThe Utilization Management division is responsible for evaluating inpatient admissions for our members, ensuring adherence to established guidelines for recognized 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 a roster of inpatient...

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 the highest quality care while maintaining cost-effectiveness.Your Key ResponsibilitiesPerform prospective,...

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...

Job SummaryBlue Shield of California is seeking a highly skilled Medical Director, Operations to join our team. As a key member of our Medical Management team, you will play a critical role in 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...

About the RoleWe are seeking a highly skilled and experienced 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 the highest quality care while promoting cost-effective and efficient healthcare delivery.Key...

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 the highest quality care while promoting cost-effective and efficient healthcare delivery.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...

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...

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...