Clinical Case Manager

Job Summary: We are seeking an experienced Clinical Case Manager Consultant to join our team at Blue Shield of California. The successful candidate will have a strong background in clinical review, case management, and care coordination. This is a challenging role that requires a high level of expertise and attention to detail.">About the Role:">">Conduct...

Company Overview:  Blue Shield of California is a leading health plan that provides quality medical and dental care to millions of Californians. Our mission is to ensure every member receives the best possible care, while keeping costs under control.Salary:  The pay range for this role is: $ 77,990.00 to $ 116,930.00 per year for California.About the...

At Blue Shield of California, we are dedicated to providing quality healthcare services to our members. As a Healthcare Consultant - Case Management, you will play a critical role in ensuring that our members receive the best possible care.About the RoleIn this position, you will be responsible for managing member needs for specific clinical programs and...

**About the Role**We are looking for a dedicated and results-driven RN Case Manager to join our team at Blue Shield of CA. As a key member of our FEP team, you will be responsible for delivering high-quality patient care and promoting cost-effective outcomes.**Responsibilities:**Develop and implement comprehensive care plans that meet the unique needs of...

About the Role:The Clinical Therapist Coordinator will be responsible for coordinating and providing individual and group counseling sessions, as well as conducting assessments and developing treatment plans. You will work closely with our treatment team to ensure seamless care coordination and effective case management.In this role, you will have the...

Key ResponsibilitiesManage and facilitate clinical education for new hires and existing clinical staff.Support Utilization Management with a focus on new hire training and continuing education for Blue Shield of California clinicians working concurrent review and prior authorizations.Conduct training classes in a virtual learning environment and at times in...

About the RoleWe are seeking a highly skilled Care Management Specialist to join our team at Blue Shield of California. As a Care Management Specialist, you will play a critical role in providing identification, referrals, and care management for all Medi-Cal members under 21 years old.Your ResponsibilitiesPerform clinical review, assessment, and evaluation...

About the RoleWe are seeking a highly skilled Registered Nurse (RN) to join our experienced Case Management team at Mass General Brigham. As a Senior Clinical Case Manager, you will be responsible for providing comprehensive case management services to patients and families in our Beverly, Massachusetts location.

About First Steps RecoveryWe are a leading provider of addiction and mental health services, dedicated to empowering individuals and families affected by substance abuse and mental illness. Our compassionate and experienced staff deliver evidence-based treatments, individualized support, and ongoing care coordination to help clients achieve lasting recovery...

**About This Role**We are seeking a highly skilled and experienced Senior Care Manager to join our team at Blue Shield of California. In this role, you will have the opportunity to make a meaningful difference in the lives of our members by providing high-quality care and wellness services.Key Accountabilities:You will be responsible for designing and...

**Job Summary**Blue Shield of CA is seeking a talented and motivated RN Case Manager to join our team. In this role, you will have the opportunity to make a meaningful impact on the lives of our patients and their families.**Key Responsibilities:**Provide expert-level case management services to patients with complex medical needs.Conduct thorough...

About the RoleAs a Regulatory Complaint Coordinator at Blue Shield of California, you will play a vital part in ensuring our members receive high-quality health care. Your primary responsibility will be to manage and respond to regulatory complaints, appeals, and grievances from various stakeholders, including CalPERS members, regulatory agencies, and...

Job DescriptionAs a Case Manager Coordinator with Blue Shield of California's Children's Services Program, you will play a critical role in ensuring that our youngest members receive the care they need to thrive.About the RoleYou will be responsible for identifying, referring, and managing care for Medi-Cal members under 21 years oldYou will collaborate...

Job OverviewThe Clinical Nurse Educator and Consultant role is a critical position within the Medical Care Solutions education team. This team is responsible for all clinical education for departments within Medical Care Solutions and some Health Solutions teams.This includes Utilization Management, Care Management, Post Service, and Appeals. The Clinical...

Overview:The Clinical Services Coordinator plays a vital role in managing member care through outreach, engagement, and coordination within the Transitional Care Services Team at Blue Shield of California. This position involves communicating with members and providers to address inquiries related to healthcare benefits and supporting case management...

Company OverviewWe are a leading provider of legal and investigative services in the USA, offering expert support to individuals and businesses.Job Title and SalaryAs an experienced case manager / secretary, you will be responsible for managing existing cases, preparing reports, emailing clients, and answering incoming emails. This is a full-time position...

Case Management Specialist PositionWe are seeking a highly skilled Case Management Specialist to join our team at Rezvani Law Firm in Beverly Hills. As a key member of our team, you will play a crucial role in managing cases from intake to resolution.About the RoleThis is a full-time position that requires a strong background in case management, excellent...

Role SummaryWe are seeking an experienced Pre-Litigation Case Manager to join our team. The ideal candidate will have prior experience in managing personal injury cases and possess excellent communication, interpersonal, and organizational skills.Key Responsibilities:Managing all aspects of personal injury cases from initial client intake to settlement...

About the RoleWe are seeking a highly organized and detail-oriented individual to be responsible for guiding clients through the personal injury claims process, from the initial consultation to case resolution. You will serve as the primary point of contact for clients, ensuring that their needs are met and that they receive the support and assistance they...

Job SummaryA Senior Case Manager is sought after by Razi Law Group A Professional Law to handle personal injury cases from medical treatment to preparing the case for demands.The ideal candidate must have experience in managing personal injury cases for at least 2 years, with skills including communication with clients, insurance companies, and third-party...