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Other JobsDirector, Medi-Cal/Medicare Utilization Management Nurse Management Description: Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare amp Medi-Cal Utilization Management is critical to the success of Blue Shield of California and the (more...) Company: Blue Shield of California Location: Elk Grove Posted on: 06/26/2025 Clinical Services Coordinator, Advanced Description: Your Role The Facility Compliance Review FCR team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions (more...) Company: Blue Shield of California Location: Elk Grove Posted on: 06/26/2025 Manager, Utilization Management Nurse Management Description: Your Role The Medical Care Solutions Post Service Clinical Review team is hiring one RN Manager who will be responsible for leading the clinical team that reviews post service and provider appeal cases (more...) Company: Blue Shield of California Location: Elk Grove Posted on: 06/26/2025 3 Days Left: Clinical Therapist (LMFT) - The Clinic Description: The Clinic of California, part of the Optum family of businesses, is seeking a Licensed Clinical Therapist to join our team in San Jose, CA. As a member of the Optum Behavioral Care team, you'll be an (more...) Company: Optum Location: Sunnyvale Posted on: 06/26/2025 Behavioral Health Care Management Clinician, Senior Description: Your Role Reporting to the Manager, Care Management- Behavioral Health, the Behavioral Health Care Management Clinician, Senior helps members with behavioral health needs navigate the health care system (more...) Company: Blue Shield of California Location: Elk Grove Posted on: 06/26/2025 Sr. Medical Director, FEP Utilization Management Description: Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. (more...) Company: Blue Shield of California Location: Concord Posted on: 06/26/2025 Travel Nurse RN - Home Health - $2,466 per week in Hayward, CA Description: TravelNurseSource is working with KPG Healthcare to find a qualified Home Health RN in Hayward, California, 94545 Pay Information 2,466 per week About The Position Travel Home Health Registered Nurse (more...) Company: TravelNurseSource Location: Hayward Posted on: 06/26/2025 Medical Director, Behavioral Health Description: Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. (more...) Company: Blue Shield of California Location: Concord Posted on: 06/26/2025 Behavioral Health Utilization Management Clinician, Experienced Description: Your Role The Behavioral Health Utilization Management team performs prospective amp concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, (more...) Company: Blue Shield of California Location: Concord Posted on: 06/26/2025 [3 Days Left] Border Patrol Agent Description: U.S. Customs and Border Protection CBP offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, (more...) Company: U.S. Customs and Border Protection Location: Elk Grove Posted on: 06/26/2025 |
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