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Other JobsManager, Utilization Management Nurse Management 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/never (more...) Company: Blue Shield of California Location: Lawndale Posted on: 06/26/2025 Travel Nurse RN - Cardiac Cath Lab - $2,351 per week Description: Triage Staffing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Tarzana, California. Job Description amp Requirements Specialty: Cardiac Cath Lab Discipline: RN Start Date: (more...) Company: Triage Staffing Location: Tarzana Posted on: 06/26/2025 Utilization Management Nurse, Senior 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/never (more...) Company: Blue Shield of California Location: Manhattan Beach Posted on: 06/26/2025 Salary in South Whittier, California Area | More details for South Whittier, California Jobs |Salary Manager, Utilization Management Nurse Management 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/never (more...) Company: Blue Shield of California Location: Santa Fe Springs Posted on: 06/26/2025 Behavioral Health Utilization Management Clinician, Senior 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: Harbor City Posted on: 06/26/2025 Behavioral Health Case Management - Nurse, Senior Description: Your Role The Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive (more...) Company: Blue Shield of California Location: Manhattan Beach Posted on: 06/26/2025 15h 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 Beverly Hills, CA. As a member of the Optum Behavioral Care team, you'll (more...) Company: Optum Location: Culver City Posted on: 06/26/2025 Behavioral Health Utilization Management Clinician, Senior 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: Manhattan Beach Posted on: 06/26/2025 Licensed Clinician, Senior Description: Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced (more...) Company: Blue Shield of California Location: South Pasadena Posted on: 06/26/2025 Manager, Operations (Behavioral Health Utilization Management Intake Team) Description: Your Role The Behavioral Health BH Utilization Management UM Intake team is responsible for timely and accurate processing of treatment authorization requests. The Manager, Operations BH UM Intake (more...) Company: Blue Shield of California Location: Santa Fe Springs Posted on: 06/26/2025 |
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