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Other JobsBehavioral 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: South Pasadena Posted on: 06/26/2025 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: Artesia 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: Lawndale 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: Culver City 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: Palos Verdes Peninsula Posted on: 06/26/2025 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: Culver City Posted on: 06/26/2025 Licensed Clinician, Senior- Board Certified Behavior Analyst (BCBA) Description: Your Role The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines for nationally recognized levels of care. They (more...) Company: Blue Shield of California Location: San Pedro 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: Playa Del Rey Posted on: 06/26/2025 FEP Case Management - Nurse, Senior Description: Your Role Work schedule is Mon-Fri 10am- 7pm The Federal Employee Program FEP team performs integrated case management CM and disease management DM activities demonstrating clinical judgment and (more...) Company: Blue Shield of California Location: San Pedro Posted on: 06/26/2025 FEP Case Management - Nurse, Senior Description: Your Role Work schedule is Mon-Fri 10am- 7pm The Federal Employee Program FEP team performs integrated case management CM and disease management DM activities demonstrating clinical judgment and (more...) Company: Blue Shield of California Location: Playa Del Rey Posted on: 06/26/2025 |
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