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Your search generated 715 results
Blue Shield of CA

Manager, Clinical Quality Review - RN

El Dorado Hills, California

Blue Shield of CA

Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...

Job Type Full Time
Blue Shield of CA

Manager, Clinical Quality Review - RN

Los Angeles, California

Blue Shield of CA

Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...

Job Type Full Time
Blue Shield of CA

Licensed Clinician, Senior

Rancho Cordova, California

Blue Shield of CA

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and national...

Job Type Full Time
Blue Shield of CA

Licensed Clinician, Senior

Long Beach, California

Blue Shield of CA

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and national...

Job Type Full Time
Blue Shield of CA

Manager, Clinical Quality Review - RN

Long Beach, California

Blue Shield of CA

Your Role The Clinical Quality Review team reviews potential quality issues that are received by our members, providers, or are internally identified by staff. In collaboration with our medical directors, the team follows up / reports resul...

Job Type Full Time
Health Care Service Corporation

Registered Nurse - Manager, Clinical Operations (ALBUQUERQUE/TULSA)

Albuquerque, New Mexico

Health Care Service Corporation

This position is responsible for supervising clinical staff involved in a variety of clinical operations such as risk management and clinical appeals. Responsible for hiring, training, performance reviews, pay administration, change managem...

Job Type Full Time
Health Care Service Corporation

Registered Nurse - Manager, Clinical Operations (ALBUQUERQUE/TULSA)

Tulsa, Oklahoma

Health Care Service Corporation

This position is responsible for supervising clinical staff involved in a variety of clinical operations such as risk management and clinical appeals. Responsible for hiring, training, performance reviews, pay administration, change managem...

Job Type Full Time
Lowell General Hospital

Neurosurgery Advanced Practice Clinician - New England Neurological Associates, Nashua, NH, Lawrence & Chelmsford, MA

Lawrence, Massachusetts

Lowell General Hospital

At Tufts Medicine, you'll make an impact and build your career, supported by a community of brilliant, compassionate colleagues. Every single person at Tufts Medicine plays an integral role in building a holistic healthcare experience that'...

Job Type Full Time
ArchWell Health

Clinical Corp Shared Services - Chronic Disease Management Nurse

Kansas City, Missouri

ArchWell Health

Job Summary: The Chronic Disease Management Nurse is responsible for providing care management services to patients with complex chronic medical conditions. The patient population may include those with socioeconomic and mental health co-mo...

Job Type Full Time
ArchWell Health

Clinical Corp Shared Services - Chronic Disease Management Nurse

Kansas City, Kansas

ArchWell Health

Job Summary: The Chronic Disease Management Nurse is responsible for providing care management services to patients with complex chronic medical conditions. The patient population may include those with socioeconomic and mental health co-mo...

Job Type Full Time

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