Manager, Clinical Quality Review - RN
El Dorado Hills, California
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...
12d
| Job Type | Full Time |
Manager, Clinical Quality Review - RN
Los Angeles, California
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...
12d
| Job Type | Full Time |
Rancho Cordova, California
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...
12d
| Job Type | Full Time |
Long Beach, California
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...
12d
| Job Type | Full Time |
Manager, Clinical Quality Review - RN
Long Beach, California
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...
12d
| Job Type | Full Time |
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...
12d
| Job Type | Full Time |
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...
12d
| Job Type | Full Time |
Lawrence, Massachusetts
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'...
12d
| Job Type | Full Time |
Clinical Corp Shared Services - Chronic Disease Management Nurse
Kansas City, Missouri
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...
12d
| Job Type | Full Time |
Clinical Corp Shared Services - Chronic Disease Management Nurse
Kansas City, Kansas
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...
12d
| Job Type | Full Time |