Physical Therapy Utilization Management Reviewer
Hingham, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical necessity of outpatient rehabilitation and ot...
13d
| Job Type | Full Time |
St. Louis, Missouri
Who is Saint Louis University? Founded in 1818, Saint Louis University is one of the nation's oldest and most prestigious Catholic universities. SLU, which also has a campus in Madrid, Spain, is recognized for world-class academics, life-ch...
14d
| Job Type | Full Time |
Director Admissions Behavioral Health - In Office
Nashville, Tennessee
About Us Join Newport Healthcare: Transform Lives Through Meaningful Work! Are you ready to embark on a rewarding career in psychiatric healthcare? At Newport Healthcare, we are passionate about delivering exceptional mental health services...
14d
| Job Type | Full Time |
Sr. Director, Clinical Quality
Los Angeles, California
Your Role Reporting to the VP, Quality, the role of the Sr Director is critical to the success of Blue Shield of California and the Clinical Quality department in realizing its goals and objectives. This individual will play a key role as p...
14d
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Senior
Lodi, California
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...
14d
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Senior
San Diego, California
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...
14d
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate (BH Specialty Team)
El Dorado Hills, California
Your Role The Behavioral Health Services (BHS) Specialty team manages continuity of care (CoC) requests, exception requests, and provides support for the clinical Behavioral Health Utilization Management team. The Behavioral Health (BH) Cli...
14d
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate (BH Specialty TOC )
Lodi, California
Your Role The Behavioral Health Services (BHS) Specialty team provides support to the clinical Behavioral Health Utilization Management team and processes exception requests. The Behavioral Health (BH) Clinical Services Coordinator (CSC), I...
14d
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Senior
Oakland, California
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...
14d
| Job Type | Full Time |
Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)
Long Beach, California
Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of a claim denial. The Commercial Post Service Review RN will report to the Manager, Post Service. In this role you will pe...
14d
| Job Type | Full Time |