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...
4d
| 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...
4d
| Job Type | Full Time |
Director, Senior Medical (Palmetto GBA)
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1045875 Summary Position Purpose As a member of the leadership team, you will oversee and direct the synthesis of data and clinical knowledge in the development of information that is used to inform the detection...
4d
| 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...
4d
| 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...
4d
| 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...
4d
| 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...
4d
| Job Type | Full Time |
Medical Director, Behavioral Health
Denver, Colorado
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Behavioral...
4d
| Job Type | Full Time |
Medical Director, Behavioral Health
Oakland, California
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Behavioral...
4d
| 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...
4d
| Job Type | Full Time |