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Your Role The Care management team is looking for a leader with Medi-Cal experience who can help design and lead our Medi-Cal line of business. The...
Your Role The Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop...
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations...
Your Role The Medical Director, National Accounts position is dedicated to supporting the promotion of growth and increased market share of the...
Your Role The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies...
Your Role The ​ Facility Compliance Review (FCR) ​ team ​ reviews post service prepayment facility claims for contract compliance, industry billing...
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations...
Your Role The ​ Facility Compliance Review (FCR) ​ team ​ reviews post service prepayment facility claims for contract compliance, industry billing...
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations...
Your Role The Behavioral Health (BH) Utilization Management (UM) Specialty team manages continuity of care, exceptions requests, and provides...
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations...
The Manager of Operations for the Behavioral Health Utilization Management Intake Team oversees daily operations, ensures regulatory compliance...
Your Role The Behavioral Health (BH) Utilization Management (UM) Intake team is responsible for timely and accurate processing of treatment...
Your Role The Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop...
The Manager, Utilization Management Nurse Management leads a team within the Facility Compliance Review unit to ensure contract compliance...
Your Role The ​ Facility Compliance Review (FCR) ​ team ​ reviews post service prepayment facility claims for contract compliance, industry billing...
Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first...
Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first...
Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized...
Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized...
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