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The Medical Director, National Accounts position is dedicated to supporting the promotion of growth and increased market share of the National...
The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards...
The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines...
The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination...
The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines...
The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines...
The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and...
The Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and implement...
The Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and implement...
The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines...
The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines...
The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for...
The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines...
The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines...
The Medical Care Solutions Post Service Clinical Review team is hiring one RN Manager who will be responsible for leading the clinical team that...
The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines...
The ​ Facility Compliance Review (FCR) ​ team ​ reviews post service prepayment facility claims for contract compliance, industry billing standards...
The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized...
The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination...
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 Senior...
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