The Senior Medical Director of FEP Utilization Management leads clinical review activities, physician process management, and ensures compliance...
The Behavioral Health Case Management Senior Nurse is responsible for assessing members' behavioral health needs and developing individualized...
The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination...
The Medical Director, Behavioral Health leads utilization review and clinical oversight for behavioral health services, ensuring compliance...
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...
D&S Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental...
Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal Utilization Management is critical to the...
The Senior Utilization Management Nurse conducts retrospective clinical reviews of inpatient psychiatric claims to ensure medical necessity...
The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for...
The Licensed Clinician, Senior (Board Certified Behavioral Analyst) conducts utilization reviews and care management for members seeking...
The Manager, Utilization Management Nurse Management leads a clinical team responsible for reviewing post service and provider appeal cases...
Update your browser to have a more positive job search experience.
×