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Utilization Review and Case Manager
$53k Average Utilization Review and Case Manager Salary in the United States

18,594 Utilization Review and Case Manager Jobs Nationwide

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Program Manager Clinical, Consultant- Substance Recovery (Licensure Required)
Blue Shield of California - Garden Grove, CA Posted 2 days ago
The Care Management team which manages care management for all lines of business. The Program Manager Clinical Consultant- Substance Recovery...
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Case Management - Nurse, Senior
Blue Shield of California - Los Angeles, CA Posted 2 days ago
The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and...
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Case Management - Nurse, Senior
Blue Shield of California - Torrance, CA Posted 2 days ago
The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and...
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Sr. Medical Director, FEP Utilization Management
Blue Shield of California - Hayward, CA Posted 3 days ago
The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence...
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Manager, Utilization Management Nurse Management
Blue Shield of California - Costa Mesa, CA Posted 3 days ago
The ​ Facility Compliance Review (FCR) ​ team ​ reviews post service prepayment facility claims for contract compliance, industry billing standards...
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Clinical Services Coordinator, Specialist (Bilingual)
Blue Shield of California - Citrus Heights, CA Posted 2 days ago
The Clinical Service Coordinator Specialist is responsible for the daily operations within the PHP – Care Management Department for non-clinical...
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Program Manager Clinical, Consultant- Substance Recovery (Licensure Required)
Blue Shield of California - San Pedro, CA Posted 2 days ago
The Care Management team which manages care management for all lines of business. The Program Manager Clinical Consultant- Substance Recovery...
Featured
Program Manager Clinical, Consultant- Substance Recovery (Licensure Required)
Blue Shield of California - Lakewood, CA Posted 2 days ago
The Care Management team which manages care management for all lines of business. The Program Manager Clinical Consultant- Substance Recovery...
Featured
Case Management - Nurse, Senior
Blue Shield of California - Manhattan Beach, CA Posted 2 days ago
The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and...
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Sr. Manager, Case Management (Population Health)
Blue Shield of California - Sacramento, CA Posted 3 days ago
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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Utilization Management Nurse, Senior
Blue Shield of California - Los Angeles, CA Posted 3 days ago
The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards...
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Utilization Management Nurse, Senior
Blue Shield of California - Long Beach, CA Posted 3 days ago
The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards...
Featured
Utilization Management Nurse, Senior
Blue Shield of California - San Pedro, CA Posted 3 days ago
The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards...
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Sr. Medical Director, FEP Utilization Management
Blue Shield of California - San Rafael, CA Posted 3 days ago
The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence...
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Licensed Clinician, Senior (ABA Case Manager)
Blue Shield of California - Los Angeles, CA Posted 3 days ago
Reporting to the Manager, Care Management- Behavioral Health, the Licensed Clinician, Senior (ABA Case Manager) helps members with behavioral...
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Medical Director, Behavioral Health (Part Time)
Blue Shield of California - Sacramento, CA Posted 3 days ago
The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence...
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Manager, Utilization Management Nurse Management
Blue Shield of California - Long Beach, CA Posted 3 days ago
The ​ Facility Compliance Review (FCR) ​ team ​ reviews post service prepayment facility claims for contract compliance, industry billing standards...
Featured
Manager, Utilization Management Nurse Management
Blue Shield of California - Los Angeles, CA Posted 3 days ago
The ​ Facility Compliance Review (FCR) ​ team ​ reviews post service prepayment facility claims for contract compliance, industry billing standards...
Featured
Behavioral Health Utilization Management Clinician, Consultant (Lead)
Blue Shield of California - Sacramento, CA Posted 3 days ago
The Behavioral Health (BH) Utilization Management (UM) team performs prospective, concurrent, retrospective utilization reviews and first...
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Behavioral Health Utilization Management Clinician, Experienced
Blue Shield of California - San Francisco, CA Posted 3 days ago
The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for...
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