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Other JobsManager, Utilization Management Nurse Management Description: Your Role The Medical Care Solutions Post Service Clinical Review team is hiring one RN Manager who will be responsible for leading the clinical team that reviews post service and provider appeal cases (more...) Company: Blue Shield of California Location: Wilton Posted on: 06/26/2025 Manager, Operations (Behavioral Health Utilization Management Specialty team) Description: Your Role The Behavioral Health BH Utilization Management UM Specialty team manages continuity of care, exceptions requests, and provides support for the clinical Utilization Management team. The (more...) Company: Blue Shield of California Location: Fair Oaks Posted on: 06/26/2025 Sr. Medical Director, Clinical Strategy Description: Your Role Reporting to the Chief Medical Officer, the Senior Medical Director, Clinical Strategy will define the vision and priorities for Blue Shield of California s strategy to deliver best in class (more...) Company: Blue Shield of California Location: Antelope Posted on: 06/26/2025 Director, Medi-Cal/Medicare Utilization Management Nurse Management Description: Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare amp Medi-Cal Utilization Management is critical to the success of Blue Shield of California and the (more...) Company: Blue Shield of California Location: Loomis Posted on: 06/26/2025 Director, Medi-Cal/Medicare Utilization Management Nurse Management Description: Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare amp Medi-Cal Utilization Management is critical to the success of Blue Shield of California and the (more...) Company: Blue Shield of California Location: Penryn Posted on: 06/26/2025 Sr. Medical Director, Medical Policy Description: 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. (more...) Company: Blue Shield of California Location: Mather Posted on: 06/26/2025 Sr. Manager, Case Management (Population Health) Description: 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 Senior Manager of Care Management, Medi-Cal will report (more...) Company: Blue Shield of California Location: Antelope Posted on: 06/26/2025 Medical Director, Line of Business Description: Your Role The Medical Director, National Accounts position is dedicated to supporting the promotion of growth and increased market share of the National Accounts and the Administrative Services Only (more...) Company: Blue Shield of California Location: Mather Posted on: 06/26/2025 Behavioral Health Care Management Clinician, Senior Description: Your Role Reporting to the Manager, Care Management- Behavioral Health, the Behavioral Health Care Management Clinician, Senior helps members with behavioral health needs navigate the health care system (more...) Company: Blue Shield of California Location: Granite Bay Posted on: 06/26/2025 Clinical Services Coordinator, Intermediate Description: Your Role The Behavioral Health Team is responsible the coordination of care and assistance in finding providers for members in need. The Clinical Services Coordinator CSC - Intermediate Appointment (more...) Company: Blue Shield of California Location: Mather Posted on: 06/26/2025 |
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