Assistant Medical Director, Psychiatry
San Diego, California
Family Health Centers of San Diego
Impact Lives, Impact Community Family Health Centers of San Diego (FHCSD) is passionate about providing exceptional health care to all, especially underserved communities with limited health care options. Founded by a Latina grandmother/com...
1d
| Job Type | Full Time |
It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: The Behavioral...
1d
| Job Type | Full Time |
Physician Associate Market Medical Director Opportunity in Phoenix, AZ
Phoenix, Arizona
Job Summary: ArchWell Health is an innovative, rapidly-growing medical group that is changing the way primary care is delivered to seniors. Our state-of-the-art centers are located in communities where there is little to no quality healthca...
1d
| Job Type | Full Time |
Medical Director, Behavioral Health
Woodland Hills, California
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. The Medical Director, Behavioral...
1d
| Job Type | Full Time |
Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)
Oakland, California
Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of a claim denial. The Commercial Post Service Review RN will report to the Manager, Post Service. In this role you will pe...
1d
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate (BH Specialty Team)
San Francisco, California
Your Role The Behavioral Health Services (BHS) Specialty team manages continuity of care (CoC) requests, exception requests, and provides support for the clinical Behavioral Health Utilization Management team. The Behavioral Health (BH) Cli...
1d
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Senior
Redding, California
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal cr...
1d
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate (BH Specialty TOC )
El Dorado Hills, California
Your Role The Behavioral Health Services (BHS) Specialty team provides support to the clinical Behavioral Health Utilization Management team and processes exception requests. The Behavioral Health (BH) Clinical Services Coordinator (CSC), I...
1d
| Job Type | Full Time |
Clinical Services Coordinator, Intermediate (BH Specialty TOC )
Sacramento, California
Your Role The Behavioral Health Services (BHS) Specialty team provides support to the clinical Behavioral Health Utilization Management team and processes exception requests. The Behavioral Health (BH) Clinical Services Coordinator (CSC), I...
1d
| Job Type | Full Time |
Sr. Director, Clinical Quality
San Diego, California
Your Role Reporting to the VP, Quality, the role of the Sr Director is critical to the success of Blue Shield of California and the Clinical Quality department in realizing its goals and objectives. This individual will play a key role as p...
1d
| Job Type | Full Time |