decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (Federal Employee...Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication...
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication... Shield priorities and transformative initiatives that continue to improve the health and wellbeing of Blue Shield...
decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (Federal Employee...Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication...
decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (Federal Employee...Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication...
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication... Shield priorities and transformative initiatives that continue to improve the health and wellbeing of Blue Shield...
Applies detailed knowledge of FEP PPO and Blue Shield of California's (BSC) established medical/departmental policies...
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication... Shield priorities and transformative initiatives that continue to improve the health and wellbeing of Blue Shield...
decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (Federal Employee...Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication...
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication... Shield priorities and transformative initiatives that continue to improve the health and wellbeing of Blue Shield...
decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (Federal Employee...Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication...
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication... Shield priorities and transformative initiatives that continue to improve the health and wellbeing of Blue Shield...
decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (Federal Employee...Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication...
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication... Shield priorities and transformative initiatives that continue to improve the health and wellbeing of Blue Shield...
scheduling, prioritizing, coaching and process execution, work organization, risk management and delegation Understands Blue... Shield of CA’s mission and business plan Has functional expertise within the area of responsibility Requires advanced...
Your Knowledge and Experience Requires a bachelor's degree or equivalent experience Requires a current California RN License...
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 ...
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 ...
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 ...
Your Role Reporting to the Manager, Care Management- Behavioral Health, the Licensed Clinician, Senior (ABA Case Manager) helps members with behavioral health needs navigate the health care system for linkages to behavioral health provide...
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 ...