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Utilization Management Manager jobs - El Dorado Hills, CA
Subscribe to RSS Feed| Posted | Job Title | Company | Location |
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| May 17 | FEP Utilization Prior Auth RN | Blue Shield of California | El Dorado Hills, CA |
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appropriate. Provides referrals to Case Management, Disease Management, Appeals and ... clinical experience and 3 years utilization management. Supervisory responsibilities:... more |
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| May 17 | FEP Case Manager | Blue Shield of California | El Dorado Hills, CA |
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of utilization management (UM) and case management (CM) activities demonstrating ... to Quality Management (QM), Disease Management (DM) and Appeals and Grievance... more |
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| May 14 | Medical and Payment Policy RN | Blue Shield of California | El Dorado Hills, CA |
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department standards, workflows, and data management. Identify procedures for ... years acute clinical experience and 3 years utilization management. Blue Shield of... more |
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| May 11 | Utilization Care Management Manager | Blue Shield of California | El Dorado Hills, CA |
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skills Demonstrated leadership, project management and program evaluation skills and ... to interact with all levels including senior management and influence decision-making. more |
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| May 09 | Case Management Lead | Blue Shield of California | El Dorado Hills, CA |
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of utilization management (UM) and case management (CM) activities demonstrating ... competence and education appropriate to case management scope of practice. Supports CCM... more |
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| Apr 30 | Utilization Review Manager | Kforce Technology | El Dorado Hills, CA |
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Conduct UM/care management (CM) review activities with delegated entities as necessary ... referrals to Case Management, Disease Management, Appeals and Grievance, and... more |
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| Apr 30 | Utilization Review Manager - RN | Blue Shield of California | El Dorado Hills, CA |
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appropriate. Provides referrals to Case Management, Disease Management, Appeals and ... clinical experience and 3 years utilization management. Supervisory responsibilities:... more |
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| Feb 16 | Program Manager | Addastaff | El Dorado Hills, CA |
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behalf of Medical Management - Utilization Management for project and operational ... Demonstrated leadership, project management, program evaluation and consulting... more |
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