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Other JobsManager, Operations (Behavioral Health Utilization Management Intake Team) Description: Your Role The Behavioral Health BH Utilization Management UM Intake team is responsible for timely and accurate processing of treatment authorization requests. The Manager, Operations BH UM Intake (more...) Company: Blue Shield of California Location: Downey Posted on: 06/26/2025 License Vocation Nurse (LVN), 10HR, Nursing Administration, Part-time, 8am - 6pm Description: Provides direct patient care under the direction/supervision of a registered nurse. Practices within the legal boundaries for licensed vocational nursing and accepts responsibility of individual nursing (more...) Company: PIH Health Location: Downey Posted on: 06/26/2025 Behavioral Health Utilization Management Clinician, Senior Description: Your Role The Behavioral Health Utilization Management team performs prospective amp concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, (more...) Company: Blue Shield of California Location: Costa Mesa Posted on: 06/26/2025 RN Description: Provides direct nursing care including: assessment, plan of care, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of patient care as well as coordinates (more...) Company: PIH Health Location: Downey Posted on: 06/26/2025 Licensed Clinician, Senior (ABA Case Manager) Description: 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 (more...) Company: Blue Shield of California Location: Costa Mesa Posted on: 06/26/2025 Licensed Clinician, Senior- Board Certified Behavior Analyst (BCBA) Description: Your Role The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines for nationally recognized levels of care. They (more...) Company: Blue Shield of California Location: Downey Posted on: 06/26/2025 Utilization Management Nurse, Senior Description: Your Role The Facility Compliance Review FCR team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never (more...) Company: Blue Shield of California Location: Downey Posted on: 06/26/2025 Registered Nurse (RN) Emergency, Full time, 7am - 7pm Description: Provides direct nursing care including: assessment, plan of care, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of patient care as well as coordinates (more...) Company: PIH Health Location: Downey Posted on: 06/26/2025 Behavioral Health Utilization Management Clinician, Senior Description: Your Role The Behavioral Health Utilization Management team performs prospective amp concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, (more...) Company: Blue Shield of California Location: Downey Posted on: 06/26/2025 ? 15h Left: Licensed Social Worker Description: Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting (more...) Company: Optum Location: Costa Mesa Posted on: 06/26/2025 |
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