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Other JobsManager, Utilization Management Nurse Management 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: Midway City 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: Midway City Posted on: 06/26/2025 Get Paid from Home – Join Online or Local Clinical Studies Description: This position offers individuals the opportunity to participate in clinical trials for new treatments and medications. Whether you are physically or mentally Company: GoodLab Location: Westminster Posted on: 06/28/2025 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: Westminster Posted on: 06/26/2025 Licensed Clinician, Senior Description: Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced (more...) Company: Blue Shield of California Location: Midway City Posted on: 06/26/2025 Manager, Utilization Management Nurse Management 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: Westminster Posted on: 06/26/2025 FEP Case Management - Nurse, Senior Description: Your Role Work schedule is Mon-Fri 10am- 7pm The Federal Employee Program FEP team performs integrated case management CM and disease management DM activities demonstrating clinical judgment and (more...) Company: Blue Shield of California Location: Midway City Posted on: 06/26/2025 Clinical Research Participant (Earn Up to $700/Day with GoodLab) Description: This position offers individuals the opportunity to participate in clinical trials for new treatments and medications. Whether you are physically or mentally Company: GoodLab Location: Westminster Posted on: 06/28/2025 Hiring Immediately - Clinical Trial Participants (Quick Pay, Easy Process) Description: This position offers individuals the opportunity to participate in clinical trials for new treatments and medications. Whether you are physically or mentally Company: GoodLab Location: Westminster Posted on: 06/28/2025 Clinical Research Participant (Part Time, No Experience) Description: This position offers individuals the opportunity to participate in clinical trials for new treatments and medications. Whether you are physically or mentally Company: GoodLab Location: Westminster Posted on: 06/28/2025 |
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