Jobs near Rancho Cordova: 2,318
RS
Relevance Score ranked on: MANAGEMENT
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Director, Case Management Nurse Management (Behavioral Health)
Rancho Cordova
Be accountable for behavioral health annual strategic planning, resource planning to ensure appropriate resources are allocated to projects and are appropriately calculated for utilization management and care management in the department budget. Acts as a change agent in order to improve behavioral h...
Search Terms: Behavioral Health, Management, Director, Behavioral, Nurse
89.1
2.7mi
Updated: August 21
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Sr. Manager, Utilization Management Nurse Management
Rancho Cordova
The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The Se...
Search Terms: Management, Manager, Behavioral Health, Nurse, Insurance
88.6
2.7mi
Updated: August 20
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Case Management - Nurse, Senior
Rancho Cordova
The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are pro...
Search Terms: Management, Nurse, Senior, Care Manager, Health
88.1
2.7mi
Updated: August 21
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Denials Management RN
Rancho Cordova
The Denials Management RN is responsible for the following:receiving, processing and documenting all concurrent denials for assigned facilities. The RN has an integral role within the revenue cycle by providing clinical expertise in the denials management process.performs a root cause analysis of the...
Search Terms: RN, Management, Healthcare
88.1
2.7mi
Updated: August 21
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Case Management - Nurse, Senior
Rancho Cordova
The Case Management team performs and case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members care including clinical nurses and treating M - Ds. The Case Management Nurse, Senior will report to the Manager, ...
Search Terms: Management, Nurse, Senior, Insurance, Healthcare
87.6
2.7mi
Updated: August 20
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Utilization Management Nurse, Senior (Concurrent Review - CalPERS)
Rancho Cordova
The Utilization Management team reviews the inpatient stays for our members under the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities...
Search Terms: Management, Senior, Medical Director, Nurse, Nurse Manager
86.4
2.7mi
Updated: August 16
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Director, Utilization Management Nurse Management (CalPERS)
Rancho Cordova
Reporting to the Sr. Director, Utilization Management, the role of the Director, Utilization Management Nurse Management (Cal. PERS) is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key...
Search Terms: Management, Director, Nurse, Leadership, Operations
86.4
2.7mi
Updated: August 07
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Sr. Manager, Case Management Nurse Management
El Dorado Hills
Manage all aspects of day-to-day operations of the Behavioral Health CM program, including adherence to regulatory compliance and direct oversight of performance quality. Assure compliance with appropriate regulations and oversee and assure that there are comprehensive quality processes and utilizati...
Search Terms: Management, Manager, Nurse, Operations, Insurance
86
11mi
Updated: August 20
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Utilization Management Nurse, Senior (Prior Authorization - CalPERS)
Rancho Cordova
The Utilization Management team reviews the inpatient stays for our members under the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities...
Search Terms: Management, Senior, Authorization, Medical Director, Nurse
85.9
2.7mi
Updated: August 17
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Senior Vice President, Enterprise Vendor Management & Procurement
Rancho Cordova
The SVP is a dynamic corporate wide multi-faceted strategic leader of enterprise vendor management, sourcing, procurement, enterprise contract negotiations, software asset management, spend & category management (across: technology, market data services, corporate service and travel services), and ov...
Search Terms: Management, Enterprise, Vice President, Vendor, Procurement
85.7
2.7mi
Updated: August 02
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