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Blue Shield Of California Jobs in Jackson, CA 95642
Jobs 1 to 4 of 4 -
Blue Shield of California • El Dorado Hills, CA 95762Your Role The Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Appeals and Grievances RN Senior will report to the Manager of the Appeals and... Read MoreYour Role The Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result... Read More
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Blue Shield of California • Rancho Cordova, CA 95741Your Role 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... Read MoreYour Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in... Read More
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Blue Shield of California • Rancho Cordova, CA 95741Your Role The Federal Employee Program (FEP) Care Management team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis by collaborating with members and those involved with their care... Read MoreYour Role The Federal Employee Program (FEP) Care Management team performs integrated case management (CM) and disease management... Read More
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Blue Shield of California • El Dorado Hills, CA 95762Your Role The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers and members in the medical management process by telephone or correspondence. The CSC... Read MoreYour Role The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and... Read More
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