Your Role The Medical Director provides clinical leadership within the Office of the CMO for Blue Shield Promise Health Plan, which includes management of the physician processes in support of utilization management and transactional functions. These functions include performance of preservice, concurrent, retrospective utilization review, Appeals and Grievances, and retrospective provider claims dispute reviews. Moreover, the medical director leads or meaningfully contributes to the Office of the CMO priorities and transformative initiatives that continue to improve the health and wellbeing...  more ->

Your Role The Medical Care Solutions team manages the clinical operations including utilization management, care management and clinical programs. The Product Manager will initially report to the Vice President of Medical Care Solutions. In this role you will be responsible for setting product vision and strategy via understanding of customer needs and organizational priorities, developing and communicating the product roadmap for delivering customer value, and managing the flow of work via the Agile Release Train (ART) through the product's lifecycle. Our leadership model is about developing...  more ->

Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians . The Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive assessment of the member's needs. Your Work In this role, you will: Research and design...  more ->

Overview: Calling all Dental Hygienist - Rancho Cordova, CA - Flexible Days & Flexible Hours - Offering up to a $5,000 Sign On Bonus and a comprehensive benefits package - PTO, Sick, Holiday, Med/Vis/Dental and more! .Full-Time or Part-Time Dentist Hygienist Opportunity - Beautiful Practice, Great Area!* Are you tired of working in a toothless environment? Look no further! At Sonrava Health (Western Dental & Orthodontics), we believe that a healthy smile is a happy smile, and that starts with our team of dedicated dental hygienists. Join us and become part of a company that has been taking a...  more ->

Looking for occupational therapist (OT) for 13 weeks. This OT will be working outpatient setting. Mix of adults and pediatrics. Can also be utilized fully in pediatrics if that is preferred. MD license Position: Therapist Specialty/Modality: Occupational Therapy Licenses/Certifications: CPR/BLS (Basic Life Support), State License-Occupational Therapist-Maryland, NPI NUMBER Physical Abilities: From 50-100lbs For the most prompt response, please APPLY ONLINE.Resumes may also be sent to or call for more information. As always, there is never a fee for candidates to utilize our...  more ->

Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians . The Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive assessment of the member's needs. Your Work In this role, you will: Research and design treatment/care plans...  more ->

Your Role The Care Management team is looking for a leader with Care Management experience who can help design and lead our Population Health management (PHM) Medi-Cal Care Management line of business. The Manager, Care Management will report to the Senior Manager of Care Management - PHM. In this role you will act as the practice and operational leader for the care managers. You will have oversight of Care Management case compliance, reporting, and outcomes. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally,...  more ->

Are you a Licensed Audiologist looking to take on an assessment role? Would you find it rewarding to serve the Veteran community? We are looking for an Audiologist to perform medical assessments on United States Veterans as part of the VA's disability benefits process. The Veteran files the claim before they see you. All of their medical records are uploaded into a computer portal and you will be able to review these during the appointment. You will conduct a Maryland CNC Test and Puretone Audiometric test. The Audiologist will complete a Disability Benefits Questionnaire (DBQ) in the...  more ->

Core Medical Group is seeking a travel Outpatient Physical Therapist for a travel job in California, Maryland. Job Description & Requirements Specialty: Physical Therapist Discipline: Therapy Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours Employment Type: Travel Physical Therapist needed for a location in California, MD. CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses. Plus, we're the only healthcare staffing company to offer our travelers a free, all-inclusive tropical...  more ->

Build your best future with the Johnson Controls team As a global leader in smart, healthy and sustainable buildings, our mission is to reimagine the performance of buildings to serve people, places and the planet. Join a winning team that enables you to build your best future! Our teams are uniquely positioned to support a multitude of industries across the globe. You will have the opportunity to develop yourself through meaningful work projects and learning opportunities. We strive to provide our employees with an experience, focused on supporting their physical, financial, and emotional...  more ->

Your Role The Medical Director provides clinical leadership within the Office of the CMO for Blue Shield Promise Health Plan, which includes management of the physician processes in support of utilization management and transactional functions. These functions include performance of preservice, concurrent, retrospective utilization review, Appeals and Grievances, and retrospective provider claims dispute reviews. Moreover, the medical director leads or meaningfully contributes to the Office of the CMO priorities and transformative initiatives that continue to improve the health and wellbeing...  more ->

Aureus Medical Group - Therapy is seeking a travel Home Health Physical Therapist for a travel job in Rancho Cordova, California. Job Description & Requirements Specialty: Physical Therapist Discipline: Therapy Start Date: ASAP Duration: 15 weeks 40 hours per week Shift: 8 hours Employment Type: Travel Estimated payment breakdown ~$2418.00-$2538.00/wk* ~$920.00-$1040.00 in weekly taxable income ~$23.00/hr-$26.00/hr* Estimate assumes an 8 hour shift. Hourly rate may change based on shift length. ~$1498.00 in non-taxable stipend* Actual amount subject to eligibility and seasonal/annual...  more ->

Your 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 Nurse Consultant will report to the Manager of Care Management for the Population Health Management Medi-Cal Team. In this role, you will ensure that services are provided based on standardized procedures including coordination of care with specialists, community resources. Care Managers perform a blended function of utilization management (UM) and care management (CM) activities demonstrating clinical...  more ->

Your 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, collaborating with members and those involved with their care including a multidisciplinary team and the member's treating physicians. The Registered Nurse Case Management Lead will report to the FEP Department Manager. In this role you will be responsible for exhibiting BSC leadership behaviors while supporting the overall FEP CM team as a subject matter expert. Your Work In this role, you...  more ->

Aureus Medical Group - Therapy is seeking a travel Physical Therapist for a travel job in California, Maryland. Job Description & Requirements Specialty: Physical Therapist Discipline: Therapy Start Date: ASAP Duration: 10 weeks 40 hours per week Shift: 8 hours Employment Type: Travel Estimated payment breakdown ~$1922.00-$2042.00/wk* ~$760.00-$880.00 in weekly taxable income ~$19.00/hr-$22.00/hr* Estimate assumes an 8 hour shift. Hourly rate may change based on shift length. ~$1162.00 in non-taxable stipend* Actual amount subject to eligibility and seasonal/annual adjustments Looking for...  more ->

Your Role The Medical Director, Operations - Federal Employee Program, is a key member of the Medical Management and Operations staff within Health Care Services. This is a front-line utilization management position that has core responsibilities in the areas of inpatient concurrent review, pre and post service utilization review, and collaboration with RN Case and disease managers. This director position will report to the Medical Director of Medical Operations. Our Blue Shield of California medical directors' function in a critical role to make sure care is appropriate for our members and...  more ->

C.R. England is Now Hiring CDL-A Team Drivers in Pittsburgh, PA! Home Weekly - Drivers Earn $86,000-$105,000 Yearly* Valid CDL-A and 3+ months of current experience required. This lane is not suitable for students, recent grads, or trainees. THIS DEDICATED DAYLIGHT LANE OFFERS Home weekly; 34 hour reset weekly Drivers Earn $86,000-$105,000 yearly* Mileage pay Layover pay Safe & on-time bonus - up to 3% of mileage pay Top of the line automatic transmission trucks Benefits Include: Full benefits package for you and your family 401k participation Paid time off & bonus incentives Unlimited cash...  more ->

At AHN Healthcare@Home, we're looking to add to our extraordinary care team. Grounded by our belief that outstanding care is best delivered in a team-based environment, our weekend home health registered nurses lead and collaborate to provide management and delivery of patient care plans. In partnership with Allegheny Health Network, AHN Healthcare@Home is an accredited recognized leader in home health and hospice. We are a proud and passionate team that works together to provide the highest quality patient care - care that makes a significant impact on people's lives every day. This position...  more ->

Core Medical Group is seeking a travel Home Health Physical Therapist for a travel job in Rancho Cordova, California. Job Description & Requirements Specialty: Physical Therapist Discipline: Therapy Start Date: 05/31/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours Employment Type: Travel Client in CA seeking PT (Physical Therapist) (PT) to work DaysM-F 8:30a-5p, 1 weekend in a 28 day schedule. Mileage is billable per GSA guidelines There's plenty to see and do in California.You won't be disappointed! Indoor or outdoor, you'll be hard pressed to find a sport that doesn't exist in...  more ->

At AHN Healthcare@Home, we're looking to add to our extraordinary care team. Grounded by our belief that outstanding care is best delivered in a team-based environment, our weekend home health registered nurses lead and collaborate to provide management and delivery of patient care plans. In partnership with Allegheny Health Network, AHN Healthcare@Home is an accredited recognized leader in home health and hospice. We are a proud and passionate team that works together to provide the highest quality patient care - care that makes a significant impact on people's lives every day. This position...  more ->