Medical & Health category jobs at Blue Cross and Blue Shield of Texas in Texas

Location: Richardson, TX Education Required: Not Indicated Experience Required: At least 3 years Position Description: BASIC FUNCTION: This position is responsible for medically necessary determinations with respect to behavioral health disorders at all levels of care which includes telephonic peer-to-peer (physician to physician) reviews and telephone reviews with facility UR personnel. Additiona...
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Location: Richardson, TX Education Required: Not Indicated Experience Required: At least 4 years Position Description: BASIC FUNCTION: This position is responsible for assuring certification concurrent reviews and precertification support for the Managed Care Products on-site review and care management for staff training activities; developing and communicating managed care policies and procedures...
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Location: Richardson, TX Education Required: Not Indicated Experience Required: At least 3 years Position Description: *MATERNAL CHILD / OB EXPERIENCE MANDATORY* BASIC FUNCTION: Requisition #429488 This position is responsible for supervising staff involved in case management activities and support for Case Management programs, developing and implementing managed care policies and procedures relat...
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