- Elevance Health (Walnut Creek, CA)
- **Nurse Reviewer I** Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... work weekends if necessary. New Grads are encouraged to apply! The **Nurse Reviewer I** will be responsible for conducting preauthorization, out of network and… more
- Elevance Health (Cerritos, CA)
- The **Therapy Services Reviewer ** is responsible for the review of medical records to determine if requests for therapy services (physical therapy, occupational ... impact:** . Follows the system guidelines that makes decisions on approval for care for a patient. . Processes system generated decisions for authorization requests,… more
- Sharp HealthCare (San Diego, CA)
- …therapy sessions, utilization review process, and/or referrals and revises care plan as necessary. Sharp HealthCare is an equal opportunity/affirmative ... appropriate patient assessments (psychosocial, SI/HI, safety, DC planning) as related to the clinical services provided.Formulates plan of care based on … more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II Job...by the ECM Provider. Identify any gaps in the Care Plan services or regulatory compliance and ... Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public… more
- UCLA Health (Los Angeles, CA)
- …and medical record audits, including inspections of clinical areas, patient care practices, and administrative processes + Review medical records of services ... plan and/or regulatory audits for medical appropriateness by using established clinical protocols and health plan resource tools + Assess compliance with… more
- The County of Los Angeles (Los Angeles, CA)
- …and their families. + Participates with hospital administration, medical administration, clinical care teams, and professional staff of other disciplines ... performance improvement related to program/service delivery in accordance with regulatory health care agency standards. + Represents the clinical social work… more
- AbbVie (Irvine, CA)
- …interpretation of clinical trials or research activities within consumer eye care innovation of one or more programs. Participates in and may lead ... leading clinical study teams, monitoring overall study integrity and review , interpretation and communication of accumulating data pertaining to safety and… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- Clinical Positions in Palliative Care - Santa Barbara/San Luis Obispo 2025-2026 Apply now to Clinical Positions in Palliative Care - Santa Barbara/San ... This position includes membership in the health sciences compensation plan [https://ucop.edu/academic-personnel-programs/\_files/apm/apm-670.pdf], which provides for eligibility for additional compensation.… more
- Ventura County (Ventura, CA)
- Medical Director, Ventura County Health Care Plan Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4924113) Apply Medical Director, Ventura ... County Health Care Plan Salary $219,417.77 - $307,184.88 Annually...based upon guidelines approved by the medical director and Plan Committee. + Provides or arranges timely review… more
- Stanford Health Care (Palo Alto, CA)
- …of America) This position requires rotating weekends **This is a Stanford Health Care job.** **A Brief Overview** Serve as a technical resource to internal hospital ... staff and external entities; develop policies and procedures; review technical work of others, solve complex technical problems; develop teaching… more