- Veterans Affairs, Veterans Health Administration (Long Beach, CA)
- …compliance with medical center programs. Ability to understand the operational needs of clinical services in the health care system. Ability to prepare material ... safety enhancements are implemented as instructed. Collaborates with facility leadership, clinical program managers, key stakeholders, and other VISN and national… more
- Amergis (Orange, CA)
- …Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral health clinical experience. Required Licensure ... and notification of behavioral health services from health professionals, clinical facilities and ancillary providers. The incumbent will be responsible… more
- Evolent (Sacramento, CA)
- …provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Evolent (Sacramento, CA)
- …provides clinical rationale for standard and expedited appeals. . Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Evolent (Sacramento, CA)
- …provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Dignity Health (Bakersfield, CA)
- …efficiency, FMEAS, and root cause analyses and medical staff improvement (eg peer review , OPPE, FPPE). Clinical performance improvement, including case review ... (eg, chart audits, PI team member, etc.) and three (3) years clinical experience in an acute care setting. Licensure: + Current state license in a clinical … more
- Surgery Care Affiliates (Laguna Woods, CA)
- …stakeholders. + Serve as a member of a multidisciplinary team in planning patient care . + Participate in quality review and performance improvement projects. + ... Overview At SCA Health, we believe health care is about people - the patients we...we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork… more
- Surgery Care Affiliates (Long Beach, CA)
- Overview At SCA Health, we believe health care is about people - the patients we serve, the physicians we support and the teammates who push us forward. Behind every ... As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for...we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork… more
- Evolent (Sacramento, CA)
- …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- LA Care Health Plan (Los Angeles, CA)
- …Actively participates in the discharge planning process, including providing clinical review and authorization for alternate levels of care , home health, ... Utilization Management Medical Director, on requests where determination requires extended review . Collaborates with the inpatient care team for… more
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