- Genesis Healthcare (Carmichael, CA)
- …Area Director ). 10. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... with our Clinicians in Action professional development program. Responsibilities The Director of Rehab is responsible for the efficient management of rehabilitation… more
- Humana (Sacramento, CA)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex ... care industry including Medicare Advantage and Managed Medicaid. + Utilization management experience in a medical management review...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Evolent (Sacramento, CA)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
- Humana (Sacramento, CA)
- …role, you will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus ... The Director , Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director team… more
- Evolent (Sacramento, CA)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
- Genesis Healthcare (Elk Grove, CA)
- …in Action professional development program. Responsibilities The Assistant or In-Training (IT) Director of Rehab is responsible for assisting the Director of ... rehabilitation services in all settings. The Assistant or IT Director of Rehab supports the delivery of the highest...or coordinating the timely completion of the annual merit review for therapy staff. 6. Assists in management of… more
- Humana (Sacramento, CA)
- …management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present ... health topics to the clinical operations team and healthcare organization. The Medical Director 's work includes computer based review of moderately complex to… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION: ... the work of staff, and evaluating employee performance. For this examination, Utilization Review is defined as provides technical and administrative direction… more
- The County of Los Angeles (Los Angeles, CA)
- …BOARD RELATIONS, HEALTH SERVICES ( DIRECTOR , GOVERNMENTAL RELATIONS) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4203260) Apply MANAGER, ... BOARD RELATIONS, HEALTH SERVICES ( DIRECTOR , GOVERNMENTAL RELATIONS) Salary $141,907.20 - $220,694.40 Annually Location...number of departmental contracts requiring the Board of Supervisor's review and approval. + Oversees the review … more
- Humana (Sacramento, CA)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more