- Elevance Health (Walnut Creek, CA)
- …with providers and external physicians. + Applies clinical knowledge and skills to utilization review processes. + Adheres to medical policies and clinical ... **Behavioral Health Medical Director - Child Psychiatrist** Location: This role enables associates...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- Elevance Health (CA)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... **Medical Director ** **Location:** This role enables associates to work...Medicaid operations by providing clinical leadership and oversight across utilization management, appeals, and program innovation. This position ensures… more
- CBRE (San Francisco, CA)
- Business Development Senior Director , Enterprise Occupier Solutions Job ID 208590 Posted 28-Feb-2025 Service line GWS Segment Role type Full-time Areas of Interest ... **The client-facing title for this role is Senior Managing Director , Business Development** We are seeking a Senior ...same for direct reports to next level management for review and approval. Monitors appropriate staffing levels and reports… more
- Alameda Health System (San Leandro, CA)
- …staff, visitors, and volunteers. 8. Assures that the facility complies with all utilization review and case management requirements of Alameda County, AHS, and ... Medical Director , John George Psychiatric Hospital + San Leandro,...FTE:1 + Posted:August 8, 2025 **Summary** **SUMMARY:** The Medical Director of John George Psychiatric Hospital is responsible for… more
- City and County of San Francisco (San Francisco, CA)
- …. ITT Project Management & Delivery Director Under the administrative direction of the ... the Information Technology and Telecommunications (ITT) Project Management and Delivery Director will provide strategic oversight and direction for every technology… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …Kite and help create more tomorrows. **Job Description** + The **Associate Director , Planisware Clinical Trial Planning, Resource Management, and Reporting** is a ... resident Planisware expert for the group. The position will report to the Director of Business Strategy & Operations. _Responsibilities include but are not limited… more
- Sedgwick (Sacramento, CA)
- …(10) of related experience required to include one (1) to three (3) years utilization review experience and three (3) years clinical quality control. **Skills & ... Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports escalated...+ Knowledge of ADAA and FMLA + Knowledge of utilization review procedures + Knowledge of clinical… more
- Elevance Health (Costa Mesa, CA)
- … Director ** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/ Utilization ** ** Review ** **Virtual:** This role enables associates to ... attention, any case review decisions that require + Medical Director review or policy interpretation. **Minimum Requirements:** + Requires MD or DO and… more
- Elevance Health (Walnut Creek, CA)
- …necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer ... **Clinical Operations Associate Medical Director ** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management** **Schedule: 10:30 AM-7 PM Central**… more
- Select Medical (Los Angeles, CA)
- …and professional growth of the Department including yet not limited to Utilization Review (UR) and resource management, discharge planning, treatment plan ... and Select Medical Century City / Los Angeles, CA Director of Case Management - Full Time (on-site) $10k...hospitalization for their recovery. We are currently seeking a ** Director of Case Management - RN or LCSW** to… more