- Elevance Health (CA)
- …Washington Medicaid operations by providing clinical leadership and oversight across utilization management , appeals, and program innovation. This position ... **Medical Director ** **Location:** This role enables associates to work...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- Novo Nordisk (San Diego, CA)
- …strategic and priority Managed Markets accounts. Position reports to Field Director /Senior Field Director /Executive Director . Essential Functions ... Duties: + Provides monthly reports on scientific leadership activities to Field Director including budget expenditures as directed + Records all activities within… more
- Elevance Health (Los Angeles, 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 ... entire clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including clinical… more
- Alameda Health System (San Leandro, CA)
- …of staff, visitors, and volunteers. 8. Assures that the facility complies with all utilization review and case management requirements of Alameda County, ... Medical Director , John George Psychiatric Hospital + San Leandro,...Physicians JGP ER + Full Time - Day + Management + $96.70 - $161.16 / Hour + Req… more
- Actalent (Los Angeles, CA)
- Job Title: Project Director K-14 DSAJob Description The Project Director provides leadership in areas of project management and operations, overseeing one or ... teams. This role involves managing client relationships, internal administration, financial management , and employee development. The Project Director reports to… more
- BrightSpring Health Services (Sacramento, CA)
- …days of death and submit to State Health Services Director and Assigned Director , Clinical Practice* Review utilization report at least monthly to ensure ... are coordinated with behavioral and programmatic staff in partnership with the Executive Director . The Director of Nursing is accountable for overseeing the… more
- Compass Group, North America (San Jose, CA)
- …+ Lead all aspects of retail execution including buying strategy, inventory management , merchandising, visual presentation, and POS system utilization (eg, ... Levy Sector Director of Retail Operations **Salary: $80,000 to $90,000**...Operations is a strategic leader responsible for the end-to-end management and performance of all Rank + Rally retail… more
- Elevance Health (Costa Mesa, CA)
- …Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit Management / Utilization Review ** _A proud member of the Elevance Health ... their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. **Minimum Requirements:** + Requires MD… more
- Stanford Health Care (Palo Alto, CA)
- …reimbursements. + Knowledge of principles and practices of social services, case management , discharge planning, utilization management , and support ... Care (SHC)? At Stanford Health Care, our Social Work/Case Management department is on a mission to emotionally support,...work leader to step into the role of Senior Director of Social Work. In this position, you'll lead… more
- Elevance Health (Walnut Creek, CA)
- …preferred. + Extensive spine surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. + **Orthopedic ... Medical Director ** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management ** **Schedule: 10:30 AM-7 PM Central** **Virtual:** This role enables… more