- Highmark Health (Sacramento, CA)
- …**Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with ... addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and...+ 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES… more
- Surgery Care Affiliates (Laguna Woods, CA)
- …coverage, 401k plan with company match, paid time off, life and disability insurance , and more. Click here (https://careers.sca.health/why-sca) to learn more ... for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a… more
- Humana (Sacramento, CA)
- …volunteer time off, paid parental and caregiver leave), short-term and long-term disability , life insurance and many other opportunities. Application Deadline: ... various projects in quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations. This… more
- Banner Health (Susanville, CA)
- …care under the direction and supervision of a registered nurse and/or licensed physician , and is accountable for the quality of nursing services delivered by self ... care plan and medical orders, within scope of practice. Provides care based on physician orders and the nursing plan of care, in compliance with policies and… more
- J&J Family of Companies (Irvine, CA)
- …following Company sponsored employee benefit programs: medical, dental, vision, life insurance , short- and long-term disability , business accident insurance ... for all clinical studies - both for regulatory purposes as well as physician initiated collaborative studies. They will be responsible and accountable for case… more
- Sharp HealthCare (San Diego, CA)
- …problem and routes to physicians. Returns phone calls according to physician instruction. May schedule patient appointments.In partnership with physician , ... service delivery.Participates in clinical projects as directed by the physician or manager.Department specific requirements: + Department efficiency and… more
- Sharp HealthCare (San Diego, CA)
- …problem and routes to physicians. Returns phone calls according to physician instruction. May schedule patient appointments.In partnership with physician , ... service delivery.Participates in clinical projects as directed by the physician or manager.Department specific requirements: + Department efficiency and… more
- Sharp HealthCare (La Mesa, CA)
- …pertinent information, recognizes the urgency of the patient's problem and routes to physician as needed. Returns phone calls according to physician instruction. ... policies and procedures.Participates in clinical projects as directed by the physician or manager.List department specific requirements here. + Department efficiency… more
- Alameda Health System (Oakland, CA)
- …Interqual(R) clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. + Takes appropriate action when cases do not ... meet criteria. Escalates to the attending physician , and the Care Management physician advisor...and authorizations that adhere to federal, state and local insurance regulatory agencies and offer patient choice per regulation.… more
- Dignity Health (Bakersfield, CA)
- …vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability . We also offer a 401k retirement plan ... of Provider Contracting. Key areas of oversight include negotiation of physician and ancillary provider agreements, oversee the implementation of all contracts… more
Recent Jobs
-
PT/OT Rehab Aide
- Trinity Health (Langhorne, PA)
-
Law Clerk I
- State of Montana (Kalispell, MT)
-
Facilities Construction Manager
- Johnson, Mirmiran, and Thompson Inc. (Philadelphia, PA)
-
Cosmetologist - Part Time
- The Walt Disney Company (Anaheim, CA)