- Humana (Sacramento, CA)
- …and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to ... caring community and help us put health first** The Medical Director relies on medical background and...with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances… more
- Humana (Sacramento, CA)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to ... as well as a focus on collaborative business relationships, value- based care, population health, or disease or care management....flexibility to adapt and the courage to innovate **Additional Information ** Typically reports to a Lead Medical … more
- City and County of San Francisco (San Francisco, CA)
- …with agencies, medical practitioners and within the community. + Conducts home visits when necessary to survey living situation of clients for accessibility and ... other locations within the DPH. Under general supervision, the Medical Social Worker performs routine medical social...written communication skills. + Experience in inpatient, outpatient, or home health based social work. The stated… more
- Evolent (Sacramento, CA)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We ... Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing ... home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services… more
- City and County of San Francisco (San Francisco, CA)
- …and substance use treatment services. Under general supervision, the Medical Social Work Supervisor oversees recruitment, training, supervision, and evaluation ... consultation and supervision on complex cases. Additionally, they coordinate medical social services programs, perform therapy, handle administrative duties, and… more
- Evolent (Sacramento, CA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member of the utilization management team. ... Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- Evolent (Sacramento, CA)
- …Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We ... Vascular cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- Ventura County (Ventura, CA)
- …and medical leave, gender, gender expression, gender identity, genetic information , marital status, medical condition, military or veteran status, national ... Medical Surgical and Telemetry Registered Nurse II -...4 - 2029 + Certification Pay: $0.813 per hour based on scheduled work week hours for each qualified… more
- Humana (Sacramento, CA)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to ... curiosity to learn, the flexibility to adapt and the courage to innovate **Additional Information ** Typically reports to a Lead Medical Director. The Medical … more