- 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
- Evolent (Sacramento, CA)
- …Doing:** What You Will Be Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially meet the applicable medical ... and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD… 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)
- …Pain Management, reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, ... when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD review… more
- HCA Healthcare (San Jose, CA)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Medical Assistant with MSO - Good Sam Heart Associates you can be a ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- HCA Healthcare (Los Gatos, CA)
- …Do you want to join an organization that invests in you as a Medical Records Specialist? At Los Gatos Surgical, you come first. HCA Healthcare has committed ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… 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
- Ventura County (Ventura, CA)
- Medical Director, Ventura County Health Care Plan Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4924113) Apply Medical Director, Ventura ... Description Click here (http://tiny.cc/6vwi001) to view the Brochure for Medical Director, Ventura County Health Care Plan What We...reasons many of the 802,983 residents call Ventura County " home ." Ventura has a diverse economic base from tourism… more
- HCA Healthcare (Thousand Oaks, CA)
- …will need to be based at Riverside Community Hospital or Los Robles Regional Medical Center. The leader **must be able** to attend meetings at both facilities and ... area along with Corporate Meetings in the Nashville, TN area. HCA Graduate Medical Education (GME) is the largest sponsor of residency and fellowship training… more
- HCA Healthcare (Riverside, CA)
- …integrity. We care like family! Jump-start your career as a(an) Medical Staff Credentialing Coordinator today with Riverside Community Hospital. **Benefits** ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
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