- Humana (Sacramento, CA)
- …may require conflict resolution skills. The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities, ... , requested level of care, and/or requested site of service should be authorized. All work occurs within a...Typically reports to an Associate Vice President of Health Services , Lead, or Corporate Medical Director… more
- Humana (Sacramento, CA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- 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 ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- HCA Healthcare (Thousand Oaks, CA)
- …be your next opportunity. We want your knowledge and expertise! Physician Services Group (https://careers.hcahealthcare.com/pages/ physician - services ) is ... with the Division Vice President of GME, the Division Director of Graduate Medical Education (DDGME) is...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services … more
- The County of Los Angeles (Los Angeles, CA)
- MEDICAL DIRECTOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4148476) Apply MEDICAL DIRECTOR I Salary $361,584.00 - ... clinical services , DHS also runs the Emergency Medical Services (EMS) Agency and the County's... medical schools with respect to standards of medical training and service . Resolves problems relating… more
- HCA Healthcare (San Jose, CA)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for ... include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for… more
- HCA Healthcare (San Jose, CA)
- …patient communication. + You will consult with Program Director and Rehab Physician / Medical Director regarding pre-screen assessments and physician ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services ...3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- Providence (Orange, CA)
- …so, we have an extraordinary opportunity waiting for you! **The Role:** As a Director of Nursing, Perioperative Services , at St. Joseph Hospital Orange, you will ... years of progressive managerial experience in healthcare, with a background in perioperative services in major medical center with complex surgeries. + Valid… 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. ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to...Inspector General of the Department of Health and Human Services or the General Service Administration (GSA),… more
- Elevance Health (Costa Mesa, CA)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/Utilization** **Review** ... granted as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the...board certified specialty. + Makes physician to physician calls to gather medical appropriate information… more