- Trinity Health (Fresno, CA)
- …activities to promote the clinical and operational services. Work collaboratively with the Medical Director (s) in the strategic and daily operations of the ... also continues to have success with its six accredited physician residency and fellowship programs (https://www.samc.com/graduate- medical -education/programs) and… more
- Dignity Health (Rancho Cordova, CA)
- …for the overall leadership to the Pharmacy Services for Dignity Health Medical Foundation. Reporting to the Region Director Clinical Pharmacy Services, ... team and Price Clinic.The Manager will work closely with the Region Director Clinical Pharmacy Services on Dignity Health Medical Foundation initiatives… more
- Dignity Health (Bakersfield, CA)
- …Gathering all information needed to make a determination and/or coordinate with the Medical Director as needed. - Ensure compliance with turnaround times and ... records, authorize requested services and prepare cases for physician review based on medical necessity. The...to coordinate patient care. - Promotes quality, cost effective medical care through strict adherence to all utilization… more
- Dignity Health (Bakersfield, CA)
- …Gathering all information needed to make a determination and/or coordinate with the Medical Director as needed. - Responsible to coordinate with contracting to ... records, authorize requested services and prepare cases for physician review based on medical necessity. The...for accessibility within the network. - Consults with the medical director on cases that do not… more
- Fresenius Medical Center (San Bernardino, CA)
- …Manages staff scheduling and payroll. PHYSICIANS: Facilitates the application process for physician privileges and compliance with Fresenius Medical Care ... Medical Staff By-Laws. * Responsible for strong physician relationships and ensures regular and effective communication. * Participates in Governing Body, an… more
- CenterWell (San Diego, CA)
- …care plans and interpreting patient needs, while adhering to Company, physician , and/or health facility procedures/policies. + Manages the assignment of caregivers. ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
- Cardinal Health (Sacramento, CA)
- …to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Manages focused audits involving specific errors/issues that are ... Business or related field preferred. + 5+ years of experience in physician and/or hospital technical coding/auditing, medical necessity reviews, or related… more
- Stanford Health Care (Palo Alto, CA)
- …+ Co-direct the clinical, operational, and administrative initiatives of the service line Medical Director and unit nursing management team. + Conduct regularly ... care and pioneering cross-disciplinary research that translates the latest medical advancements into clinical practice. As part of Stanford...least 3 years in a surgical specialty as a Physician Assistant (PA) or Nurse Practitioner (NP), with a… more
- LA Care Health Plan (Los Angeles, CA)
- …to the Supervisor of ECM and receives clinical supervision as needed from the Medical Director of Care Management. The position is responsible for providing ... care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and Support (MLTSS), Social Services,… more
- Dignity Health (Bakersfield, CA)
- …**Position Summary:** The Manager, Network Strategy and Contracting reports to the Director of Provider Contracting. Key areas of oversight include negotiation of ... physician and ancillary provider agreements, oversee the implementation of...leadership. - Analyzes network performance, including cost, quality, and utilization data to identify trends, opportunities, and areas for… more