- Travelers Insurance Company (Sacramento, CA)
- … capabilities to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical … more
- Highmark Health (Sacramento, CA)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care… more
- Danaher Corporation (West Sacramento, CA)
- …and implement countermeasures for delays or budget overruns. + Utilize project management tools to track progress and ensure compliance with internal policies. The ... with a Master's), including preference for 2-5 years in program/project management . + Experience in FDA-regulated/IVDR environments strongly preferred. + PMP or… more
- Sharp HealthCare (San Diego, CA)
- …planning consistent with existing policies and/or principles. Responsible for managing medical management activities to include tracking, trending and analyzing ... units, Medical -Surgical Nursing, and/or Home Health + 3 Years Medical Management experience, preferably in managed care, with supervisory experience + 2… more
- Elevance Health (Costa Mesa, CA)
- …**Clinical Operations Associate Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical ... **Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management ** **Radiology Benefit Management /Utilization Review** _A proud… more
- CVS Health (Sacramento, CA)
- …implementation, and evaluation of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum of ... care. * You will support the Medical Management staff ensuring timely and consistent responses to members and providers. * This includes Prior… more
- Sumitomo Pharma (Sacramento, CA)
- …support for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product ... dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director.** The Associate Medical Director will provide hands-on… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Participates in delivery of other EMS Agency classes including: Hospital Disaster Management Training (HDMT), The Medical Management of Chemical, ... SENIOR NURSING INSTRUCTOR (EMERGENCY MEDICAL SERVICES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3309230) Apply SENIOR NURSING… more
- Cedars-Sinai (Beverly Hills, CA)
- …from IPAs / Medical Groups as requested by the UM Nurses, Medical Directors or Management . + Processes Extensions and Denial Letters, when needed. ... **Job Description** The Case Management Coordinator provides support to the utilization review...and communication skills and the ability to interact with Medical Directors, Providers, CSMNS members, Medical Group… more
- Cedars-Sinai (Beverly Hills, CA)
- …from IPAs / Medical Groups as requested by the UM Nurses, Medical Directors, or Management . + Processes Extensions and Denial Letters, when needed. ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded...More About What You Will be Doing** The Case Management Coordinator provides support to the utilization review process.… more