- Elevance Health (Palo Alto, 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 ** **Post Acute Care... medical appropriate information in order to make medical necessity determinations for services requested. +… more
- Cedars-Sinai (Beverly Hills, CA)
- …**Business Entity** : Cedars-Sinai Medical Center **Job Category** : Patient Services **Job Specialty** : Case Management **Overtime Status** : NONEXEMPT ... cost patient population, including referrals to community resources, facilitation of medical services , referral to ancillary providers, etc. **Qualifications**… more
- CVS Health (Sacramento, CA)
- …times -Promotes communication, both internally and externally to enhance effectiveness of medical management services and health care team. -Performs ... -Responsible for prepping the authorization in the system and triage cases to medical staff for review. -Organized and prioritizes work to meet regulatory and claim… more
- Cedars-Sinai (Beverly Hills, CA)
- …**Business Entity** : Cedars-Sinai Medical Center **Job Category** : Patient Services **Job Specialty** : Case Management **Overtime Status** : NONEXEMPT ... coordinator works collaboratively with all team members of Utilization Management , Patient and Provider Services , Claims Department...Medical Groups as requested by the UM Nurses, Medical Directors, or Management . + Processes Extensions… more
- Humana (Sacramento, CA)
- …and reports to the Lead Medical Director. **Other duties:** + Identify medical management operational improvements, including those within the medical ... and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided...achieve their best health - delivering the care and service they need, when they need it. These efforts… more
- Prime Healthcare (Redding, CA)
- … provided at the clinic. This position will serve as a member of the Medical Management Staff and will collaborate with the Leadership team, to ensure consistent ... goals. The Medical Director/Clinical Physician will also provide delivery of medical services to their own panel of patients of the clinic in a primary… more
- HCA Healthcare (San Jose, CA)
- …+ Current NAMSS Certified Provider Credentialing Specialist (CPCS) and/or Certified Professional Medical Services Management (CPMSM) certification required + ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...and Qualifications** The Director of Medical Staff Services is responsible for the management , coordination,… more
- The County of Los Angeles (Los Angeles, CA)
- …practice, or health maintenance organization. Possession of a valid Certified Professional Medical Services Management certificate, issued by the National ... SPECIAL REQUIREMENT INFORMATION: Possession of a valid Certified Professional Medical Services Management certificate, issued...examination will remain open until the needs of the service are met. Application filing may be suspended at… more
- Amgen (Thousand Oaks, CA)
- …strategies. **Good-to-Have Skills** + Experience developing and managing systems related to medical publications management , customer service and call ... center, and medical information management . + Familiarity with low-code, no-code test automation software + Proficiency with applicable project management … more
- Dignity Health (San Bernardino, CA)
- …+ Certification as a Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM). If not certified must ... (3) years in an acute care setting as a medical staff services professional with credentialing experience...service writing and verbal communication organization planning time management skills, and attention to detail. Ability to function… more