- Evolent (Sacramento, CA)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of...MD review process to reflect appropriate utilization and compliance with… more
- Evolent (Sacramento, CA)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in...MD review process to reflect appropriate utilization and compliance with… more
- Evolent (Sacramento, CA)
- …and provides clinical rationale for standard and expedited appeals. . Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member...MD review process to reflect appropriate utilization and compliance with… more
- Evolent (Sacramento, CA)
- …+ Provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of...MD review process to reflect appropriate utilization and compliance with… more
- Evolent (Sacramento, CA)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...MD review process to reflect appropriate utilization and compliance with… more
- Evolent (Sacramento, CA)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...MD review process to reflect appropriate utilization and compliance with… more
- Humana (Sacramento, CA)
- …insurance, or other healthcare providers. + Utilization management experience in a medical management review organization, such as Medicare Advantage, Managed ... caring community and help us put health first The Medical Director actively uses their medical background,...first The Medical Director actively uses their medical background, experience, and judgement to make determinations whether… more
- Edwards Lifesciences (San Francisco, CA)
- …understanding of medical affairs policies, procedures, and guidelines, including medical -legal review policies and procedures + Well-versed in healthcare ... Patients are at the heart of everything we do. As part of our Medical Affairs team, you'll foster internal and external collaboration to generate and disseminate… more
- Veterans Affairs, Veterans Health Administration (Martinez, CA)
- …recognize and eliminate recording artifacts. 3. Knowledge of medical terminology and medical record organization to review medical records, sleep study ... will score portable and/or attended polysomnography sleep studies prior to specialist review ; and alert specialist of critical findings. Creates sleep study report… more
- University of Southern California (Los Angeles, CA)
- …timely. Maintains records in Keckcare (Cerner) accordingly. Responsible for routine medical management review of these patients with collaborating physician(s). ... seeking outstanding applicants to fill a Nurse Practitioner in the Division of Medical Oncology. The Hematology Oncology NP under the direction of a Hematologist… more