- Evolent (Sacramento, CA)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will...Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… 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, Physical Medicine and Rehab you will be...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
- Elevance Health (Walnut Creek, CA)
- … medical necessity of requests using clinical criteria. + Performs physician -level case review of musculoskeletal utilization requests. + Conducts ... **Clinical Operations Associate Medical Director** **Orthopedic Spine Surgery** **Carelon Medical...peer-to-peer consultation with ordering physicians, physician assistants and advanced practice nurses regarding established guidelines… more
- Sharp HealthCare (San Diego, CA)
- …administered including two (2) patient identifier verification. Assists with Medical Assistant medication verification in immediate area. No medication errors.Able ... problem and routes to physicians. Returns phone calls according to physician instruction. May schedule patient appointments.In partnership with physician ,… more
- Humana (Sacramento, CA)
- …management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present ... health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of moderately complex… more
- UCLA Health (Santa Monica, CA)
- …are being examined + Prepare electronic charts of upcoming new and established patients + Review medical records and charts for accuracy + Review After Visit ... Description As a Medical Scribe in the GeneralSurgery, you will play...physician support experience. + Previous experience with electronic medical records such as Medhost, EPIC, Cerner, etc. +… more
- Stanford Health Care (Palo Alto, CA)
- …Service, Clinic or Department are established by the NP and his/her supervising physician (s), and approved by the appropriate medical and nursing administrators, ... lab values, diagnostic tests (x-ray, echo, etc.), device parameters. 2. Medical and surgical complications, rejection, medication side effects, long term… more
- Cedars-Sinai (Beverly Hills, CA)
- …area. Job Duties and Responsibilities: + Greets patients, take appropriate vital signs, review current medications and record in medical record. + Coordinates, ... Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We also were awarded...on standard work and department guidelines. + Addresses patient, physician , and staff concerns and resolve problems accordingly. +… more
- Cedars-Sinai (Beverly Hills, CA)
- …**Job Duties and Responsibilities:** + Greets patients, take appropriate vital signs, review current medications and record in medical record + Coordinates, ... **Job Description** **Join Cedars-Sinai!** **Cedars-Sinai Medical Center has been ranked the #1 hospital...we have been named one of the top 20 Physician Groups in Southern California by Integrated Healthcare Associates… more
- Humana (Sacramento, CA)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more