- Evolent (Sacramento, CA)
- …a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and ... by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by… more
- Elevance Health (Los Angeles, CA)
- …The **Clinical Operations Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions ... physician calls to gather medical appropriate information in order to make medical necessity determinations for services requested. + Makes medical … more
- Evolent (Sacramento, CA)
- …for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely ... setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in...Inspector General of the Department of Health and Human Services or the General Service Administration (GSA),… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …+ Participates in continuous quality improvement activities within the Administration and Medical Staff Services offices. + Completes hospital-wide skills ... + Demonstrates the ability to have positive personal interactions with staff , patients, visitors and physicians. + Possess strong analytical and problem-solving… more
- Elevance Health (Walnut Creek, CA)
- …**Clinical Operations Associate Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical ... medical appropriate information in order to make medical necessity determinations for services requested. + Makes medical necessity determinations for… more
- CVS Health (Sacramento, CA)
- …to network providers and facilities to support the effective execution of medical services programs by the clinical teams. Responsible for predetermination ... address member needs across the continuum of care. Supports the Medical Management staff ensuring timely and consistent responses to members and providers. Leads… more
- Scripps Health (San Diego, CA)
- …*Why Scripps Cardiovascular Surgery?* * Join a true team environment where the Medical Assistant staff work so well together, covering each other with ... clean, organized, and safe environment * Organizes and performs patient care services that support the physician's practice * Relaying instructions from the… more
- The County of Los Angeles (Los Angeles, CA)
- …In addition to its direct clinical services , DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as ... Job Type Full time Job Number Y5606I Department HEALTH SERVICES Opening Date 12/20/2021 + Description + Benefits +...medical care. + Motivated and eager to assist medical and nursing staff in a dynamic… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …administers disciplinary actions and nominates incentive awards in all matters concerning Medicine Service staff members. Work Schedule: Monday - Friday, 8:00 am ... Service is responsible for oversight of all physician staff , providers and administrative staff in Medicine...verified practice in the United States), which the local Medical Staff Executive Committee deems to have… more
- Cedars-Sinai (Los Angeles, CA)
- …They will demonstrate responsiveness to the concerns and needs of the faculty and medical staff and provide mentorship and guidance to junior faculty members to ... primary driver in integrating and coordinating the Imaging Department's services with other departments and service lines...of medical care including care provided by medical staff , faculty, residents, and fellows, and… more