- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency...number of departmental contracts requiring the Board of Supervisor's review and approval. + Oversees the review … more
- Evolent (Sacramento, CA)
- …improving healthcare quality.** + **Computer proficiency** and ability to navigate electronic medical review platforms. + No current exclusions, sanctions, or ... for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in **Performance… more
- Elevance Health (Los Angeles, CA)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... ** Medical Director** **Location: California** _This role enables associates...reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and… more
- BeOne Medicines (Emeryville, CA)
- …Director, Investigator-Initiated Trials (IIT) and Expanded Access Programs in Global Medical Affairs. The ideal candidate will be responsible for effective strategic ... require the ability to collaborate across other GMA functions and non- medical functions (eg, Marketing, Market Access, HEOR, Legal, Compliance, Regulatory, etc.).… more
- Stanford Health Care (Palo Alto, CA)
- …and Academic Medical Center experience preferred. + Case management, utilization review and/or direct provider interaction experience, preferred. + ... knowledge and experience in computer systems, reporting software and electronic medical record systems used in functional area. + Demonstrated leadership ability,… more
- Sharp HealthCare (La Mesa, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... **Facility:** Medical Plaza **City** La Mesa **Department** **Job Status**...Follows policy and procedure for entering of OCM and utilization of IDX. Completes work within assigned hours.Able to… more
- Ventura County (Ventura, CA)
- …in-services and staff development programs; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; ... Registered Nurse II - Medical Surgical and Detox Department (Regular & Per...number of qualified applications to meet business needs. FIRST REVIEW OF APPLICATIONS: May 29, 2025 Examples Of Duties… more
- Cedars-Sinai (Tarzana, CA)
- …will also be part of this position. Greets patients, take appropriate vital signs, review current medications and record in medical record + Greets patients, ... take appropriate vital signs, review current medications and record in medical record + Coordinates, or serve as liaison, for administrative and clinical (based… more
- LA Care Health Plan (Los Angeles, CA)
- …and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), … more
- Highmark Health (Sacramento, CA)
- …drug utilization reports, and write drug monographs for Committee review to develop the Organization's Drug formulary and/OR provide recommendations for NDC ... dose and duration edits, quantity limits, step-care edits, generic sampling medical policy review and development, member facing outreach initiatives… more