- Providence (Mission Hills, CA)
- **Description** **RN Utilization Review - Remote. This position will work full- time in a 8-hr Day shift.** Provide prospective, retrospective, and concurrent ... utilization reviews for our LA ministries. Conduct clinical reviews...care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice… more
- Dignity Health (Rancho Cordova, CA)
- …is work from home** **within driving distance of Sacramento, CA** **.** As a Utilization Review (UR) LVN, you will use clinical judgement in providing utilization ... work activities. **Job Requirements** **Minimum Qualifications:** - 3 years Managed Care/ Utilization Management (UM) experience. 5 years LVN experience. - Clear and… more
- Sharp HealthCare (San Diego, CA)
- …care setting in collaboration with the Hospitalist team, SRS primary care physician , and ancillary staff to ensure cost effective quality service throughout the ... issued under the direction of the appropriate Medical Group Physician Representative.Collaborates with SCMG Medical Group Appeals when necessary....and also discuss with the PCP's nurse if the physician is unable to come to the phone for… more
- Dignity Health (Bakersfield, CA)
- …the Bakersfield/Central CA region.** **Position Summary:** The Medical Director of Physician Engagement is responsible for developing and driving implementation of ... physician and APP focused strategies that aim to drive...- Provide backup support to the Medical Director of Utilization Management in medical review activities, peer-to-peer consultations, appeals… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …become available.** VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Authorized Education Debt ... Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Provider… more
- Sharp HealthCare (San Diego, CA)
- …medical direction of Authorization Review for Sharp Health Plan (SHP). The Physician Reviewer will perform all reasonably necessary functions to ensure quality of ... care and appropriate utilization in the most cost-effective, appropriate and professional manner,...+ 5 years' experience as a practicing primary care physician with knowledge of managed care and the process… more
- The County of Los Angeles (Los Angeles, CA)
- CHIEF PHYSICIAN I (VARIOUS SPECIALTIES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2914957) CHIEF PHYSICIAN I (VARIOUS SPECIALTIES) ... American Specialty Board. + Legible copy of California State Physician and Surgeon's Certificate authorized by the Board of...order to improve the level of service or the utilization of personnel. + Plans, directs and supervises medical… more
- The County of Los Angeles (Los Angeles, CA)
- CHIEF PHYSICIAN II (VARIOUS SPECIALTIES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2915002) CHIEF PHYSICIAN II (VARIOUS SPECIALTIES) ... American Specialty Board + Legible copy of California State Physician and Surgeon's Certificate authorized by the Board of...improve the level of care and service or the utilization of personnel. + Plans, directs and supervises medical… more
- UCLA Health (Los Angeles, CA)
- …management, care variation management, patient flow/throughput management, ancillary services utilization and clinical documentation improvement. The Physician ... Description The Physician Advisor provides physician leadership and...Experience, Skills and Abilities: * Five years of hospital utilization management experience, with demonstrated success in quality improvement… more
- The County of Los Angeles (Los Angeles, CA)
- CHIEF PHYSICIAN III Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2181189) Apply CHIEF PHYSICIAN III Salary $238,380.00 - $721,152.00 ... the organization to improve the level of care and service, or the utilization of personnel. Plans, directs and supervises medical research and the presentation and… more