- Dignity Health (Bakersfield, CA)
- …as part of the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the adverse ... to review medical records, authorize requested services and prepare cases for physician review based on medical necessity. The position partners with both the… more
- Evolent (Sacramento, CA)
- …Doing:** Job Description As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve… more
- Evolent (Sacramento, CA)
- …Medical Director, Physical Medicine and Rehab you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve… more
- Highmark Health (Sacramento, CA)
- …RESPONSIBILITIES** + Monitor FDA-approvals, drug manufacturer pipelines, assess drug utilization reports, and write drug monographs for Committee review to ... Formularies by monitoring FDA-approvals and drug manufacturer pipelines, assessing drug utilization reports, and writing drug monographs for Pharmacy & Therapeutics… more
- Evolent (Sacramento, CA)
- …As a Field Medical Director, Oncology, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** . Serve… more
- Evolent (Sacramento, CA)
- …As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,...consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as… more
- Evolent (Sacramento, CA)
- …As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve… more
- Sutter Health (Emeryville, CA)
- …oversight and direction for critical health plan functions-including utilization management, credentialing, authorizations, concurrent review, and elements of ... design to ensure cohesive, clinically sound strategies across the organization. Physician leaders contributing to the management of population health and plan… more
- Sharp HealthCare (San Diego, CA)
- …of the manager of in-patient care management and the Director of Utilization Management. **Required Qualifications** + 3 Years Experience in the acute patient ... Degree Health care related field **Other Qualification Requirements** + Utilization , Case Management, or Quality Management certification preferred. **Essential… more
- Sharp HealthCare (San Diego, CA)
- …and educational experience which will establish credibility with physicians and non- physician health care practitioners involved in Admission & Triage, Discharge ... families. + ConfidentialityMaintains confidentiality of all patient, hospital or physician -related information.Updates and maintains clinical skills related to different… more