- Humana (Sacramento, CA)
- …relationships, value based care , population health, or disease or care management . Medical Directors support Humana values, and Humana's Bold Goal ... some experience in an inpatient environment and/or related to care of a Medicare type population (disabled...of business. The Medical Director conducts Utilization Management of the care received by members… more
- Ventura County (Ventura, CA)
- …matters of VCHCP medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. ... Medical Director , Ventura County Health Care Plan...Participates in Plan inter-rater reviews. + Promotes Health Equity, Population Health Management , and quality standards. +… more
- Sunrise Senior Living (Carmichael, CA)
- …**COMMUNITY NAME** Sunrise of Carmichael **Job ID** 2025-232068 **JOB OVERVIEW** The Resident Care Director (RCD) serves as the nursing clinical leader for the ... within the community. Responsible for oversight and implementation of all Care programs, regulatory compliance, recruiting, and performance management .… more
- Humana (Sacramento, CA)
- …quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop procedures, processes, ... Director will attend and participate in meetings involving care management , provider relations, quality of ...some experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population… more
- Stanford Health Care (Palo Alto, CA)
- …of both the Adults and Pediatrics Emergency Services. **This is a Stanford Health Care job.** **A Brief Overview** The Director of Emergency Services is ... care standards, practice and competencies for neonatal to geriatric patient population . The Director of Emergency Services assures that the department meets… more
- Sharp HealthCare (San Diego, CA)
- …for the continuum of care foundation for our NCQA required population health management program. Additionally, this position provides the representation of ... business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight...meetings throughout the SHP. This position oversees all physician management and medical care and for all… more
- Humana (Sacramento, CA)
- …on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... some experience in an inpatient environment and/or related to care of a Medicare type population (disabled...business metrics. + Experience working with Case managers or Care managers on complex case management , including… more
- Dignity Health (Bakersfield, CA)
- …types and geographies and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is ... needs in supports of the Dignity Health MSO performance in value based care arrangements, including population risk- segmentation, risk- stratification, care … more
- Humana (Sacramento, CA)
- …of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including ... community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on...+ Experience in an inpatient environment and/or related to care of a Medicare type population (disabled… more
- UCLA Health (Los Angeles, CA)
- …a medical group, IPA, or Health Plan, required + In-depth understanding of managed care , MSO functions, and population health services, required + Experience and ... Description We are seeking a highly skilled and dynamic Director of Clinical Services to lead the development, evaluation, and implementation of multiple clinical… more
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