- Elevance Health (Walnut Creek, CA)
- **Behavioral Health Medical Director -Psychiatrist Appeals** **Location:** California. This role enables associates to work virtually full-time, with the ... PST. Half day Saturday rotation, once a month.** The ** Medical Director ** is responsible for the administration...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- Evolent (Sacramento, CA)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality… more
- Elevance Health (Walnut Creek, CA)
- …and external physicians. + Applies clinical knowledge and skills to utilization review processes. + Adheres to medical policies and clinical guidelines. + As ... **Behavioral Health Medical Director - Child Psychiatrist** Location: This...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- Elevance Health (CA)
- ** Medical Director ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... (PST) hours. Residence in Pacific Time Zone preferred. The ** Medical Director ** is responsible for supporting Elevance...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- Alameda Health System (San Leandro, CA)
- Medical Director , John George Psychiatric Hospital + San Leandro, CA + John George Psychiatric Hospital + Physicians JGP ER + Full Time - Day + Management + ... + FTE:1 + Posted:August 8, 2025 **Summary** **SUMMARY:** The Medical Director of John George Psychiatric Hospital...volunteers. 8. Assures that the facility complies with all utilization review and case management requirements of… more
- Genesis Healthcare (Carmichael, CA)
- …Area Director ). 10. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time team members. We offer Dental and… more
- Novo Nordisk (San Diego, CA)
- About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the ... and developing and implementing regulatory strategies with the FDA to providing medical education and collecting data to support efficacy and new product… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION: ... the work of staff, and evaluating employee performance. For this examination, Utilization Review is defined as provides technical and administrative direction… more
- Sedgwick (Sacramento, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports ... including making a recommendation of specialty for the Independent Medical Review process. + Developing and delivering...required to include one (1) to three (3) years utilization review experience and three (3) years… more
- Genesis Healthcare (Elk Grove, CA)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support ... in Action professional development program. Responsibilities The Assistant or In-Training (IT) Director of Rehab is responsible for assisting the Director of… more