• Field Medical Director, Pain Management

    Evolent (Sacramento, CA)
    … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be...Management, you will be a key member of the utilization management team. We can offer you a meaningful… more
    Evolent (08/20/25)
    - Related Jobs

  • Chief Medical Officer, Population Health Services…

    Sutter Health (Emeryville, CA)
    …clinical oversight and direction for critical health plan functions-including utilization management, credentialing, authorizations, concurrent review , and ... and quality measurement (HEDIS, CMS Stars). + Experience managing utilization management, credentialing, authorization processes, and concurrent review … more
    Sutter Health (07/25/25)
    - Related Jobs

  • Care Manager

    Stanford Health Care (Palo Alto, CA)
    …various problem-solving techniques to deal with technical queries. + Demonstrated ability to review utilization reports and data. + Ability to identify trends ... plan, providers, caregivers, family, and the patient. + Identify opportunities to improve utilization , quality of care, access issues and physician profiling. +… more
    Stanford Health Care (08/20/25)
    - Related Jobs

  • Field Medical Director, Oncology

    Evolent (Sacramento, CA)
    … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... Oncology, you will be a key member of the utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
    Evolent (08/19/25)
    - Related Jobs

  • LVN - Per Diem

    Hospice Of San Joaquin (Stockton, CA)
    …about the Hospice philosophy and Hospice's services. QUALITY ASSESSMENT/IMPROVEMENT AND UTILIZATION REVIEW : Ensures compliance with the program plan, assuring ... utilization of resources. + Participates in Quality Assessment/Improvement and Utilization Review activities as requested by administration. + Incorporates… more
    Hospice Of San Joaquin (08/14/25)
    - Related Jobs

  • Field Medical Director , Radiology (Urology)

    Evolent (Sacramento, CA)
    … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... Radiology you will be a key member of the utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
    Evolent (08/02/25)
    - Related Jobs

  • Field Medical Director, Physical Medicine…

    Evolent (Sacramento, CA)
    … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... Rehab you will be a key member of the utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
    Evolent (07/24/25)
    - Related Jobs

  • Clinical Case Manager (RN-LCSW-LMFT - Sharp Mesa…

    Sharp HealthCare (San Diego, CA)
    …when not in use.Is knowledgeable of current laws and regulations regarding Utilization Review and Discharge Planning.Morning arrival time insures orderly ... + Data collectionParticipates in data and statistics collection as requested by Utilization Review , Service Line and Quality Improvement Committees. + Denial… more
    Sharp HealthCare (08/08/25)
    - Related Jobs

  • Field Medical Director, MSK (spine)

    Evolent (Sacramento, CA)
    … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... cases. you will be a key member of the utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
    Evolent (08/19/25)
    - Related Jobs

  • Field Medical Director, Cardiology

    Evolent (Sacramento, CA)
    … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... Director you will be a key member of the utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,… more
    Evolent (08/15/25)
    - Related Jobs