- Highmark Health (Sacramento, CA)
- …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
- Prime Healthcare (Redding, CA)
- …esteemed Prime Healthcare (https://www.primehealthcare.com/) system, is seeking a dynamic andexperienced Medical Director / Clinical Physician to join our ... to patients of the clinic by quality goals. The Medical Director / Clinical Physician will also.../ Clinical Physician will also provide delivery of medical services to their own panel of… more
- Cedars-Sinai (Los Angeles, CA)
- …leading academic health systems!** Cedars-Sinai Medical Center is seeking a visionary ** Medical Director of Adult Genetics** to expand and lead our ... neurogenetics, cardiovascular genetics, and more. **What You'll Do** As Medical Director , you will: + Lead and...Degree from an accredited institution + Board Certification in Clinical / Medical Genetics (ABMGG or equivalent) + Active… more
- Humana (Sacramento, CA)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
- Wellpath (Yuba City, CA)
- …that required documentation of services is provided to the Regional or Corporate Medical Director or designee to monitor services and compliance with ... will be responsible for notifying the Regional or Corporate Medical Director and Health Services ...unavailable for an extended period. **Key Responsibilities** * The Medical Director provides clinical oversight… more
- Ventura County (Ventura, CA)
- …community partners; + In conjunction with the Medical Director and clinical leadership, ensures that clinical services and practices are relevant, ... position, the role requires a strong understanding of clinical environments to effectively support service delivery...the efficiency and service quality of contracted services and communicates these findings to the Director… more
- Wellpath (Woodland, CA)
- …that required documentation of services is provided to the Regional or Corporate Medical Director or designee to monitor services and compliance with ... will be responsible for notifying the Regional or Corporate Medical Director and Health Services ... clinical settings. **Key Responsibilities** + The Multi-Site Medical Director / Physician provides clinical… more
- Providence Medical Group (PMG) (Santa Rosa, CA)
- …a leadership role. The medical director is responsible for the clinical direction and supervision of the rehabilitation services and programs for the ... This is a physician-first role, with 80% of the medical director 's time spent in clinical...to provide compassionate care to all who need its services , especially the poor and vulnerable. Its 119,000-plus caregivers/employees… more
- Ventura County (Ventura, CA)
- …leadership for clinical operations standards, policies, and procedures. Further, the Clinical Medical Director oversees both physicians and APPs. The ... year, increasing to 288 hours after 5 years of service , to 328 hours after 10 years of ... Clinical Medical Director executes strategies developed and prioritized… more
- Sharp HealthCare (San Diego, CA)
- …legal and regulatory requirements. + Assists CMO in continued builds strong partnerships with Medical Director PMGs and their clinical teams. + Assists CMO ... the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp… more