- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... individual and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172723/corporate- director -of-clinical- utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- Molina Healthcare (Long Beach, CA)
- …, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk ... resource management . + Develops and implements a Utilization Management program and action plan, which...activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. +… more
- HCA Healthcare (Riverside, CA)
- …a part of our team. **Job Summary and Qualifications** The Facility Case Management Director has the overall responsibility for managing and coordinating ... join an organization that invests in you as a Director Case Management ? At Riverside Community Hospital,...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
- Elevance Health (Cerritos, CA)
- …of applicable clinical criteria and relevant Carelon Medical Benefits Management policies pertaining to utilization review. + Demonstrate and maintain ... necessity of requests using clinical appropriateness guidelines. The **Associate Medical Director , Clinical Operations (Surgery)** is responsible for supporting… more
- Elevance Health (Costa Mesa, CA)
- **Clinical Ops Associate Medical Director ** **Orthopedic Surgery** **Location:** This is a virtual position. Candidates must reside within 50 miles of an ... analytics to improve the delivery of care. The **Clinical Ops Associate Medical Director - Ortho** is responsible for performing pre-authorizations and… more
- Elevance Health (Cerritos, CA)
- … Medical Director , Clinical Operations** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions ... testing. + Determine medical necessity of requests using Carelon Medical Benefits Management Medical Necessity Guidelines, client-specific health… more
- Elevance Health (Costa Mesa, CA)
- …Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit** ** Management / Utilization ** **Review** **Schedule:** ... Associate Medical Director ** responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members… more
- Elevance Health (Cerritos, CA)
- … Medical Director , Sleep Medicine** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to ... to work in a dynamic, fast-paced environment. + Preferred interest in Sleep management utilization review. For candidates working in person or remotely in… more
- HCA Healthcare (Riverside, CA)
- …and integrity. We care like family! Jump-start your career as a(an) Director of Supply Chain Operations today with Riverside Community Hospital. **Benefits** ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...vary by location._** Come join our team as a(an) Director of Supply Chain Operations. We care for our… more
- Jacobs (Irvine, CA)
- As a Market Growth Director you report to your assigned Executive Director of Sales (EDS). You are responsible for the development of a water market strategy ... include input and create alignment with the Lead Account Strategist (LAS), the Director of Operations (DO) aligned to your market, and Market Solutions Leadership… more
- STG International (Rancho Cucamonga, CA)
- …to ensure compliance and patient safety. + Participate in quality improvement, care management , risk management , peer review, utilization review, clinical ... of the Primary Care Physician is to provide covered professional outpatient primary medical services to enrolled patients of the Veterans Affairs Medical Center… more
- Skyworks (Irvine, CA)
- Sr. Director , EDA Engineering Apply now " Date:Dec 28, 2024 Location: Irvine, CA, US Company: Skyworks If you are looking for a challenging and exciting career in ... a strong focus on global collaboration, minimal layers of management , and the freedom to make meaningful contributions in...Requisition ID: 72376 Job Summary Skyworks seeks a Senior Director of EDA Engineering to lead advanced EDA engineering… more
- WM (Sun Valley, CA)
- …age, national origin, disability, or veteran status. We are seeking an experienced Director of Disposal for our Landfill Operations to lead the Landfill Disposal ... California, preferably near Los Angeles or Riverside County. Relocation also available. ** Director of Disposal Job Summary** This key leadership role will lead the… more
- AbbVie (Irvine, CA)
- …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... Facebook, Instagram, YouTube and LinkedIn. Job Description The Creative Director , Copy is known as a leader in the...closely with Editorial, Art, and Account, along with Creative Management , to ensure that clients are satisfied with the… more
- WSP USA (Irvine, CA)
- This Opportunity WSP is looking for a **Senior Vice President Transportation Director /Local Business Lead (LBL)** for **Orange County** , based in our Irvine office. ... efforts in coordination with Region, District, National Business Lines, and Pursuit Management . + Integrates as the "face of the company" locally and across… more
- Elevance Health (Costa Mesa, CA)
- …in process improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses ... **Be Part of an Extraordinary Team** ** Medical Management Clinician Senior** **Location: Remote-**... medical necessity denial determination made by a Medical Director . + Develops and fosters ongoing… more
- Fresenius Medical Center (Costa Mesa, CA)
- …+ Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible for strong Director and physician ... communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with… more
- Fresenius Medical Center (Garden Grove, CA)
- …and acting on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization ... during and post procedure, under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing techniques to… more
- Dignity Health (Northridge, CA)
- **Overview** Founded in 1955 Dignity Health - Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge ... cardiovascular center stroke center the Center for Assault Treatment Services a pediatric medical center and the only pediatric trauma center in the San Fernando… more
- Cedars-Sinai (Pasadena, CA)
- …the safe and effective delivery of patient care services in the Cedars-Sinai Medical Care Foundation. Leads the daily operations of the clinical operations team, ... leads department using a shared governance model and Lean principles of management . *Uses expert knowledge, clinical skills, and critical thinking in managing daily… more