- Molina Healthcare (San Bernardino, CA)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Magellan Health Services (San Diego, CA)
- …After Hours coverage may be required. General Job Information Title Medical Director , Behavioral Health (Part Time, Remote), Licensed /Reside in CA Grade 36 ... This position is remote in California, candidates must be licensed and reside in CA. Part Time position. This...activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May… more
- Cedars-Sinai (Los Angeles, CA)
- …Care Management & ISP, Contracting, and Quality. The MH Medical Director provides direct supervision to licensed clinical social workers participating in ... **Job Description** The Medical Director of Mental Health is...including maintaining the network of providers for the CSMN Medicare Advantage plan(s). + Assists Contracting with identification, engagement,… more
- LA Care Health Plan (Los Angeles, CA)
- Associate Counsel III Senior Director Health Care Legal Services Job Category: Management/Executive Department: Health Care Legal Services Location: Los Angeles, CA, ... that purpose. Job Summary The Associate Counsel III Senior Director Health Legal Services is responsible for diverse legal...Minimum of 6 years of experience as a practicing licensed attorney and has acted as senior counsel on… more
- AccentCare, Inc. (Corona, CA)
- Overview Find Your Passion and Purpose as a Territory Operations Director , Home Health Registered Nurse Reimagine Your Career in Corporate Healthcare As a ... over 30 hours per week and their families, including: Medical , dental, and vision coverage Paid time off and...for patient-facing employees Qualifications Be the Best Territory Operations Director , Home Health Registered Nurse You Can Be If… more
- Brookdale Senior Living (Bakersfield, CA)
- …in the Quality Assurance and Performance Improvement Meeting. + Completes medical forms, reports, evaluations, studies, and other administrative duties, as ... + Participates in additional developmental reviews of Managed or Medicare residents. + Agrees not to disclose residents' health...from an accredited school of nursing and must be licensed as a registered nurse by theState Board of… more
- Option Care Health (Sun Valley, CA)
- …a diverse workforce. **Job Description Summary:** A Nursing Supervisor is a licensed professional who provides direct and indirect patient care services under a ... direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also...also serve as the alternate administrator and or alternate director of nursing. **Job Description:** **Job Responsibilities** **(listed… more
- Alameda Health System (Oakland, CA)
- …solutions. + Oversees submission of any audits, including but not limited to MediCal , Medicare and internal compliance studies. + Oversees the secondary review ... necessary and assists physicians with appeals. Maintains minimal denial rates by Medicare , MediCal , private and contracted payers through appropriate direction… more
- Cedars-Sinai (Los Angeles, CA)
- …residents. **About the Team** Cedars-Sinai is one of the largest nonprofit academic medical centers in the US, with 886 licensed beds, 2,100 physicians, ... with faculty, hospitalists and private attending physicians. The Executive Director is accountable for the development and implementation of strategic… more
- Stanford Health Care (Palo Alto, CA)
- …Registered Nurse - State Licensure and/or Compact State Licensure or + LCSW - Licensed Medical Social Worker - State Licensure 180-days of starting the position ... Health Care (SHC)? - Recognized as a top Academic Medical Center globally! - Ranked No. 10 on the...cases. + Assumes responsibility for department in absence of Director . + Takes regular 24 hour Administrator-on-Call responsibilities on… more