- Elevance Health (Cerritos, CA)
- ** Medical Director - Utilization Management ** **Location: This is a hybrid position with the expectation to go into the office at least 1 day a week, ... within 50 miles of an Elevance Health location.** The Medical Director is responsible for the administration...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- 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
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates,...requests by Providers. Acts as a department resource for medical service requests /referral management and processes.… 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
- LA Care Health Plan (Los Angeles, CA)
- …operational systems and tools while also performing utilization review of cases. The Medical Director reports to the Senior Medical Director , ... Medical Director , Community Health Job Category:... review of cases and participates in our care management programs periodically. Provide utilization review and… more
- Cedars-Sinai (Los Angeles, CA)
- … Director collaborates with other CSMN providers of Population Health services, the Medical Director of Pain Management , and Population Health leadership, ... Management & ISP, Contracting, and Quality. The MH Medical Director provides direct supervision to licensed...community MH provider as needed. + Supports and advises Utilization Management , CS 360, and population health… 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 (Los Angeles, CA)
- **Clinical Ops Associate Medical Director - Ortho** **Location:** **This is a virtual position. Candidates must reside within 50 miles of an Elevance Health ... 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
- The County of Los Angeles (Los Angeles, CA)
- …will be primarily used to fill a vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used to ... + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION:… 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
- Grant Thornton (Los Angeles, CA)
- As a Transaction Management Director , you'll focus on buy-side and sell-side transaction management engagements, serving dynamic organizations with ... teams + Provide expertise in the following: + Deal Management Office support + Standalone, one-time, and stranded cost...professional development + Meeting or exceeding targeted billing hours ( utilization ) + Other duties as assigned You have the… more
- The County of Los Angeles (Los Angeles, CA)
- CLINICAL NURSING DIRECTOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3136407) Apply CLINICAL NURSING DIRECTOR I Salary $152,555.76 ... PLAN (MAPP) : This position is subject to the provisions of the Management Appraisal of Performance Plan (MAPP). Initial salary placement and subsequent salary… more
- Jacobs (Los Angeles, 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
- University of Southern California (Los Angeles, CA)
- …(https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA Downtown/Art- Director \_REQ20156518/apply) Communications Los Angeles, California Art ... to the Special Advisor/Associate Vice President, Advancement Communications, the Art Director will oversee the visual identity and branding of all marketing… more
- Cedars-Sinai (Los Angeles, CA)
- … medical center + Maintains division fiscal affairs, including expense reduction, utilization management and budget control + Oversees the division compliance ... in order to provide quality, individualized patient care and support of Medical Center philosophies. The Associate Director assumes fiscal responsibility through… 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
- ADP (Pasadena, CA)
- **ADP is hiring a Sr. Director , Operations -** **Smart Compliance Solutions (SCS)** The Senior Director , Operations will play a pivotal role in driving seamless ... with strategic goals. + Develop and implement strategic plans to optimize the management of strategic initiatives within the software development team. + Act as a… more
- UCLA Health (Los Angeles, CA)
- …Care at Home Program, Population Health Pharmacy Programs, and Population Health Quality Management Program. The Assistant Director will lead and oversee a ... financial risk and be held accountable for value-based outcomes. The Assistant Director of Clinical Quality Performance will collaborate with Office of Population… more
- Abbott (Los Angeles, CA)
- …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO...life through the design and provision of device and management solutions for the treatment of **Structural Heart** disease.… more