Medical Manager Jobs in California
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Search Results - Medical Manager Jobs in California
Elevance Health-Los Angeles
necessary, quality healthcare in a cost effective setting according to contract
• Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management process...
1 similar job: Woodland Hills
Info Way Solutions LLC-Fremont
and oversee an ongoing comprehensive clinical training curriculum for medical management teams, including Utilization Management, Case Management, Long Term Services and Supports and Medical Directors.
The incumbent will be responsible for the development...
resume-library.com -
Clinica Sierra Vista Physicians-Fresno
Fresno and Inyo counties.
Become part of our team and play an important role in improving the health of our patients and community.
This is a unique clinical opportunity to provide comprehensive medical management for HIV patients.
Meaningful work...
Aditi Consulting-Rancho Cordova
Responsibilities:
Coordinates, assists in and supports implementation of procedures and guidelines for the drug prior authorization program for the outpatient Pharmacy Benefit
Develops an interface with the physician, physician’s office staff, medical management...
resume-library.com -
Pailin Group Psc-California
leadership through oversight of clinical services. The MCMD ensures that the Corporate Mission, Core Values and Management Principles of the organization are reflected in the his/her daily execution of Medical Director duties.
The MCMD functions as a clinical...
appcast.io -
Christus Health-Beaumont (CA)
Description
Summary:
Registered Nurse Coordinators are tasked with providing safe and quality treatment to all patients, as well as assisting medical management teams to ensure the safe, effective, and productive treatment of patients at all times...
Trinity Health-Fresno
for this traditional hospitalist opportunity involve medical management of patients, ensuring continuity and appropriate level of care for all inpatients and providing patients with appropriate instructions for outpatient follow-up.
The schedule for this full-time...
ICONMA, LLC-South San Francisco
in occupational health, emergency room, or public health is highly preferred.
Job duties, under general direction:
Perform LVN or RN level assessment and medical management of work related injury/illness
Facilitate return to work and workers’ compensation...
resume-library.com -
Trinity Health-Fresno
The responsibilities for this opportunity involve medical management of patients, ensuring continuity and appropriate level of care for all inpatients and providing patients with appropriate instructions for outpatient follow-up.
The schedule for this opportunity is 7...
Intercare Holdings Insurance Services-Rocklin
the claim.
• Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.
• Initiate the referral...
mindmatch.ai -
Valor Healthcare-Escondido
at the time of each patient visit. Completes the documentation of the medical record within 24 hours of a patient encounter. Solicits medical management consult or input when appropriate. Will comply with all VA guidelines in regard to appropriate and timely...
Intercare Holdings Insurance Services-Glendale (CA)
toward closure.
• Assure that all assigned indemnity claims have an up to date plan of action outlining activities and actions anticipated for ultimately resolving the claim.
• Form a partnership with the medical case manager to maximize early return...
mindmatch.ai -
Rancho Cucamonga
Responsibilities:
1. Monitor the Right Fax server, EDI Interface, and medical management system intake to all face sheets are processed in a timely manner.
2. Ensure that hard copy and electronic face sheets are complete and accurate to reflect current Member...
icims.com -
Intercare Holdings Insurance Services-Glendale (CA)
toward closure.
• Assure that all assigned indemnity claims have an up to date plan of action outlining activities and actions anticipated for ultimately resolving the claim.
• Form a partnership with the medical case manager to maximize early return...
mindmatch.ai -
Robert Half-Monterey Park
The Utilization Management Nurse Specialist LVN promotes the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to emergent/urgent and continued stay reviews...
roberthalf.com -
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