Medical Manager Jobs in Downey
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Search Results - Medical Manager Jobs in Downey
AltaMed Health Services Corp-Montebello (CA), 4 mi from Downey-appcast.io-
AltaMed Health Services Corp. seeks a Physician Reviewer in Medical Management to routinely review authorizations from all lines of business. The role uses national/state health plan guidelines to guide referrals and to support the Medical Director...
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i4 Search Goup-Los Angeles, 7 mi from Downey-
hospitalMinimum of 3 years clinical practice in direct patient careMinimum of 3 years medical management experience in managed care setting, plus knowledge of managed care operations processes and managed care contracting.Completed residency trainingExperience...
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L.A. Care-Los Angeles, 7 mi from Downey-appcast.io-
management programs.
Responsibilities include determinations for utilization management, prior authorizations, and reviews, with focus on quality and regulatory compliance. MD required with extensive experience in medical management is preferred.
#J-18808...
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Ethos Risk Services-Los Angeles, 7 mi from Downey-
Special Unit Investigations (Siu) Field Investigator
Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data...
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L.A. Care-Los Angeles, 7 mi from Downey-appcast.io-
A major health organization in Los Angeles is seeking a Medical Director for Utilization Management. This role requires significant clinical oversight, leadership experience, and collaboration across teams to ensure quality care and compliance...
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Ethos Risk Services-Los Angeles, 7 mi from Downey-
Private Investigator
Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront of, we provide accurate data and actionable insights...
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L.A. Care-Los Angeles, 7 mi from Downey-appcast.io-
required to achieve that purpose.
Job Summary
The Physician Reviewer II shall conduct medical reviews, clinical consultation and other medical consultation work as necessary under the general direction of the Senior Medical Director, Medical Management...
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Long Beach, 12 mi from Downey-icims.com-
Responsibilities:
Title: Manager, RN - ICU/SDU
Location: Long Beach, CA
Department: Medical ICU/Step-Down Unit
Status: Full-Time
Shift: Exempt
Pay Range*: $162,760/yr - $244,108/yr
MemorialCare is a nonprofit integrated health system...
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AltaMed Health Services Corp-Montebello (CA), 4 mi from Downey-appcast.io-
to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.
Job Overview
The Physician Reviewer, Medical Management, provides a routine review of authorization requests from all lines...
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Los Angeles, 7 mi from Downey-icims.com-
of referral denials, denial letters, and logs to determine appropriateness of denial, possible alternative treatment, and evaluation for case management or quality of care issues
4. Collaborate with UM Medical Director on reviews and final determination
5. ..
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