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Medical Manager Jobs in Downey

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Search Results - Medical Manager Jobs in Downey
PIH Health Hospital-Downey
POSITION SUMMARY: Specializes in the diagnosis, medical management, and surgical treatment of patients with diseases of the blood vessels outside the heart and brain. The Vascular Surgeon will act as an expert in the diagnosis and preoperative...
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Talent Software Services, Inc.-Long Beach, 12 mi from Downey
Job Description: Serves as initial point of contact for providers and members in the medical management process by telephone or correspondence. Assists in ensuring members are effectively and efficiently managed through the medical/disease...
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Elevance Health-Los Angeles, 7 mi from Downey
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...
IEHP-Rancho Cucamonga, 32 mi from Downey
to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related studies for medical management. This position...
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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...
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Aditi Consulting-Long Beach, 12 mi from Downey
Summary: Serves as initial point of contact for providers and members in the medical management process by telephone or correspondence. Assists in ensuring members are effectively and efficiently managed through the medical/disease management...
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Intercare Holdings Insurance Services-Los Angeles, 7 mi from Downey
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 -
Necnic Group Healthcare Recruitment-Los Angeles, 7 mi from Downey
comprehensive healthcare delivery system.  •  Provides strategic and operational direction for the delivery of performance based medical management.  •  Manages budget and risk drivers.  •  Analyzes and reports business performance data to customers, senior management...
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Renewal Health Group-Los Angeles, 7 mi from Downey
clinical reviewers to help ensure medically appropriate, quality, cost effective care throughout the medical management process. Educates the member about plan benefits and contracted physicians, facilities and healthcare providers. Refers treatment plans...
mindmatch.ai -
Thomas Talent Network, LLC-Los Angeles, 7 mi from Downey
experience.  •  Provide timely updates on the progress of their case to keep them informed and engaged.  •  Collaborate on case evaluation, strategizing, and medical management to enhance case value and obtain the maximum possible settlement for our clients...
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