Director of Medical Policy will report to the Vice President of Medical Management. In this role you will be accountable..., medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical...
for continuous improvement. The Medical Director, Operations functions as a key member of the BSC Promise utilization management... review team. The Medical Director, Operations will report to the VP, Medical Management or their designee. The Medical...
, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical... Director, Operations - CalPERS will report to the Vice President, Medical Management. In this role you will deliver...
, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical... Director, Operations - CalPERS will report to the Vice President, Medical Management. In this role you will deliver...
, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical... Director, Operations - CalPERS will report to the Vice President, Medical Management. In this role you will deliver...
edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in... California. The Senior Medical Director, Behavioral Health will report to the Vice President, Medical Management. In this role...
, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical... Director, Operations (Behavioral Health) will report to the Senior Medical Director, Behavioral Health. In this role...
Job Description: Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director... Director, Commercial Utilization Management role will also provide direction and leadership in compliance to regulatory...
relating to health care operational issues, including patient consent, bioethics, risk management, medical staff, licensing..., Approval and Signature Authority Policy, etc.) for assigned Operating Division. Manage and assist with assigned Operating...
relating to health care operational issues, including patient consent, bioethics, risk management, medical staff, licensing..., Approval and Signature Authority Policy, etc.) for assigned Operating Division. Manage and assist with assigned Operating...
Reports to: Director of Staff Development (DSD) Department: Nursing Purpose of Your Job Position: The primary... to report for duty. It is policy to give us at least 2 hours notice before the beginning of the shift to find your replacement...
and medical policy compliance. In this role you will also perform Clinical oversight of all Medi-Cal grievances. In this process..., and with assistance, execute corrective action Intake Queue Prepares and submits clinical case reviews to the Medical Director (MD...
for benefits, medical necessity, coding accuracy and medical policy compliance.. Your Work In this role, you will: Assist... Director (MD) for MD collaboration and medical necessity determination Communicates determinations to members and providers in...
, coding accuracy, medical policy compliance and contract compliance Ensure discharge (DC) planning at levels of care... Director (MD) for medical director oversight and necessity determination and communicate determinations to providers...
projects. Essential Duties & Responsibilities Will assist the Director with marketing and client development for the.... Here are some benefits you can find when you join the TAIT Team: Flexible Work Schedule Options - Remote, Hybrid, In-Person Medical options...
, Director of Patient Care Services, Clinical Managers, other Agency and Field Staff not limited to the following: Uploading... communications to support essential agency activities. Ensures patient referrals are processed timely and per policy. Establishes...
of cases for medical necessity, coding accuracy, medical policy compliance and contract compliance Provides SME and support... for members with urgent needs Prepare and present cases to Medical Director (MD) for medical director oversight and necessity...