, and payment policy to accelerate the emergence of a value-based health care system in California. The Senior Medical Director..., Medical Policy will report to the Vice President of Medical Management. In this role you will be accountable for working in...
, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Behavioral... Health will report to the Senior Medical Director, Behavioral Health. In this role you will have core responsibilities in the...
, 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 you will provide leadership...
Director, 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 Senior Medical...
, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical... Director, Behavioral Health will report to the Senior Medical Director, Behavioral Health. In this role you will have core...
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...
Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization... and collaborating on all aspects of utilization management and care coordination for Commercial membership. The Director, Commercial...
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...
, handhelds, radios, medical waste generator registration). In collaboration with local leadership and EVS Division Director... our hospitals and out in the community. Responsibilities: The Market Director will provide leadership, guidance and management...
, handhelds, radios, medical waste generator registration). In collaboration with local leadership and EVS Division Director... our hospitals and out in the community. Responsibilities The Market Director will provide leadership, guidance and management...
Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal... membership. The Director, Medicare & Medi-Cal Utilization Management role will also provide direction and leadership in...
Job Description: Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director... and Medi-Cal membership. The Director, Medicare & Medi-Cal Utilization Management role will also provide direction...
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...
, 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...
, 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...
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...
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...
, 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...
for medical necessity, coding accuracy and medical policy compliance. Clinical judgment and detailed knowledge of benefit plans... clinical review of claims for medical necessity, coding accuracy, medical policy compliance and contract compliance Ensure...
candidate reviews prior auth requests for medical necessity, coding accuracy and medical policy compliance. Clinical judgment... to ensure quality and cost-appropriate DC planning Prepare and present cases to Medical Director (MD) for medical director...