- Prime Healthcare (Ontario, CA)
- …members to join our corporate team! Responsibilities The Corporate Director of Clinical Utilization Management (UM) provides comprehensive oversight ... or another relevant field + A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management with a large Health Plan + An active CA… more
- Sharp HealthCare (San Diego, CA)
- …medical directors on utilization function. + Identifies physicians whose utilization and/or clinical practices are aberrant and recommends and participates ... **Facility:** Corporate Offices **City** San Diego **Department** **Job Status**...of private practice physicians. **Required Qualifications** + 5 Years clinical practice experience. + California Physicians and Surgeons License… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
- e CancerCare (Fresno, CA)
- Purpose: The Director , Clinical Trials & Research, for CCARE Physicians, PC, is responsible and accountable for the daily operations and management of staff, of ... in the department. Promote clinical excellence through applied clinical knowledge, leadership, team recommendations and research utilization . Ensure… more
- Humana (Sacramento, CA)
- …hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience ... a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Centene Corporation (Sacramento, CA)
- …and utilization management programs in accordance with regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director ... Assists in the development and implementation of physician education with respect to clinical issues and policies. + Identifies utilization review studies and… more
- Humana (Sacramento, CA)
- …hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience ... a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Sacramento, CA)
- …hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience ... a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of...represents Humana at Administrative Law Judge hearings; exercises independent clinical judgment and decision making on complex issues regarding… more
- Evolent (Sacramento, CA)
- …in-depth analyses of healthcare data - including authorizations, claims, membership, and clinical outcomes to identify cost drivers, utilization patterns, and ... and earned a perfect score on the Human Rights Campaign (HRC) Foundation's Corporate Equality Index (CEI). This index is the nation's foremost benchmarking survey… more
- CommonSpirit Health (Rancho Cordova, CA)
- …incumbent must reside in the Savramento Area.** **Job Summary / Purpose** The Market Director of Acute Care Coordination is at the forefront of spearheading the Care ... region. As a key figure in achieving sustainable outcomes the Market Director focuses on aligning models, enhancing processes, and providing targeted education. The… more
- Dignity Health (Grass Valley, CA)
- **Responsibilities** **Relocation assistance and sign-on bonus available.** The Director 's responsibilities include the following: + Directs and manages areas ... and directs all activities staffing performance improvement in the delivery of clinical services (such as LOS reduction). Reports needs within the Medical Center… more
- Lilly (Los Angeles, CA)
- …person liaising between Lilly resources or internal business partners (eg, Clinical Research Physicians, Medical Information Associates, Corporate Medical ... the future of healthcare with needed information that addresses important clinical and scientific questions. Develop mutually beneficial relationships with external… more
- Fresenius Medical Center (San Diego, CA)
- This is a full time Director of Nursing (DON) / Charge Nurse for an OBS (Office Based Surgery) center in San Diego. Hours are within the Monday through Friday work ... of staff as assigned. + Performs and sets-up in-services regarding equipment, supplies and clinical for all staff. + Coordinates all aspects of patient care with the… more
- Fresenius Medical Center (San Diego, CA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our… more
- Edwards Lifesciences (Los Angeles, CA)
- …a meaningful difference to patients around the world. As a part of the Field Clinical Specialist team, you will be a critical part of delivering our patient focused ... innovations, partnering with clinical professionals, and training them on using our groundbreaking...patient outcomes. This role reports to an assigned Regional Director and will collaborate with multiple departments including Sales,… more
- HCA Healthcare (Riverside, CA)
- …+ You will serve as a direct liaison between HCA-affiliated physicians and facility/ corporate clinical services functions + You will establish and maintain an ... and provides ongoing in-service programs to facility medical staff regarding clinical resource management, appropriate documents standards, utilization and… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Clinical Microbiologist Scientist License - CA Department of Public Health; Bachelor's ... Degree; California Clinical Toxicologist Scientist License - CA Department of Public...institutes policies and procedures to facilitate application of SHC corporate commitment to compliance guidelines.Acts as Technical Consultant regarding… more
- Teleflex (Los Angeles, CA)
- …process-focused, decisive course of action. This role interfaces closely with the Director of Sales in driving profitable revenue and achieving assigned market share ... ability to work cooperatively with Sales Training, Marketing, Sales Operations and Corporate Accounts leaders and team members, providing field sales / clinical… more
- Fujifilm (Sacramento, CA)
- …understanding of IVD reagent systems, distribution modalities, as well as clinical performance and utility of assays. **Company Overview** At FUJIFILM Healthcare ... the customer. + Ability to learn and retain in-depth clinical knowledge of tumor types with the goal of...IVD organization of sales, quality and compliance issues. + Utilization of the IVD reporting systems for sales opportunities… more