- Sharp HealthCare (San Diego, CA)
- …responsible for the medical direction of Authorization Review for Sharp Health Plan (SHP). The Physician Reviewer will perform all reasonably ... **Facility:** Health Plan **City** San Diego **Department** **Job Status**...$143.880 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The… more
- Sharp HealthCare (San Diego, CA)
- …for identifying Potential Quality Issues. + Supervises Physician Reviewer (s) and Medical Directors including Behavioral Health Medical Directors.Shares ... This Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP) physicians (Medical Directors (both medical and… more
- Sharp HealthCare (San Diego, CA)
- …Maximum):** $30.370 - $37.950 - $42.510 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay ... teams. **What You Will Do** The purpose of this job is to expand Sharp Specialty Pharmacy Services by offering services to all qualifying patients and to increase… more
- Sharp HealthCare (San Diego, CA)
- …data for SSPS QA pharmacist. + Medication adjudicationWorks collaboratively with the Sharp Health Plan pharmacy benefits manager (PBM) to ensure appropriate ... adjudication of medications that are authorized by Sharp Health Plan.Monitors the PBM adjudication system and identifies discrepancies.Communicates prior… more
- Sharp HealthCare (San Diego, CA)
- …**What You Will Do** Working with the Chief Medical Officer, oversees medical care for Sharp Health Plan (SHP) products and services and oversees the health ... **Facility:** Health Plan **City** San Diego **Department** **Job Status**...the process for identifying Potential Quality Issues. + Supervises Physician Reviewer (s) + Shares after-hours coverage responsibilities… more
- Sharp HealthCare (San Diego, CA)
- **Facility:** Sharp Memorial Hospital **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** ... reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations… more
- Sharp HealthCare (San Diego, CA)
- **Facility:** Sharp Memorial Hospital **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Other; ... $66.650 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The...therapy modalities of treatment as prescribed by a licensed physician . Assists patients in reaching their maximum performance and… more
- Sharp HealthCare (San Diego, CA)
- …Maximum):** $72.290 - $93.280 - $104.470 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay ... in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for operational planning… more
- Sharp HealthCare (San Diego, CA)
- …specific health needs and appropriately repatriate patients into the Sharp Healthcare system and/or contracted network. The OON CM assesses, develops, ... $98.920 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The... using appropriate, evidenced based tool (InterQual, MCG and/or health plan criteria) and plan for next review… more
- Sharp HealthCare (San Diego, CA)
- **Facility:** Sharp Memorial Hospital **City** San Diego **Department** **Job Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** AHA ... $73.310 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The...therapy modalities of treatment as prescribed by a licensed physician . Assists patients in reaching their maximum performance and… more
- Sharp HealthCare (San Diego, CA)
- …Maximum):** $50.720 - $65.450 - $73.310 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay ... therapy modalities of treatment as prescribed by a licensed physician . Assists patients in reaching their maximum performance and...within 6 months of hire. CCS paneled staff will review and supervise services provided by non-paneled personnel as… more
- Sharp HealthCare (San Diego, CA)
- …Maximum):** $49.700 - $64.130 - $71.820 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay ... administers physical therapy modalities of treatment as prescribed by a licensed physician . Assists patients in reaching their maximum performance and level of… more