Jobs near Woodland Hills: 4,945
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Relevance Score ranked on: CLINICIAN
Clinical Review Clinician - Appeals
Woodland Hills
Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards. Prepares case reviews for Medical Director...
Search Terms: Clinical, Clinician, Appeals, Medical Director, Practical Nurse
87.9
0mi
Updated: May 08
Clinician ACSW, AMFT, APCC - Mental Health 605
Sylmar
Ldquo;They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live..." - Client from Telecare What You Will Do to Change Lives The Clinician Unlicensed provides mental health support services to members serve...
Search Terms: Mental Health, Mental, Clinician, Behavioral Health, Health
83
14mi
Updated: May 04
Quality Improvement Clinician - SAPC and CRT
Culver City
Oversees clinical utilization reviews as well as trainings on quality clinical documentation and practices. Also practices continuous quality improvement to ensure agency provision of excellent care and preventive services that are effective, patient-centered, timely, efficient, safe, and equitable. ...
Search Terms: Clinician, Mental Health, Improvement, Improvement, Clinical
81.1
16mi
Updated: May 01
Licensed Clinical Psychologist-California
Santa Monica
CHE Behavioral Health is currently seeking full or part time Licensed Clinical or Counseling Psychologist in Santa Monica, CA. When you choose CHE Behavioral Health, you will be joining a leading APA-accredited, clinician-led behavioral health company! C. H. E. provides superior behavioral health ser...
Search Terms: Psychologist, Licensed, Clinical, Behavioral Health, Clinical Director
66.9
12mi
Updated: April 09
Nurse Practitioner/Physician Assistant | Optum - Van Nuys, Ca
Van Nuys
Come join our Primary Care team at Optum where we believe in providing quality of life to our clinicians. We offer excellent work life balance with no pager, no call, no weekends. We are looking for a Nurse Practitioner in our Van Nuys, CA office. This is an excellent position to further your profess...
Search Terms: Nurse Practitioner, Physician, Nurse, Practitioner, Assistant
66.9
10mi
Updated: May 09
Licensed Marriage Family Therapist LMFT- California
Sylmar
CHE Behavioral Health experiencing phenomenal growth and seeking compassionate Licensed Marriage and Family Therapist to join our team in Sylmar, Chatsworth and Montrose regions of California Join a leading APA-Approved, clinician-led behavioral health company today! The company employs over 800 clin...
Search Terms: Behavioral Health, Therapist, Licensed, Family, Marriage
64.5
14mi
Updated: April 10
Staff Vice President (VP) Governance (Health Benefits Claims Operations)
WOODLAND HILLS, 21215 BURBANK BLVD
Oversight of all operational areas for entire book of business; inclusive of but not limited to claims payments and encounter submissions, network, reporting, IT and infrastructure, performance guarantees and corrective action plans. Provides leadership and strategic direction to ensure business meet...
Search Terms: Operations, Benefits, Vice President, Health, Staff
0
0mi
Updated: May 19
Medicare Duals Management Director - CA
WOODLAND HILLS
Primary duties may include, but are not limited to:Support the development of a 3 to 5-year Duals product and growth strategy for the Health Plan and lead coordinating and facilitating enterprise product/process innovation and development activities. Establish performance indicators to monitor Duals'...
Search Terms: Director, Management, Relations, Healthcare, Compensation
0
0mi
Updated: May 19
Oversight Compliance Cnslt CA (US)
WOODLAND HILLS, 21215 BURBANK BLVD
Participates in annual and ad hoc delegation oversight audits, development of corrective action plans, and analysis of required program reports and internal performance measures. Acts as an operational expert and interventionist through effective communication, education, and design of programs and s...
Search Terms: Compliance, Administrative, Healthcare, Compensation, Benefits
0
0mi
Updated: May 19
Manager II Grievance/Appeals (RN)
WOODLAND HILLS, 21215 BURBANK BLVD
Maintains and coordinates staff activities to achieve departmental and corporate goals to improve service to customers/providers and assures regulatory compliance. - Analyzes and develops strategies by achieving performance thresholds within budgetary guidelines. - Addresses both internal/external cu...
Search Terms: Manager, Appeals, Administrative, Healthcare, Benefits
0
0mi
Updated: May 19
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