Jobs near Canoga Park: 4,494
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Relevance Score ranked on: MEDICAL DIRECTOR
National Solution Medical Director, Post Acute Care
WOODLAND HILLS, 21215 BURBANK BLVD
Develops clinical appropriateness guidelines for post-acute solutions. Monitors competitor products and internal medical management capabilities and responds with recommendations for improvement in company models. Contributes to the development of Medical Management and Quality Management strategies....
Search Terms: Solution, Medical Director, Acute Care, Director, Medical
90
2.8mi
Updated: April 30
National Solution Medical Director - Post Acute Services
WOODLAND HILLS, 21215 BURBANK BLVD
Develops clinical appropriateness guidelines for post-acute solutions. Monitors competitor products and internal medical management capabilities and responds with recommendations for improvement in company models. Contributes to the development of Medical Management and Quality Management strategies....
Search Terms: Solution, Medical Director, Director, Medical, Acute
90
2.8mi
Updated: April 30
Managing Medical Director, UM Clinical Operations
WOODLAND HILLS, 21215 BURBANK BLVD
Provides support to clinicians in daily tasks and participates in peer-to-peer discussions and office visits with providers and external physicians as necessary. May participate in a physician on-call rotation for a 24 x 7 pre-certification unit. Assists in the practitioner appeal reviews, appropriat...
Search Terms: Medical Director, Operations, Clinical, Director, Medical
87.4
2.8mi
Updated: April 24
Associate Medical Director
Woodland Hills
Ensures timely completion of clinical case reviews for their board certified specialty. Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services requested. Makes medical necessity determinations for grievance and appea...
Search Terms: Medical Director, Director, Medical, Associate, Microsoft
86.5
2.8mi
Updated: April 17
Medical Director, Vascular Surgery
WOODLAND HILLS, 21215 BURBANK BLVD
Develops clinical appropriateness guidelines for the vascular solution. Monitors competitor products and internal medical management capabilities and responds with recommendations for improvement in company models. Contributes to the development of Medical Management and Quality Management strategies...
Search Terms: Medical Director, Surgery, Director, Medical, Management
85.7
2.8mi
Updated: April 04
Physician Clinic Medical Director
Valencia
100% center based providing direct patient care, mentoring, leading by example, and demonstrating clinical excellence and an exceptional patient experience. Assumes role and responsibilities of CMD, whether functioning in the capacity of a CMD at a specific location or in the capacity of the Market F...
Search Terms: Medical Director, Director, Clinic, Medical, Physician
82.2
18mi
Updated: April 04
Nurse Appeals (RN) CA
WOODLAND HILLS, 21215 BURBANK BLVD
Conducts investigations and reviews of member and provider medical necessity appeals. Reviews prospective, inpatient, or retrospective medical records of denied services for medical necessity. Extrapolates and summarizes medical information for medical director, consultants and other external review....
Search Terms: Appeals, Nurse, Medical Director, Skills, Healthcare
81
2.8mi
Updated: April 30
Nurse Appeals (RN) CA
WOODLAND HILLS, 21215 BURBANK BLVD
Conducts investigations and reviews of member and provider medical necessity appeals. Reviews prospective, inpatient, or retrospective medical records of denied services for medical necessity. Extrapolates and summarizes medical information for medical director, consultants and other external review....
Search Terms: Appeals, Nurse, Medical Director, Skills, Healthcare
81
2.8mi
Updated: April 30
Nurse Appeals (RN) CA
WOODLAND HILLS, 21215 BURBANK BLVD
Conducts investigations and reviews of member and provider medical necessity appeals. Reviews prospective, inpatient, or retrospective medical records of denied services for medical necessity. Extrapolates and summarizes medical information for medical director, consultants and other external review....
Search Terms: Appeals, Nurse, Medical Director, Skills, Healthcare
81
2.8mi
Updated: April 30
Nurse Medical Management I
WOODLAND HILLS, 21215 BURBANK BLVD
Location: Woodland Hills, California. Hours: Standard Working hours M – F (Occasional Weekends may be expected)Travel: Remote. Position Overview: Responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective ...
Search Terms: Management, Medical, Nurse, Medical Director, Healthcare
81
2.8mi
Updated: April 30
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