Jobs near La Palma: 12,261

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Relevance Score ranked on: MEDICAL DIRECTOR

Clinical Ops Medical Director

COSTA MESA, 3080 BRISTOL ST, STE 200

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, Clinical, Director, Medical, Healthcare

87

14mi

Updated: January 09

Appeals and Grievances Medical Director - PM&R Physician - Virtual

The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Performance accountabilities include: Perform individual case review for appeals and grievances for various health plan an...

Search Terms: Medical Director, Director, Appeals, Medical, Physician

86.2

2.4mi

Updated: December 20

Appeals and Grievances Medical Director - Cardiology Specialty Required - Virtual

Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical c...

Search Terms: Medical Director, Director, Appeals, Cardio, Medical

85.9

2.4mi

Updated: December 13

Appeals and Grievances Medical Director - Cardiology Specialty Required - Virtual

Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical c...

Search Terms: Medical Director, Director, Appeals, Cardio, Medical

85.9

2.4mi

Updated: December 13

Medical Director - Pulmonology - Remote

Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements Engage with reque...

Search Terms: Medical Director, Director, Medical, Remote, Health

83.3

14mi

Updated: December 25

Medical Director - Pulmonology - Remote

Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements Engage with reque...

Search Terms: Medical Director, Director, Medical, Remote, Health

83.3

14mi

Updated: December 25

Center Medical Director

Patient Care. Deliver up-to-date, evidence-based, and compassionate care to patients in clinic. Supervise clinical care performed by clinician team Effectively communicate and operationalize Carbon Health’s mission, vision and values. Engage in special projects related to clinical quality improvement...

Search Terms: Medical Director, Director, Medical, Clinician, Patient Care

83.3

14mi

Updated: December 24

Physician Medical Director

City Of Industry

THE DETAILS - Spends 100% of time in a center providing direct patient care, leading by example, and creating an exceptional patient experience. - Ensures day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure. - Monitor...

Search Terms: Medical Director, Medical, Director, Physician, Support Staff

83.2

13mi

Updated: December 20

Executive Medical Director - GP/UC

Search Terms: Medical Director, Director, Executive, Medical, Healthcare

82.9

14mi

Updated: December 18

Medical Director - Long Beach

VCA Los Altos Animal Hospital located in Long Beach, California, is looking for a Medical Director who enjoys practicing advanced medicine with a cohesive, tenured team. At VCA Los Altos Animal Hospital, we are looking for a Medical Director who will join our team as we provide quality veterinary med...

Search Terms: Medical Director, Director, Medical, Animal Care, Healthcare

82.8

9.7mi

Updated: November 26

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