Medical Director - Utilization & Quality Oversight
Molina Healthcare of Illinois
Molina Healthcare in Los Angeles is seeking a Medical Oversight Specialist. This role entails overseeing the appropriateness and necessity of health care services to ensure member satisfaction and quality care. The ideal candidate will possess an MD or DO license, board certification, and at least 3 years of healthcare experience, including two years in medical practice. The position offers a competitive benefits and compensation package. #J-18808-Ljbffr Molina Healthcare
- ...Description Your Role The Medical Management team ensures... ...in California. The Medical Director, Utilization Management - will report to... ...will assist in clinical oversight of coordination of care, case... ...staff in maintaining high quality clinical reviews and work...SuggestedFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week
$250k - $410k
...Associate Medical Director, Physician Advisor The Associate Medical Director, Physician Advisor supports Utilization Management by providing clinical oversight, education, and guidance on medical necessity... ...of stay, and ensure high-quality, cost-effective care. As a...SuggestedFull timeContract workPart timeRelocation package$206.31k
...Medical Director, Utilization Management Job Category: Clinical Department: Utilization Management Location... ...'s mission is to provide access to quality health care for Los Angeles County's... ...Management provides clinical oversight of authorization decision making and...SuggestedFull timeLocal area$250k - $410k
Cedars-Sinai Medical Center in Beverly Hills is seeking an Associate Medical Director, Physician Advisor, to lead Utilization Management. This position involves... ..., and enhancing care quality. Candidates should be licensed... ...strong clinical oversight, effective communication...Suggested$275k - $300k
The Oncology Institute of Hope and Innovation is seeking a Utilization Management Medical Director Oncology to work remotely from California, Nevada, Arizona, Oregon, or Florida. This role involves conducting medical reviews of oncology treatment plans and collaborating...SuggestedRemote job- ...! POSITION: Assistant Medical Director RESPONSIBILITIES: The... ...medical practices, oversees quality of care issues and compliance... ...and collaborate with Utilization Review Committee. Assist with... ...including medical residents, and oversight of clinical support...Local area
- Mohawk Alley Animal Hospital is seeking a Medical Director in Los Angeles, California. The ideal candidate will have a veterinarian degree and 3-5+ years of experience, overseeing medical quality and collaborating with a dedicated team. Responsibilities include maintaining...
- Veterans in Healthcare is seeking a Utilization Management Assistant Director - RN in Los Angeles, CA. This role entails overseeing Intensive Case Management... ...high-risk patient populations. This position supports quality patient care and focuses on effective transition...
- Talent-Connect-Now is seeking a Medical Director in Los Angeles, California, responsible for the delivery of participant care and clinical outcomes. The role involves leading quality improvement initiatives and collaborating with healthcare providers to ensure comprehensive...
- ...Behavioral Health Quality Assurance Manager The Behavioral Health Quality Assurance... ...of Mental Health programs # Providing oversight and supervision for identified staff #... ...trauma and substance abuse on behavioral and medical conditions # Knowledgeable of evidence...Contract work
$105.7k - $234.5k
Description Reporting to the Associate Director of Delegation Oversight and Systems, the Delegation Oversight Manager will lead the day-to-day management... ..., including Independent Physician Associations (IPAs), medical groups, and supplemental benefit vendors, comply with CMS...- ...challenges. We are currently looking for Medical Directors that can work daytime in any of the... ...Responsibilities: Provide daily utilization oversight and external communication with network... ...cost-effective healthcare delivery and quality of care Communicate effectively with...Remote jobLocal areaWeekend workAfternoon shift
$70.9k - $145.2k
Description Under the direction of the Utilization Management Assistant Director, the Utilization Management... ...effective care transitions, and high-quality service delivery. Key Responsibilities... ...in Managed care Organization, Medical Group operations, Health Plan administration...Work at office$250k - $300k
Integrity Healthcare is seeking a Remote Medical Director to replace a retiring physician. This long-term, non-clinical role requires residing... ...requests and collaborate with healthcare teams to ensure quality care. The position offers a salary between $250,000 and $300,...Remote job- POSITION SUMMARY The Medical Director is responsible for the delivery of participant care... ...and the implementation, as well as oversight, of the quality assessment and performance... ...outcomes, performance improvement, and Utilization Management (UM); Designs and conducts...Contract workRemote work
- A leading healthcare organization in Los Angeles seeks a Clinical Operations Director to provide strategic oversight for clinical programs and enhance quality of care. This role requires a Bachelor's degree in Nursing or related field, with a Master's preferred, and 5-1...
$400k
...Description As a Veterinary Specialty Medical Director at ACCESS Los Angeles, in Culver City,... ...be empowered to perform at your best. Utilize leadership training resources and mentorship... ...financial options* make accessing quality care simpler— giving families the peace...Full timeTemporary workLocal areaRelocationRelocation packageFlexible hours$120k - $160k
QC/QA Director - Health & Wellness #1510 job at Keller Executive Search International. Los Angeles, CA. We are a well-established contract... ..., and NSF. We are looking for a strategic leader to oversee quality and compliance operations during a period of significant growth...Contract workLocal area$140k - $165k
...Job Description Clinical Director Los Angeles, California We’re hiring a Clinical... ..., team development, admissions oversight, quality improvement, and direct influence on patient... ...bonus opportunities • Comprehensive medical coverage • Dental insurance • Vision...Relocation packageMonday to Friday$325k - $380k
...Description Providence Cedars-Sinai Tarzana Medical Center is seeking a Physician Advisor/UM Medical Director to join a strong leadership team promoting... ...and its physicians to improve clinical quality, resource utilization and increase value while maintaining and improving...Full timeMonday to FridayShift workWeekend work$50 - $55 per hour
...negotiable. The Role 100% remote, with oversight of telehealth and in-person sessions in... ...Minimum 30 clinical hours per week; 90% utilization of recommended treatment hours is the... ...billable hours ~ Bonus opportunities ~ Medical, Dental, Vision ~401k ~ Electronics...Remote work- ...responsible to assist the Program Director in the clinical operations of... ...the program, providing clinical oversight and ensuring quality care through chart reviews, determination of medical necessity, level-of-care assessments utilizing approved tools (ASAM), review of...TraineeshipWork at office
- ...responsible to assist the Program Director in the clinical operations of... ...the program, providing clinical oversight and ensuring quality care through chart reviews, determination of medical necessity, level-of-care assessments utilizing approved tools (ASAM), review of...TraineeshipWork at office
$212.15k
Associate Medical Director: Child and Family Programs- Part-time- 6742... ...effort) Responsible for the oversight of all medical services... ...organization. Evaluate the quality and cost-effectiveness of agency... ...medical services through utilization of the agency’s Performance...Full timePart timeSeasonal workWork at officeLocal areaMonday to Friday$105k - $140k
...Benefits: We offer Medical, Dental, and Vision plans... ...The Director of Rehab is responsible... ...highest standard and quality of rehabilitation services... ...for daily staffing and utilization with input from treating... ...department, including oversight related to case management...Full timePart timeH1bWork from homeVisa sponsorshipRelocation package$105k - $140k
...Benefits: We offer Medical, Dental, and Vision plans... ...The Director of Rehab is responsible... ...highest standard and quality of rehabilitation services... ...for daily staffing and utilization with input from treating... ...department, including oversight related to case management...Full timePart timeH1bWork from homeVisa sponsorshipRelocation package$80k - $90k
...of Working at Intercare: Medical, Dental and Vision insurance... ...optimize the independence and quality of life of our clients and their... ...will include FBAs, direct oversight of assigned client cases as well... ..., parents, and/or others utilizing Behavior Skills Training (BST...Full timeWork at officeFlexible hours$47.58 - $76.68 per hour
...requirements and policies. The role demands a current California R.N. license and preferably a BSN, alongside experience in utilization and quality management. Compensation ranges from $47.58 to $76.68 hourly, reflecting the expertise required for this role. #J-18808-...Hourly pay$142.56k - $175.89k
...opportunity for a Supplier Quality Manager at our Burbank, CA... ...gear; from satellites to medical implants and from missiles to... ...Leadership: Provide strategic oversight of supplier quality operations... ...risk management tools, and QMS utilization (Oracle, etc.). Provide...Permanent employment$360k - $400k
...Job Title: Medical Director Job ID: 87438 Location: Los Angeles, California Overview: Step into a transformative leadership... ...an ideal balance of direct patient care and high-level oversight, driving quality initiatives, provider performance, and operational...Full timeRelocation package
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