Medical Director, Utilization Management — Lead Value Care
L.A. Care Health Plan
A major health organization in Los Angeles is seeking a Medical Director for Utilization Management. This role requires significant clinical oversight, leadership experience, and collaboration across teams to ensure quality care and compliance. Candidates must hold an M.D. with 8+ years of relevant experience, particularly in medical management. The position offers comprehensive benefits including paid time off, tuition reimbursement, and retirement plans. #J-18808-Ljbffr L.A. Care Health Plan
$250k - $410k
...the direction of the Medical Director, Clinical Efficiency and Value, the Associate... ...appropriateness of care, throughput, and value... ...will independently manage priority workstreams... ...physician leaders, lead multi‑disciplinary... ...Ability to interpret utilization, operational,...SuggestedWork experience placementRelocation package$70k - $85k
...gap between clinical care and community support... ...technology-enabled care management organization... ...Worker (CHW), and other value-based care services that... ...compassionate, driven Lead Care Manager to... ...roles. Experience utilizing Electronic Medical Records (EMRs). Reliable...SuggestedWork at officeLocal areaRemote workWork from home$25 - $28 per hour
...Transforming Lives Optima Medical Management Group is dedicated to... ...support and care that not only addresses... ...the field, we aspire to lead in member care outcomes... ...supportive community that values each individual's... ...emergency department utilization: Five or more emergency...SuggestedFull timeTemporary workWork at officeLocal areaImmediate startFlexible hoursNight shift$206.31k
...receive an alert: Medical Director, Clinical Policy Job... ...in 1997, L.A. Care Health Plan is an independent... ...’s medical and utilization management practices. This position... ...delivering patient‑centered, value‑based care.... ...with the ability to lead, mentor, and motivate...SuggestedFull timeLocal area- Banner Health is seeking a Behavioral Health Case Manager to provide comprehensive care coordination across the patient care continuum. You will assess plans of care, implement and monitor resource utilization, and document progress to meet payer and regulatory requirements...Suggested
- A leading veterinary care provider is seeking an Experienced Medical Director for its Rancho Park Veterinary Clinic in Los Angeles, CA. The role involves providing leadership to the veterinary team, ensuring regulatory compliance, and maintaining a high standard of care...Relocation package
- ...Downey is seeking an RN Clinic Supervisor to oversee direct patient care in the clinic(s) and optimize patient flow. You will mentor... ...caregivers, and maintaining a team-focused culture aligned with Providence's mission and values. #J-18808-Ljbffr Providence Health and Services
$80k - $100k
A healthcare innovation firm is seeking a Provider Engagement Manager to enhance provider satisfaction and performance in healthcare settings... ...$100,000 annually, along with comprehensive benefits including medical, dental, vision, and a bonus potential. #J-18808-Ljbffr Vatica...$195k - $245k
...Role Title: Primary Care Medical Director – Los Angeles Location... ...a dual role: you'll manage your own patient panel... ...chart review, utilization review, and quality improvement... ...it's always been.” Value inclusion,... ...everything we do: Lead With Heart – Whether...Full timeWork at office- St. John's Community Health seeks a Regional Medical Director to lead, manage, and supervise providers across regions, promoting integrated clinical... ...management, while delivering comprehensive primary and preventive care to diverse, underserved patients. The role emphasizes...
- ...hospital, wound care medical office and surgical... ...of the case management program. Acts as... ...Essential Functions: Leads the coordination... ...of resource utilization, consultations, treatment... ...heritage and values, Adventist Health... ...Care Center Director, Location: Culver...Full timeWork experience placementWork at officeDay shift
$35 - $40 per hour
Overview Roze Room is a leading provider of Hospice and Palliative Care, celebrating 25 years of service... ..., with professionals who value and respect one another... .... Must be able to utilize computers and be comfortable with electronic medical record. Must be able to meet...Full timeRemote work$206.31k
...Established in 1997, L.A. Care Health Plan is an independent... ...purpose. Job Summary The Medical Director, Utilization Management provides clinical... ...promotion of appropriate high-value care. In support of payment... ...timeframe requirements. Leads efforts to strengthen Payment...Full timeLocal area- UnitedHealth Group is seeking a physician to conduct coverage reviews based on member plan benefits and established policies. You will document findings and engage with providers in peer-to-peer discussions to ensure timely benefit determinations. Required: MD or DO with...
- ...Improving the US Health Care System requires... ...The Enhanced Care Management program provides a whole... ...Cal managed care. The Lead Care Manager will work... ...; provide linkages to medical, psychiatric, social,... ...emergency department utilization. ESSENTIAL DUTIES AND...Local areaMonday to Friday
$78.39k - $97.99k
...belief that quality care is for everyone.... ...The Supervisor, Utilization Management - Clinical... ...activities, and medical management initiatives... ...with the Manager, Director, Medical Director... ...experience preferred (lead or supervisor)... ...the candidate's value and the role's strategic...Work experience placementFlexible hours- ...Description This position leads, manages, and supervises... ...and/or specialty care area(s), as well... ...Health. As a medical provider, he/she... ...Regional Medical Director ensures execution... ..., mission and values. Conducts orientation... ...in quality and utilization reviews of care...InternshipLocal areaFlexible hoursWeekend workWeekday work
- ...The Team Manager is the leader of the Patient Care Team and that member of the team whose... ...services provided (staffing, medications, HME, supplies, level of... ...in services on Vitas values, hospice principles and... ...program review. Performs utilization review of continuous...Contract workLocal area
$85k - $100k
...Care Coordinator The Atria Health Institute is... ...responses are expected and valued by members. You have... ...physicians and specialists and manage coordination of their... ...Assist with procuring medical records and follow-up... ...external practices Utilize an EMR and other...Flexible hoursWeekend work$21.5 per hour
...longitudinal outpatient care for this population.... ...together under one roof. Leading health systems—including... ...clinic operations by managing communications, maintaining... ...hour . Comprehensive medical, dental, and vision... ...interview process. What We Value We center care in...Hourly pay$85k - $90k
...children and young adults with Autism. We value clinical excellence, collaboration,... ..., staff support, and quality care, with strong administrative teams in... ...development opportunities What You’ll Do Lead clinical care for a manageable caseload (10-15 clients) Maintain a minimum...Full timeCurrently hiringWork from home- ...religiously sensitive care to age specific patient... ...collaboration with the Director of the Department. Assesses... ...resolution. Works in a lead capacity.Providence caregivers are not simply valued - they’re invaluable.... ...health care benefits (medical, dental, vision), life...Minimum wageInternshipLocal areaShift work
$25 - $37.98 per hour
...The mission of the Coordinator Clinical Care is to identify high risk patients and help... .... Ultimately to provide the best quality medical care available, while working toward a patient... .... Providence caregivers are not simply valued - they're invaluable. Join our team at...Minimum wageFull timeWork at officeLocal areaShift work$285k - $315k
Concentra, Inc in Gardena, California, is looking for an Urgent Care Physician Medical Director to lead medical operations while ensuring exceptional patient care. This role blends clinical duties with management responsibilities, allowing physicians to make an impact on...Relocation package- The mission of the Coordinator Clinical Care is to identify high risk patients and help... .... Ultimately to provide the best quality medical care available, while working toward a patient... .... Providence caregivers are not simply valued - they’re invaluable. Join our team...Work at office
- ...passionate about transforming care for individuals with... ...by our unwavering core values: Excellence, Compassion... ...Health (BH) Case Manager to join our Enhanced Care... ...professionals (e.g. PCP, etc.) Utilize evidence-based... ...in the Electronic Medical Record (EMR) system and...Local areaImmediate startRemote workMonday to FridayShift workWeekend workAfternoon shift
$23 - $25 per hour
...Description Job Description Care Coordinator – Support Services... ...professional development, and utilization reviews Provide clinical... ...Certification Make an Impact, Lead a Team, Grow Your Career! Apply today and join a team that values your expertise, supports your...Full timeMonday to FridayWeekend workAfternoon shift$20 - $27 per hour
...experience in healthcare and case management to join our Enhanced Care Management Team in Los... ..., CA as a non-clinical Lead Care Manager. In addition... ...benefits package that includes medical, dental, and vision... ...ensuring a high level of utilization is maintained. • Responsible...Hourly payFull timeWork at officeLocal areaMonday to FridayFlexible hoursAfternoon shift- ...their life choices and lead fulfilling lives. For nearly... ...interventions, foster care and adoption services,... ...process. Utilize internet search and other... ...Performance Improvement: Manage, maintain, and update... ...serve and maintains core values as an organization. All...Permanent employmentSummer workWork at officeAfternoon shift
- **Job Title:** Lead Care Manager **Location:** Los Angeles, CA **Company... ...the healthcare industry, we value professionalism, integrity,... ...by addressing individuals’ medical and behavioral health needs... ...specialties, including medical directors, behavioral health specialists...Work at officeLocal area
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