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
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Medical Director, Utilization Management — Lead Value Care in Los Angeles, CA vacancy
- SCAN is seeking an Utilization Management Physician Medical Director to lead medical necessity determinations, prior authorizations, and reviews. This physician will influence policy, provide clinical mentorship, and ensure compliant, evidence-based decision-making while...SuggestedRemote job
$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 homeGroundGame.Health
Montebello, CA1 day ago- Daymark Health is seeking a Medical Director for California to lead our clinical program in the region. You will set the clinical vision, uphold standards of care, and partner with payers and health systems to deliver value-based cancer care. This role involves supervising...Suggested
$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 areaL.A. Care Health Plan
Los Angeles, CA4 days ago$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...Suggested$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 officeHaven Health Group, Inc.
Los Angeles, CAmore than 2 months ago- ...hospital, wound care medical office and surgical... ...of the case management program. Acts as... ...Functions: Leads the coordination... ...appropriateness of resource utilization, consultations,... ...heritage and values, Adventist Health... ...Care Center Director, Location:South Gate...Full timeWork experience placementWork at officeDay shift
Adventist Health
South Gate, CA2 days ago $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- ...clinical outcomes and day-to-day management of Medical Directors in multiple centers within... ..., but not limited to leading facilitated practice (... ...ChenMed core model, core values & behaviours and service standards... ...referral and delegated utilization authorizations. Other...Local area
- ...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
Central Neighborhood Christian Health Clinics
Santa Fe Springs, CA2 days ago - ...The Vaccines Field Medical, Director is responsible for... ...Optimize patient care improvements in Medical... ...as the Medical lead for assigned... ...including Key Account Managers, Account Directors... ...Rapidly adopt and utilize new digital technology... ...transfers of value to health care providers...Permanent employmentLocal areaRemote workFlexible hours
Pfizer
Los Angeles, CA1 day ago $29 - $36 per hour
...Home Care CoordinatorCompton, CAHabitat... ...provide comprehensive medical care along with... ...Health is supported by leading healthcare... ...and honor Habitat's values.Conduct comprehensive... ...perform tasks and utilize adaptive equipment... ...the ability to manage multiple priorities...Contract workTemporary workWork at officeRemote workFlexible hoursHabitat Health
Compton, CA5 days ago$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 workProvidence Service
Santa Monica, CA2 days ago- ...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
VITAS Healthcare
Los Angeles, CA1 day ago $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
St Johns Community Health
Los Angeles, CAa month ago $348.25k - $417.9k
...belief that quality care is for everyone. Our... ...Overview The Regional Medical Director for PACE is responsible... ...clinical aspects of utilization management, case management, chronic... ...for reporting to lead to high-quality and appropriate... ...the candidate's value and the role's...Flexible hours- 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
- ...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
Allies for Every Child
Los Angeles, CAa month ago - ...as required. Job Description The Lead Care Manager plays a vital role in supporting... ...interpersonal skills. Assess unmet medical, behavioral, and social needs and develop... ...services, and reduced emergency room utilization and hospital readmissions through proactive...Live inWork at officeLocal areaImmediate start
BLEHEALTH, LLC
Los Angeles, CAa month ago - ...thereof through comprehensive case management and integrated social service... ...THE ROLE The Skid Row Care Campus is a comprehensive, low... ...term housing. The Facilities Lead is a hands-on working lead who... ...Information Our Values Dignity | Community | Integrity...Full timeLocal area
St. Joseph Center
Los Angeles, CA5 days ago - **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
Correctional Health Treatment Centers, Inc.
Los Angeles, CAa month ago - ...passionate about transforming care for individuals with... ...our unwavering core values: Excellence,... ...Internal Title: Clinical Lead Care Manager Department: Enhanced... ...(e.g. PCP, etc.) Utilize evidence-based... ...records in the Electronic Medical Record (EMR) system and...Local areaImmediate startRemote workMonday to FridayShift workWeekend workAfternoon shift
VyncaCare
Los Angeles, CA3 days ago $23 - $31 per hour
...estimated 2-3 days onsite per week. The Lead Care Manager serves as the primary contact to... ...continuum of care to ensure that their medical and psychosocial needs are met for a well... ...preventable hospital and emergency department utilization. ESSENTIAL DUTIES 1. Engages eligible...Full timeWork at officeRemote workFlexible hoursShift work2 days per week3 days per week- ...transformation, and we're seeking a Lead Care Manager to join our team and be a... ...insights and expertise are valued.Professional Growth: We... ...policyEmployee Assistance Program (EAP)Medical, Non-Stop Benefits Card (we... ...direction of the Assistant Director, the Lead Care Manager (LCM)...Work experience placementWork at office
$29 - $33 per hour
Lead Care Manager Supervisor - Community Supports Highland Park, 840 North Avenue 66, Los Angeles... ..., and adults. With support of the Director of Managed Care Programs, this supervisory... ...homelessness, at risk or frequent utilization of hospitals and emergency rooms, serious...Hourly payWork experience placementLocal areaFlexible hours- ...Job Description Job Description: Manager of Clinical Utilization Management - Denial Compliance Location... ...with physician reviewers, medical directors, and other relevant departments.... ...implement necessary changes. 8. Lead the department towards achieving set...Permanent employmentFull timeTemporary workRemote workFlexible hours
Vivo HealthStaff
Burbank, CA22 days ago - ...Case Manager Utilization RN Works collaboratively with an MD to coordinate and screen... ...for alternate levels of care when the patient does not meet the medical necessity for inpatient hospitalization... ...and does not reflect the full value of our total rewards package....Full timeWork experience placementWork at officeLocal areaShift workWeekend work
- ...about transforming care for individuals with... ...unwavering core values: Excellence, Compassion... ...Title: Clinical Lead Care ManagerDepartment... ...Health (BH) Case Manager to join our Enhanced... ...(e.g. PCP, etc.)Utilize evidence-based practices... ...in the Electronic Medical Record (EMR) system...Local areaImmediate startRemote workMonday to FridayShift workAfternoon shift
VyncaCare
Los Angeles, CA2 days ago - ...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...Immediate startNight shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Director, Utilization Management — Lead Value Care. Be the first to apply!
Related searches
- medical project manager Los Angeles, CA
- bcba clinical director Los Angeles, CA
- clinical operations supervisor Los Angeles, CA
- health economics manager Los Angeles, CA
- clinical supervisor lmft lcsw Los Angeles, CA
- remote medical coding supervisor Los Angeles, CA
- occupational health manager Los Angeles, CA
- entry level clinical data manager Los Angeles, CA
- lead clinical data manager Los Angeles, CA
- director of health and wellness Los Angeles, CA