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COSTA MESA, California
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development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology
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Costa Mesa, California
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utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of diagnostic imaging
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COSTA MESA, California
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Clinical Operations Associate Medical Director
Sleep Medicine
**Carelon ... platform delivers significant cost-of-care savings across an expanding set of clinical domains, including
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Costa Mesa, California
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Clinical Operations Associate Medical Director
Neurosurgery
**Carelon ... clinical domains, including radiology, cardiology and oncology._
The **Clinical Operations
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Costa Mesa, California
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Sign-on Bonus: $3,000
The Behavioral Care Manager II is responsible for completing clinical assessments, screenings, and managing crisis calls in a virtual call center setting for
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COSTA MESA, California
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significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... , influencing product strategy and design and medical management approaches that impact healthcare quality, cost
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Costa Mesa, California
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clinical domain and industry changes, as well as company core quality/value programs and solutions ... enablement to improve member care quality and value. Serves as a strategic solution lead for Oncology and
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COSTA MESA, California
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The Behavioral Health Care Manager I is responsible for performing case management telephonically and ... appropriate screening criteria knowledge and clinical judgment to assess member needs.
Conducts
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COSTA MESA, California
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diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and
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COSTA MESA, California
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services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of
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COSTA MESA, California
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members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources for more complex medical issues. Ensures medically appropriate, high-quality, cost-effective care
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COSTA MESA, California
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and serves as a subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting the resolution of outstanding issues
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COSTA MESA, California
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members total health needs and ensures the highest quality of continuity of care.
**How you will ... .
Reviews Home based services for clinical appropriateness of the continued care.
Performs reviews
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COSTA MESA, California
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subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting the resolution of outstanding issues.
**Minimum Requirements
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COSTA MESA, California
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subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting the resolution of outstanding issues.
**Minimum Requirements
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