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20 Jobs in Costa Mesa, CA

  • Medical Oncology Medical Director - Utilization Review

    Costa Mesa, California
    ... Clinical Operations Medical Director Utilization Management of Medical Oncology ... Medical Director supporting our Medical Oncology team is responsible for supporting the medical ...
  • Associate Medical Director - Neurosurgery

    Costa Mesa, California
    ... Clinical Operations Associate Medical Director Neurosurgery Carelon ... Associate Medical Director of Neurosurgery responsible for performing pre-authorizations and providing ...
  • Associate Medical Director - Sleep Medicine

    COSTA MESA, California
    ... Clinical Operations Associate Medical Director Sleep Medicine Carelon Medical Benefits Management Location : This position will work a hybrid model (remote and ...
  • Associate Medical Director - Interventional Pain

    Costa Mesa, California
    ... Clinical Operations Associate Medical Director **Carelon Medical Benefit Management ... and oncology._ The Clinical Operations Medical Director is responsible for supporting ...
  • National Solution Medical Director - Surgery

    COSTA MESA, California
    ... A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management ... and oncology. Carelon Medical Benefits Management is looking to hire a National Medical ...
  • UM Medical Director - Pediatrician or Family Practitioner

    Costa Mesa, California
    ... enough to fit any size business. The Medical Director is responsible for the administration ... required by State contracts or regulations if the Medical Director is filing a role required by a State ...
  • National Medical Director - Total Cost of Care, Post Acute

    COSTA MESA, California
    ... Medical Director for a set of Post Acute Care Solutions.** This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions ...
  • Associate Medical Director - Post Acute Solutions - Rehab, SNF, LTACH

    Costa Mesa, California
    ... Clinical Operations Associate Medical Director Carelon Insights **Post Acute Care ... we serve. The Clinical Operations Associate Medical Director is responsible for ...
  • Associate Medical Director - Post Acute Solutions - Rehab, SNF, LTACH

    COSTA MESA, California
    ... Clinical Operations Associate Medical Director Carelon Insights **Post Acute ... care for the people we serve. The Clinical Operations Associate Medical Director is ...
  • Health Benefits Executive Director

    Costa Mesa, California
    ... Health Benefits Executive Director Location: This position will work a hybrid ... . The Health Benefits Executive Director is responsible for leading the development and ...
  • Nurse Appeals-CA

    COSTA MESA, California
    ... . Extrapolates and summarizes medical information for medical director, consultants and other external review. Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval ...
  • Nurse Appeals (RN) CA

    COSTA MESA, California
    ... medical information for medical director, consultants and other external review. Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval. Ensures that ...
  • Nurse Appeals CA

    COSTA MESA, California
    ... medical information for medical director, consultants and other external review. Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval. Ensures that ...
  • Nurse Appeals (RN) CA

    COSTA MESA, California
    ... medical information for medical director, consultants and other external review. Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval. Ensures that ...
  • Nurse Appeals CA

    COSTA MESA, California
    ... medical information for medical director, consultants and other external review. Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval. Ensures that ...
  • Nurse Appeals (RN) CA

    COSTA MESA, California
    ... . Extrapolates and summarizes medical information for medical director, consultants and other external review. Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval ...
  • Reviewer - Therapy Services

    COSTA MESA, California
    ... ** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ...
  • Telephonic Nurse Case Manager II

    COSTA MESA, California
    ... effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and ...
  • Nurse Medical Management II

    COSTA MESA, California
    ... resources for more complex medical issues. Ensures medically appropriate, high-quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and ...
  • Reviewer - Therapy Services

    COSTA MESA, California
    ... ** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ...
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