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17 Jobs in Los Angeles, CA

  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Los Angeles, California
    ... clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including clinical policy development, program development ...
  • Family Nurse Practitioner (FNP) District Manager- Infusion Centers- Paragon Healthcare

    LOS ANGELES, California
    ... . Assures that federal, state and/or location Infusion Therapy Program standards of care and clinical ... Family Nurse Practitioner (FNP) District Manager- Infusion Centers- Paragon Healthcare A ...
  • Nurse Reviewer I

    Los Angeles, California
    ... 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 ...
  • Behavioral Health Care Manager II

    Los Angeles, California
    ... 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 ...
  • Behavioral Health Case Manager I

    LOS ANGELES, California
    ... . 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 ...
  • RVP Sr Clinical Officer-Commercial CA.

    LOS ANGELES, California
    ... RVP II Sr Clinical Officer (Commercial)- California Location: California Summary In this role as the RVP II Sr Clinical Officer for one of our largest markets, California ...
  • Nurse Reviewer I

    LOS ANGELES, California
    ... 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 ...
  • Nurse Reviewer I

    LOS ANGELES, California
    ... 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 ...
  • Nurse Medical Management I

    LOS ANGELES, California
    ... , quality healthcare in a cost effective setting according to contract ยท Consult with clinical ... :** Responsible to collaborate with healthcare providers and members to promote quality member outcomes, to ...
  • Nurse Medical Management II

    LOS ANGELES, California
    ... 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 ...
  • Behavioral Health Case Manager I

    LOS ANGELES, California
    ... JR114019 Behavioral Health Case Manager I Responsible for performing case management ... and clinical judgment to assess member needs. Conducts assessments to identify individual needs ...
  • Wound Care UM RN

    LOS ANGELES, California
    ... 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 ...
  • Nurse Appeals CA

    LOS ANGELES, California
    ... 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 ...
  • Nurse Appeals (RN) CA

    LOS ANGELES, California
    ... 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 ...
  • Nurse Appeals (RN) CA

    LOS ANGELES, California
    ... 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 ...
  • Nurse Appeals CA

    LOS ANGELES, California
    ... 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 ...
  • Nurse Appeals (RN) CA

    LOS ANGELES, California
    ... 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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