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Los Angeles, California
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clinical program and/or independently performs clinical reviews.
The Medical Director typically has ... .**
The Behavioral Health Medical Director is responsible for the administration of behavioral
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Los Angeles, California
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, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost ... enough to fit any size business.
The Medical Director is responsible for the administration
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LOS ANGELES, California
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subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non ... medical information for medical director, consultants and other external review.
Prepares
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LOS ANGELES, California
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subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non ... medical information for medical director, consultants and other external review.
Prepares
...
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LOS ANGELES, 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
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LOS ANGELES, California
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subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non ... medical information for medical director, consultants and other external review.
Prepares
...
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LOS ANGELES, California
...
subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non ... medical information for medical director, consultants and other external review.
Prepares
...
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LOS ANGELES, California
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Responsible for overseeing and management of the district’s infusion facilities, quality and safety of patient ... ensure Paragon culture and Policies and Procedures are being followed.
Address staff’s clinical
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LOS ANGELES, California
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, quality healthcare in a cost effective setting according to contract
· Consult with clinical ... :**
Responsible to collaborate with healthcare providers and members to promote quality member outcomes, to
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LOS ANGELES, California
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additional data, consults with clinical reviewers and medical directors, when necessary.
Acts as a ... , and initiatives.
Maintains quality and productivity standards and ensures reviews are conducted
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LOS ANGELES, 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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LOS ANGELES, California
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additional data, consults with clinical reviewers and medical directors, when necessary.
Acts as a ... , and initiatives.
Maintains quality and productivity standards and ensures reviews are conducted
...
