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12 Jobs in Los Angeles, CA

  • UM Medical Director - Pediatrician or Family Practitioner

    Los Angeles, 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 ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Los Angeles, California
    ... .** The Behavioral Health Medical Director is responsible for the administration of behavioral ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates ...
  • Associate Medical Director - Post Acute Solutions - Rehab, SNF, LTACH

    Los Angeles, California
    ... Clinical Operations Associate Medical Director Carelon Insights **Post Acute Care ... we serve. The Clinical Operations Associate Medical Director is responsible for ...
  • Nurse Appeals CA

    LOS ANGELES, 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

    LOS ANGELES, 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

    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 ...
  • Nurse Appeals CA

    LOS ANGELES, 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

    LOS ANGELES, 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 Medical Management I

    LOS ANGELES, California
    ... -quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient ... treatment setting by utilizing the applicable medical policy and industry standards. Accurately interpreting ...
  • Reviewer - Therapy Services

    LOS ANGELES, 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 ...
  • Nurse Medical Management II

    LOS ANGELES, 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

    LOS ANGELES, 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 ...