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19 Jobs in Woodland Hills, CA

  • Nurse Reviewer I

    Woodland Hills, 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 ...
  • Associate Medical Director - Sleep Medicine

    WOODLAND HILLS, California
    ... Clinical Operations Associate Medical Director Sleep Medicine **Carelon ... platform delivers significant cost-of-care savings across an expanding set of clinical domains, including ...
  • Associate Medical Director - Neurosurgery

    Woodland Hills, California
    ... Clinical Operations Associate Medical Director Neurosurgery **Carelon ... clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations ...
  • National Medical Director - Total Cost of Care, Post Acute

    WOODLAND HILLS, California
    ... 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 ...
  • National Medical Director - Physiatry, Post Acute Solutions

    WOODLAND HILLS, California
    ... 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 ...
  • Behavioral Health Care Manager II

    Woodland Hills, 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 ...
  • RVP Sr Clinical Officer-Commercial CA.

    WOODLAND HILLS, 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 ...
  • Behavioral Health Case Manager I

    WOODLAND HILLS, 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 ...
  • Nurse Reviewer I

    WOODLAND HILLS, 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

    WOODLAND HILLS, 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

    WOODLAND HILLS, 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

    WOODLAND HILLS, 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 ...
  • Nurse Appeals-CA

    WOODLAND HILLS, 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 ...
  • Wound Care UM RN

    WOODLAND HILLS, 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 (RN) CA

    WOODLAND HILLS, 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

    WOODLAND HILLS, 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 CA

    WOODLAND HILLS, 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

    WOODLAND HILLS, 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

    WOODLAND HILLS, 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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