Latest Utilization Review Physician jobs in California

83 Utilization Review Physician Jobs in California

Clinical Oncology Pharmacist Los Angeles Cancer Network - Fountain Valley, CA, United States consultation, physician collaboration, drug and therapy monitoring, utilization management, and supervision. Responsibilities: Collaborate with hematologists/oncologists, advanced practice providers, and other 5 days ago
Physician Review/Utilization Review Physician Vivo HealthStaff - San Diego, California, United States The Physician Reviewer will perform all reasonably necessary functions to ensure the quality of care and appropriate utilization in... 10 days ago
Medical Site Director Golden Valley Health Centers - Merced, CA, United States improvement, pharmacy and therapeutics, peer review, credentialing, and physician leadership issues. Interview Today! Call/Text: 209-617-2639 Email: Providerrecruitment@gvhc.org Website: www.gvhc.org 8 days ago
Case Manager Kindred - Los Angeles, CA, United States continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning. Essential Functions Care Coordination Coordinates 18 days ago
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Medical Director, Operations Blue Shield of California - Rancho Cordova, California of utilization management and transactional functions. These functions include performance of preservice, concurrent, retrospective utilization review, Appeals and Grievances, and retrospective provider claims 4 days ago
Family Nurse Practitioner (Diabetes) Greenfield, CA Profluence Recruitment - Greenfield, CA, US physician annually. k. Reviews all referrals with supervising physician where appropriate. l. Participates in quality assurance and utilization review. 2. Quality Focus a. Maintains high quality by self 2 days ago
Care Management Clinical Appeals Specialist at Alameda Health System Alameda Health System - San Leandro, California to maintain the multidisciplinary team approach to ensure effective resource utilization and an appropriate level of care. 5. Coordinates all utilization review functions, including response to payor requests 4 days ago
Pediatric Nurse Practitioner Profluence Recruitment - King City, CA, US activities with a supervising physician annually. Review all referrals with the supervising physician where appropriate. Participates in quality assurance and utilization review. QUALIFICATIONS Education 2 days ago
Physician Spine Surgeon Telecommute Medical Review Concentra - Rancho Cucamonga, California the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations 3 days ago
Continuing Care Utilization Review Coordinator Registered Nurse Kaiser Permanente - Redwood City, California on established treatment criteria. Collaborates with physicians on clinical reviews, keeps them appraised of Kaiser clinical criteria. Reviews utilization patterns, identifies trends and problems areas for special 13 days ago

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