Medical Manager Jobs in Rancho Cucamonga
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Search Results - Medical Manager Jobs in Rancho Cucamonga
Alura Workforce Solutions-Rancho Cucamonga
to the Supervisor, Clinical Quality Improvement and other departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related studies for medical management.
This position...
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Rancho Cucamonga
to the assessment results and that goals meet medically necessary criteria. Become proficient in all electronic medical management systems (e.g. Cisco, MedHOK, HSP, Super Search and Web Portal) to assist in training of new staff members.
6. Responsible for engaging...
icims.com -
Alura Workforce Solutions-Rancho Cucamonga
Clinical Review, LVN provides support to the CQI Supervisor, HEDIS Nurse RN, and other departments on HEDIS and quality improvement-related activities. This position maintains a working knowledge of the organization's current medical management systems...
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Concentra-Ontario, 9 mi from Rancho Cucamonga
and supervisory experience for clinical scope
Preferred two years’ experience in managed care and physician management.
Experience developing and leading medical management and quality improvement programs, preferably in a managed care setting.
Job-Related Skills...
Alura Workforce Solutions-Rancho Cucamonga
requests, verifying eligibility and obtaining additional information as requested by Medical Management or Utilization Management Nurses. This position requires that one be organized, ability to multitask with a working knowledge of ICD.9/10, CPT Coding...
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REGAL MEDICAL GROUP, INC-San Bernardino, 19 mi from Rancho Cucamonga
and SNF Medical Director implement all medical management programs and processes that are consistent with the strategic, operational goals of the company.
Participate in Comprehensive Care rounds as scheduled and interface with SNF Physician team...
Alura Workforce Solutions-Rancho Cucamonga
proficiency with all electronic medical management systems (e.g., Cisco, MHK/Care Prominence, MediTrac, SuperSearch and Web Portal) is preferred
INDH...
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Pailin Group Psc-Los Angeles, 38 mi from Rancho Cucamonga
leadership through oversight of clinical services. The MCMD ensures that the Corporate Mission, Core Values, and Management Principles of the organization are reflected in his/her daily execution of Medical Director duties.
The MCMD functions as a clinical...
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Mindlance-Rancho Cucamonga
for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business...
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Academy of Managed Care Pharmacy-Los Angeles, 38 mi from Rancho Cucamonga
the organization towards achieving its mission and upholding its core values, leadership model, and customer service philosophy. This role demands a profound understanding of hospital operations, medical management, care coordination, and peer review processes...
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