Clinical Director Jobs in Orange, CA
Cambodian Association of America
$85000 - $100000 YEAR
Long Beach, CA
Attend all required meetings including FP Roundtable, Steering Committee, Task Force meetings, and other meetings scheduled by the COUNTY and maintain and make available to CPM upon request all verification of meetings held or attended. The Cambodian Association of America (CAA) is the oldest Cambodian nonprofit organization in America and has 49 years of history serving the needs of the low-income children and families in the Greater Long Beach Area.
Blue Shield of California
Long Beach, CA
Reporting to the Chief Medical Officer, the Senior Medical Director, Clinical Strategy will define the vision and priorities for Blue Shield of California’s strategy to deliver best in class clinical outcomes for our members while working to ensure that health care is affordable. Create an environment of accountability and continuous quality improvement to ensure that all clinical programs continue to meet and exceed objectives necessary to deliver best in class clinical outcomes for Blue Shield of California members.
Blue Shield of California
Long Beach, CA
Partner closely with the VP Medical Management and Medical Directors in Utilization Management to develop improved utilization of effective and appropriate services, and support operational implementation of transformation initiatives for the FEP membership. Demonstrated proficiency in at least 3 of the following: MEDICARE/MEDICARE STARS, NCQA/URAC/Quality Programs, Policies/Procedure, Litigation, SIU/Waste/Fraud/Abuse, Appeals/Grievances, Case Management/Population Health.
Health Net
$231900 - $440500 YEAR
LA PALMA, CA
Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.
Sunrise Senior Living
Mission Viejo, CA
See Sunrise Senior Living Terms & Conditions at https://c-5885-20221207-www-sunriseseniorliving-com.i.icims.com/terms-and-conditions and Privacy Policy at https://c-5885-20221207-www-sunriseseniorliving-com.i.icims.com/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Provide clinical care through the direct application of the nursing process; perform and document resident assessments, progress notes, evaluates changes in care needs, complete Individualized Service Plans, provide or delegate hands-on clinical care as indicated by the plan of care and evaluate resident outcomes.
Sunrise Senior Living
$74152 - $99112 YEAR
Mission Viejo, CA
See Sunrise Senior Living Terms & Conditions at https://c-5885-20221207-www-sunriseseniorliving-com.i.icims.com/terms-and-conditions and Privacy Policy at https://c-5885-20221207-www-sunriseseniorliving-com.i.icims.com/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Provide clinical care through the direct application of the nursing process; perform and document resident assessments, progress notes, evaluates changes in care needs, complete Individualized Service Plans, provide or delegate hands-on clinical care as indicated by the plan of care and evaluate resident outcomes.
Sunrise Senior Living
Mission Viejo, CA
Provide clinical care through the direct application of the nursing process; perform and document resident assessments and progress notes, evaluate changes in care needs, complete Individualized Service Plans (ISP), provide or delegate hands-on clinical care as indicated by the plan of care, and evaluate resident outcomes. Provide strategic leadership for resident care in the community by managing, directing, and monitoring the medication care managers, as applicable by State/Provincial law, to promote the health and wellness of the resident population.
AbbVie
$156000 - $296500 YEAR
East Irvine, CA
Based on strong medical and scientific experience, knowledge of compliance and regulatory requirements, Allergan Aesthetics customers, markets, business operations and emerging issues , manage the design and implementation of research protocols for clinical development programs in support of the overall Product Development Plan. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state orlocal law: The compensation range described below is the range of possible base pay compensation that the Companybelieves ingood faith it will pay for this role at the timeof this posting based on the job grade for this position.
Blue Shield of California
Long Beach, CA
In this role, you will: Review concurrent, pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (Federal Employee Program) medical policy, as well as legal and regulatory requirements. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
AbbVie
$200500 - $380500 YEAR
East Irvine, CA
Acts as a clinical interface and actively solicits opinion leader interactions related to the molecule and disease area; partners with Medical Affairs, Commercial and other functions in these activities as required, consistent with corporate policies, to ensure that broad cross-functional perspectives are incorporated into Clinical Development Plans and protocols as appropriate. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state orlocal law: The compensation range described below is the range of possible base pay compensation that the Companybelieves ingood faith it will pay for this role at the timeof this posting based on the job grade for this position.
Blue Shield of California
Long Beach, CA
In this role, you will: Review concurrent, pre- and post-service behavioral health service requests and render decisions based on the member's benefits, medical necessity, Blue Shield of California medical policy, FEP (Federal Employee Program) medical policy, as well as legal and regulatory requirements. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Blue Shield of California
Long Beach, CA
In addition to chairing the BSC Pharmacy & Therapeutics, Medical and Payment Policy Committees, you will provide clinical leadership for all evidence-based medicine functions and partner closely with leaders of other business functions to develop strategies to ensure that Blue Shield members are receiving appropriate quality care. In this role, you will: Provide clinical thought leadership for the design and implementation of clinical policy innovation initiatives such as Coverage with Evidence Development, and the development of robust and efficient approaches to developing policies for emerging classes of technology like molecular diagnostics and mobile/digital personal health devices.
Blue Shield of California
Long Beach, CA
Responsible for the planning, development, and leading the delivery of Healthcare Solutions related materials to clients, producers and business associations that describe and explain the operational details and value of Healthcare Solutions capabilities, services and programs. In this role, you will: Lead client and producer facing activities including finalist presentations and account services meetings, broker and consultant meetings, meetings with Mercer, WTW, Aon, etc.
Sevita
$84000 undefined
Santa Fe Springs, CA
Manages daily operations and all service delivery components of the Family Centered Treatment© model with the support of our Area Director, Regional Director, Quality Assurance and Human Resources team. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.
J-Vers
San Dimas, CA
Each of our local brands, including South Pacific Rehab Services, is supported by the strength and stability of Enhance Therapies while maintaining its unique community-focused identity. We support our clinicians with competitive pay, a collaborative work environment, and industry-leading clinical education so you can focus on what matters most: making a difference in people’s lives.
South Pacific Rehab Services
$50 - $60 undefined
San Dimas, CA
Each of our local brands, including South Pacific Rehab Services, is supported by the strength and stability of Enhance Therapies while maintaining its unique community-focused identity. We support our clinicians with competitive pay, a collaborative work environment, and industry-leading clinical education so you can focus on what matters most: making a difference in people’s lives.
AMN Healthcare
$280000 - $320000 YEAR
Commerce, CA
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable. AltaMed, a leading healthcare center providing services to more than 300,000 Southern California residents, is seeking a qualified physician with prior leadership experience to serve as the site medical director for one of its clinics in Los Angeles.
AMN Healthcare
$450000 - $550000 YEAR
Lynwood, CA
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable. This is an extraordinary opportunity to lead a dynamic team of Professionals and Staff committed to providing culturally relevant and high-quality mental health and social services to vulnerable populations in Los Angeles County.