SanDiegoRecruiter Since 2001
the smart solution for San Diego jobs

Internal Medicine Physician for Utilization Review - San Diego, Califo

Company: Integrity Healthcare
Location: San Diego
Posted on: February 22, 2021

Job Description:

Looking for someone who has experience with weekly chart review and human resource evaluations and assessing untoward outcomes of medical decisions specifically for Medical groups/Healthplans. Looking at someone that could potentially transition to CMO/VP position in the next 3-5 years Summary The Physician Reviewer will perform all reasonably necessary functions to ensure quality of care and appropriate utilization in the most cost-effective, appropriate and professional manner, which meets the expressed needs of patients and professional colleagues.

  • Physician Reviewer will be a part of the Health Services Department. This department is comprised of areas of Medical Management, Provider Relations/Network Support, Quality Improvement and Pharmacy. Award-winning network of hospitals, medical groups and physicians. We offer health insurance options for individuals, families, groups and businesses that combine affordability, choice, high-quality health care and personal service. Required Skills and Qualifications
  • M.D. Degree
  • License to practice in California must be in hand or in progress
  • Five years experience as a practicing primary care physician with knowledge of managed care and the process for prior authorization review
  • Knowledge of physician social and political behavior and managed care philosophy
  • Effective communication skills
  • Ability to work collaboratively with medical leadership and administration, medical staff, nurses, and hospital administration.
  • Board Certification in Internal Medicine or Family Medicine Hours 8-hour shift: 8:00 am - 5:00 pm, weekends as needed. To be considered, candidates need to be able to answer yes to at least 3 of these criteria: - Experience at a Healthplan - Committee membership for quality of care or peer review leadership experience - Experience doing peer to peer calls - Experience doing appeals and/or grievances - Experience doing utilization reviews for care (determining approval or denial of care) - Experience writing medical or clinical policies Keyphrases: internal medicine jobs, internal emergency medicine jobs, internal medicine specialist jobs, internal medicine critical care jobs, internal medicine geriatrics jobs, internal medicine pediatrics jobs, pediatric internal medicine jobs

Keywords: Integrity Healthcare, San Diego , Internal Medicine Physician for Utilization Review - San Diego, Califo, Healthcare , San Diego, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Physical Therapist Jobs Travel & Locum - PT
Description: Nationwide Travel Locum Therapist Jobs - Physical Therapist Are you looking for a new therapist job Would you like to spend the season somewhere you've never been Hospitals, Clinics, Outpatient and (more...)
Company: HealthCare Traveler Jobs
Location: Yucaipa
Posted on: 03/3/2021

Licensed Health Insurance Agent - Seize SEP With Us, Inbound Leads
Description: Job Description This role requires the candidate to currently have a Residential
Company: ASSURANCE Independent Agents
Location: Yucaipa
Posted on: 03/3/2021

SLP School Speech Language Pathologist
Description: Nationwide Travel Locum Therapist Jobs -School Speech Language Pathologist br Are you looking for a new therapist job Would you like to spend the season somewhere you've never been Hospitals, Clinics, (more...)
Company: HealthCare Traveler Jobs
Location: Santee
Posted on: 03/3/2021


Physical Therapist Travel Assignments
Description: Nationwide Travel Locum Therapist Jobs - Physical Therapist Are you looking for a new therapist job Would you like to spend the season somewhere you've never been Hospitals, Clinics, Outpatient and (more...)
Company: HCEN Travel Solutions
Location: Yucaipa
Posted on: 03/3/2021

PCU Progressive Care Unit RN-Travel Nurse
Description: Travel Nurse Progressive Care RN Registered Nurse br PCU Travel Nurse Jobs Assignments br Looking for a PCU travel assignment You are in the right place, the HCEN Network of staffing agencies have (more...)
Company: RN Travel HealthCare Jobs
Location: Yucaipa
Posted on: 03/3/2021

OB Ultrasound Technician Travel
Description: Travel Obstetrics Ultrasound Technician Numerous Nationwide Travel Assignments / Jobs br br Tired of completing an application just to get informationClick the View or Apply button for HCEN's Free, (more...)
Company: HealthCare Traveler (Allied Health)
Location: Yucaipa
Posted on: 03/3/2021

PRN - Certified Nursing Assistant (CNA)
Description: Job Description We have immediate per diem PRN shifts available
Company: Aya - Shifts
Location: Santee
Posted on: 03/3/2021

Radiology Technician Travel Assignments
Description: Travel Radiology Technician Numerous Nationwide Travel Assignments / Jobs br br Tired of completing an application just to get informationClick the View or Apply button for HCEN's Free, Quick (more...)
Company: HealthCare Traveler (Allied Health)
Location: Yucaipa
Posted on: 03/3/2021

Respiratory Therapist Crisis Rates
Description: Respiratory Therapist RRT, CRT Locum Tenens Travel Assignments br Looking for that perfect Respiratory Therapist Job, this is the best resource. One quick More Info Request gets you in front of the (more...)
Company: HealthCare Traveler (Allied Health)
Location: Yucaipa
Posted on: 03/3/2021

Physical Therapist - PT School Assignments
Description: Nationwide Travel Locum Therapist Jobs - Physical Therapist Are you looking for a new therapist job Would you like to spend the season somewhere you've never been Hospitals, Clinics, Outpatient and (more...)
Company: HealthCare Traveler Jobs
Location: Yucaipa
Posted on: 03/3/2021

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

San Diego RSS job feeds