ArcadiaRecruiter Since 2001
the smart solution for Arcadia jobs

Utilization Mgmt Physician - Part Time

Company: Optum
Location: Arcadia
Posted on: October 13, 2020

Job Description:

Family Practice-Without OB opening in Arcadia, California. This and other physician jobs brought to you by DocCafe.com Optum is looking for--Utilization Management Review Physician--to join our--Utilization Management--team.--We are aiming to find a person with very strong persuasive communication skills, a strong grasp of the big picture in healthcare economics as well as capacity to learn our complex networks.Position Details:

  • Responsible for timely review of requests for service; performing pre-service authorization review and post- service / claims review and make determination based on medical necessity and appropriateness of care within established guidelines.
  • Adhere to regulatory, health plan, and clinical guidelines for denials.
  • Identify utilization trends and work with Regional leadership team when interventions are indicated.
  • Work collaboratively with UM Review Physicians and Care Management team.
  • Attend monthly Utilization Management meeting for region.
  • Position will cover designated region; travel to multiple sites and regional office based in Arcadia.Requirements:
    • Unrestricted CA Medical License
    • Current CA DEA certificate required prior to start date
    • Current Board Certification
    • Minimum five years clinical experience
    • Minimum 2 - 3 years' experience in medical group, health plan setting; prior authorization review experience required
    • Excellent working knowledge of CMS regulations
    • Knowledge of health plan and regulatory requirements
    • Proficient with CPT and ICD-10 codes
    • Excellent oral and written communication skills
    • Ability to work independently in team oriented environment
    • Computer proficient
    • Live inside service area full-timeIf you're looking to join a physician-led community that is making a difference in healthcare, Optum is the place for you.--We provide our clinicians an excellent benefit package which includes leadership pathways, CME reimbursement, paid license renewals and many other benefits, charitable sponsorships, and volunteer opportunities. Our initial on-line application process will take you less than two minutes to complete!Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. Optum brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Here you'll find incredible ideas in one incredible company and a singular opportunity to do your life's best work.(SM)Diversity creates a healthier atmosphere: Optum and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Optum and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Keyphrases: family medicine jobs, family practice jobs, family practitioner jobs, family medicine specialist jobs

Keywords: Optum, Arcadia , Utilization Mgmt Physician - Part Time, Healthcare , Arcadia, 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


Surgical Technologist CST/ST Travel
Description: Travel Surgical Technician Numerous Nationwide Travel Assignments / JobsGeneral Surgery / Cardiac / Ortho / Neuro / L D experience CST / STTired of completing an application just to get informationClick (more...)
Company: Allied Health Travel Jobs
Location: Yucaipa
Posted on: 10/22/2020

Registered Nurse
Description: OverviewAssesses patient/family health problems and resources, takes a leadership role in the development, implementation and outcomes evaluation of a plan for nursing care provided by the nursing team. (more...)
Company: Ahmc Healthcare Inc.
Location: San Gabriel
Posted on: 10/22/2020

Travel RN Nursing Jobs - All Specialties
Description: Travel Nurses Needed - All RN Specialties br Nationwide Travel Nursing Assignments br Looking for a travel assignment, or get information about traveling as a Registered Nurse You are in the right (more...)
Company: HealthCare Travelers
Location: San Gabriel
Posted on: 10/22/2020


Travel RN Nursing Jobs - All Specialties
Description: Travel Nurses Needed - All RN Specialties br Nationwide Travel Nursing Assignments br Looking for a travel assignment, or get information about traveling as a Registered Nurse You are in the right (more...)
Company: HealthCare Travelers
Location: Yucaipa
Posted on: 10/22/2020

Experienced Travel RNs - ICU, CVICU, SICU, MICU, NICU, PICU
Description: Travel Nurses Needed - All RN Specialties br Registered Nurses: Critical Care ICU, CVICU, SICU, MICU br Hospitals are posting their seasonal staffing needs br Would you like to spend the fall / (more...)
Company: RN Travel HealthCare Jobs
Location: San Gabriel
Posted on: 10/22/2020

RN (On Call) -Get Paid While You Sleep $30/hr
Description: Immediate need for On-Call RN for 24-hour facility serving seniors.
Company:
Location: San Gabriel
Posted on: 10/22/2020

Oncology RN Travel Nurse Jobs - ONC Adult, Pediatrics
Description: Travel Nurses Needed - Oncology RN Specialties br Nationwide Oncology Travel Nursing JobsOncology Adults PediatricsHCEN has numerous request for RN Candidate Profiles Looking for a Oncology travel (more...)
Company: RN Travel HealthCare Jobs
Location: Yucaipa
Posted on: 10/22/2020

Pediatric Intensive Care Unit - PICU Travel Registered Nurse
Description: Travel Nurses Needed - Pediatric RN Specialties br Nationwide Pediatric Travel Nursing JobsPediatric Intensive Care Unit, Pediatrics, Pediatric OncologyHCEN has numerous request for RN Candidate Profiles (more...)
Company: RN Travel HealthCare Jobs
Location: Rosemead
Posted on: 10/22/2020

MRI Technologist Travel Assignments
Description: Travel MRI Technologist 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 Short (more...)
Company: Allied Health Travel Jobs
Location: Yucaipa
Posted on: 10/22/2020

Orthopedic Surgical Technologist CST/ST Travel
Description: Travel Surgical Technician Numerous Nationwide Travel Assignments / JobsOrthopedic experience CST / ST br Tired of completing an application just to get informationClick the View or Apply button for (more...)
Company: Allied Health Travel Jobs
Location: Rosemead
Posted on: 10/22/2020

Log In or Create An Account

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

Arcadia RSS job feeds