Top 2017 Clinical director Jobs in Fullerton, Ca

Appeals Medical Director - Remote
UnitedHealthcare —Cypress, CA
- $248,500 - $373,000 a year
- Full-time
- Remote
- Medicine
- Word processing
- Computer literacy
13d
Physician
Central City Community Health Center —Anaheim, CA
- $238,231 - $266,183 a year
- Part-time
- Spanish
- Medicine
- Management
- Health insurance
- Dental insurance
Quick Apply
14d
Staff Psychologist
The Neurodivergent Collective —Newport Beach, CA
- $115,000 - $130,000 a year
- Full-time
- 18 years or older
- CPR Certification
- Current TB test
Quick Apply
Family Medicine Physician
Central City Community Health Center —Norco, CA
- $238,231 - $266,183 a year
- Full-time
- Spanish
- Medicine
- Doctoral degree
Quick Apply
Lead Physician
Cal Poly Pomona —Pomona, CA
- $49,476 - $158,291 a year
- 8 hour shift
- Acute care
- Background check
- CPR Certification
- Health savings account
- Relocation assistance
Quick Apply
Part-Time Managing Veterinarian: RVT-Led Mobile Vaccine Clinics
Vaccine Vets —South Gate, CA
- $2,500 - $3,500 a month
- Weekends as needed
- Hybrid work
- Management
- 5 years
- Clinic experience
- Flexible schedule
Quick Apply
2d
BCBA Associate Clinical Director
360 Behavioral Health —Commerce, CA
- $90,000 - $97,500 a year
- Full-time
- Management
- HIPAA
- Clinic
- Continuing education credits
- Mileage reimbursement
Quick Apply
2d
Psychiatrist
Kedren Community Health Center Inc —Los Angeles, CA
- $300,000 - $350,000 a year
- Medicine
- Psychiatry
- Addiction Medicine
Quick Apply
Endodontist
Unicare Community Health Center —Ontario, CA
- $225,000 - $275,000 a year
- Full-time
- CPR Certification
- Dental office
- Management
- Health savings account
- Health insurance
Quick Apply
Physical Therapist - PRN
Meadow Creek Post-Acute —Paramount, CA
- $50 - $55 an hour
- Per diem
- CPR Certification
- Skilled nursing facility
- Current TB test
Quick Apply
Outpatient Psychiatry-Hybrid
Resiliency Mind+Body Medicine —Newport Beach, CA
- $180 - $230 an hour
- Part-time
- Hybrid work
- Private practice
- Medicine
- Psychiatry
- Paid holidays
- Health insurance
Quick Apply
Physical Therapist
WESTSTAR PHYSICAL THERAPY —Montebello, CA
- $100,000 - $110,000 a year
- Full-time
- Physical & Rehabilitation Medicine
- Clinic
- Physical Therapy License
- Continuing education credits
- Health insurance
Quick Apply
Clinical Laboratory Scientist (CLS) – Per Diem / Contract (1099)
Confidential —Irvine, CA
- $45.11 - $54.32 an hour
- Per diem
- Mid-level
- In-person
Quick Apply
Physical Therapist
East Terrace Rehabilitation and Wellness Center —Los Angeles, CA
- $58 - $65 an hour
- Full-time
- CPR Certification
- Management
- Doctoral degree
- Continuing education credits
- Paid holidays
Quick Apply
Family Medicine Physician - SIGN ON BONUS
Herald Christian Health Center —Los Angeles, CA
- $232,960 - $290,000 a year
- Part-time
- Spanish
- Medicine
- Management
- Loan repayment program
- Health insurance
Quick Apply
Family Nurse Practitioner
Unicare Community Health Center —Los Angeles, CA
- $65 - $80 an hour
- Weekends as needed
- Nursing
- Management
- RN License
Quick Apply
Physical Therapy Clinic Director
In Motion O.C. —Irvine, CA
- $125,000 - $150,000 a year
- Full-time
- Clinic
- In-person
- Senior level
- Health savings account
- Relocation assistance
10d
Clinical Director, Physical Therapy
Health Care Recruiters International —Irvine, CA
- $120,000 - $121,000 a year
- Overtime
- Background check
- Clinic experience
- Mid-level
- Dental insurance
- 401(k)
Quick Apply
Physical Therapist
Mesa Verde Post Acute Care Center —Costa Mesa, CA
- $58 - $65 an hour
- Full-time
- Background check
- CPR Certification
- Management
- Relocation assistance
- Health insurance
Quick Apply
LVN MDS Coordinator
Garden Park Care Center —Garden Grove, CA
- $45 - $50 an hour
- Full-time
- Skilled nursing facility
- LVN
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
7d

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Appeals Medical Director - Remote

UnitedHealthcare -
Cypress, CA

Apply Now

Job Details

Full-time
$248,500 - $373,000 a year
13 days ago

Qualifications

Computer operation
Managed care
Phone communication
Managed care organization experience
Word processing
Computer literacy
BC/BE
Spreadsheets
Presentations for conferences or internal meetings
Research
Project management experience in healthcare
Desktop applications
Data interpretation
Medical License
Managing projects
Typing
Productivity software
Phone etiquette
Team building

Full Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

Work at home!

What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Performance accountabilities include:

Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies
Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses
Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations
Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues
Actively participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation, and the sharing of program results
Provide clinical and strategic input when participating in organizational committees, projects, and task forces

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

MD or DO with an active, unrestricted license
Board Certified in an ABMS or AOBMS specialty
5+ years of clinical practice experience
2+ years of Quality Management experience
Intermediate or higher level of proficiency with managed care
Proven excellent telephonic communication skills; excellent interpersonal communication skills
Proven excellent project management skills
Proven data analysis and interpretation skills
Proven excellent presentation skills for both clinical and non-clinical audiences. Familiarity with current medical issues and practices
Proven creative problem-solving skills
Proven basic computer skills, typing, word processing, presentation, and spreadsheet applications skills. Internet researching skills
Proven team player and team building skills

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Compensation for this specialty generally ranges from $248,500.00 to $373,000.00. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Refine Your Search

clinical director jobs in fullerton, ca

Appeals Medical Director - Remote

Physician

Staff Psychologist

Family Medicine Physician

Lead Physician

Part-Time Managing Veterinarian: RVT-Led Mobile Vaccine Clinics

BCBA Associate Clinical Director

Psychiatrist

Endodontist

Physical Therapist - PRN

Outpatient Psychiatry-Hybrid

Physical Therapist

Clinical Laboratory Scientist (CLS) – Per Diem / Contract (1099)

Physical Therapist

Family Medicine Physician - SIGN ON BONUS

Family Nurse Practitioner

Physical Therapy Clinic Director

Clinical Director, Physical Therapy

Physical Therapist

LVN MDS Coordinator

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