Non-Clinical / Case Management Administrative Job in Los Angeles, California
This Administrative position in Los Angeles, California is offered as a Non-Clinical Case Management opportunity — one of several practice arrangements available for this role, alongside solo-independent, single-specialty group, multi-specialty group, and admin/medical director options. In this format, your clinical background is applied outside of direct patient treatment: reviewing cases, coordinating care, and working with insurers, employers, or health organizations on utilization and care decisions, typically within a business-hours schedule.
The role carries no patient call and no emergency department call. It is structured as a permanent position, and the financial offering is listed as Open, with several financial structures under consideration, including income guarantee, straight employment, employment agreement with production bonus, and contract.
Physicians who are Board Certified or Board Eligible, trained as MD or DO, and either US Citizens or Green Card holders are eligible to apply, spanning experience levels from recently trained to very experienced.
- Position Type: Permanent
- Recruited Specialty: Administrative
- Does the Physician Need To Be Trained In Specialty Being Recruited: No
- Structure of Position: Solo-Independent, Single-Specialty Group, Multi-Specialty Group, Admin/Medical Director, Non-Clinical Case Management
- Partnership Opportunity: Unknown
- Expected Patient Call Coverage: No call
- Expected ER Call Coverage: No call
Job Summary
The Medical Director of Care Management Services will develop, manage and implement the newly formed care management and coordination services program for members. As one of the largest health plan (public and commercial) in L.A. County with 2.1 million members,there are significant amount of resources that can impact those with social and health challenges. Within the Health Services Department, there are the following units and components that can be utilized to better support care management and coordination of services: Medical Management (traditional utilization management services), Behavioral Health Services, Social Services, Disease Management, and Long Term Care Services and Support, Safety Net Initiatives etc… The Medical Director will be responsible for the operational component of the care management division which includes program design, strategic planning, regulatory reporting, staffing and staff training.This position will work in concert with other divisions within Health Services as well as across the business , its contracted medical provider groups and delivery systems (i.e.. Hospitals, providers etc…). The position will also represent and interact with the County Health Agency’s Departments of Health Services, Mental Health (DMH), Public Health/Substance Abuse Prevention & Control (SAPC), contracted organizations and providers, medical groups, and other stakeholders in a manner that promotes collaborative working relationships in improving the care management and coordination for our members.
Required:
10+ years relevant Health Care experience with at least 5 years relevant
Health Plan experience and management/supervisory experience in a
related capacity. Experience in implementing and managing of Medicaid and
Medicare program requirements
Experience in obtaining and sustaining NCQA accreditation.
Board certified, preferably in primary care or subspecialty. Current and unrestricted Physician license to practice in CA.
For additional details or immediate consideration, please inquire within. Thank you for your interest and I look forward to making the initial introductions.
- Structure of Financial Support: Income Guarantee, Straight Employment, Employment Agreement with production bonus, Contract
- Financial Offering: Open
- Relocation Allowance: Negotiable
- Signing Bonus: Negotiable
- Stipends: Negotiable
- Student Loan Assistance: Negotiable
- Practice State: California
- Practice City: Los Angeles
- Community Size: 100,000 - 499,999, 500,000+
- Community Details: Registered Candidates Only
- Location of Medical Training: American Medical Graduate (AMG), Foreign Medical Graduate (FMG)
- Medical Training Type: Allopathic (MD), Osteopathic (DO)
- Board Certification: Board Certified, Board Eligible
- Work Status Requirements: US Citizen, Green Card
- Preferred Experience Level: Recently Trained, Experienced, Very Experienced
- Accept Local Physicians within 25 mile Radius: Yes
- Facility Type: Managed Services Organization
- Number of Providers:
- Number of Employees:
- Agency: SmartDocs Direct
