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University of North Carolina at Chapel Hill

Chapel Hill, North Carolina

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Kaiser Permanente - Washington Permanente Medical Group

Tacoma, Washington

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Kaiser Permanente - Washington Permanente Medical Group

Seattle, Washington

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Veterans Affairs, Veterans Health Administration

Minneapolis, Minnesota

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Kaiser Permanente - Washington Permanente Medical Group

Tacoma, Washington

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Providence St. Peter Hospital

Olympia, Washington

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Kaiser Permanente - Washington Permanente Medical Group

Bellevue, Washington

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Kaiser Permanente - Washington Permanente Medical Group

Kent, Washington

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Duke University Health System

Chapel Hill, North Carolina

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Kaiser Permanente - Washington Permanente Medical Group

Seattle, Washington

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Nova Southeastern University College of Pharmacy

Fort Lauderdale, Florida

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Optum

Columbus, Nebraska

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Providence Centralia Hospital PGY1 Residency

Centralia, Washington

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Kaiser Permanente - Washington Permanente Medical Group

Tacoma, Washington

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Kaiser Permanente - Washington Permanente Medical Group

Seattle, Washington

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MultiCare Health System

Puyallup, Washington

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Medical Director
Responsible for the appropriateness and quality of care delivered through SCFHP and for cost-effective utilization of services. Responsible for  Medi-Cal, Healthy Kids, and Medicare lines of business. Performs treatment authorization review to determine medical necessity, appropriateness of services, and interpret benefits and limitations. Reviews that care is consistent with the Plan’s standards of quality. Participates in concurrent review activities of inpatient and long term care plans. Reviews claims that are unusual in cost, volume or scope of services. Acts as liaison between SFCHP and community providers, conferring and meeting as required. Coordinates with Directors of Medical Management and Quality Improvement to provide daily s


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