• Director of Case Management

    Prime Healthcare (Inglewood, CA)
    …Responsibilities The Director of ... experience, education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200257/ director -of- case - management utilization- management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)… more
    Prime Healthcare (03/15/25)
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  • Manager of Case Management

    HCA Healthcare (Riverside, CA)
    Management is a Registered Nurse with advanced training and experience in Case Management . This position reports to the Director of Case Management ... midpoint of the range. **Introduction** We are seeking a Manager of Case Management with Riverside Community Hospital to promote growth and unlock possibilities.… more
    HCA Healthcare (03/04/25)
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  • RN Case Manager

    Lompoc Valley Medical Center (Lompoc, CA)
    …determined based on experience and internal equity. Position Summary: * Reports to the Director of Case Management * Plan, organize and deliver utilization ... * Participate in professional Development * Demonstrate performance consistent with Case Management /Social services mission, philosophy, and goals for the… more
    Lompoc Valley Medical Center (02/03/25)
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  • RN Case Manager

    HCA Healthcare (San Jose, CA)
    …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... 156,000 hours volunteering in our communities. As a(an) RN Case Manager with Good Samaritan Hospital you can be...our organization. We are looking for an enthusiastic RN Case Manager to help us reach our goals. Unlock… more
    HCA Healthcare (03/15/25)
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  • Director , Post-Acute Care Community…

    Stanford Health Care (Palo Alto, CA)
    …preferred + Knowledge of admission criteria for all levels of care and denials management + Knowledge of case management principles, processes, and their ... delivering evidence-based and patient-centered care. We are seeking a results-driven director to further develop the framework for clinical, operational, and… more
    Stanford Health Care (02/10/25)
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  • Senior Medical Director - Sharp Health Plan

    Sharp HealthCare (San Diego, CA)
    …findings in conjunction with the Quality Improvement Director . + Assists in POS/PPO Case Management and high-cost review with CMO and Claims management ... position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health… more
    Sharp HealthCare (01/19/25)
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  • Physician Medical Director - LTSS

    Humana (Sacramento, CA)
    …of Agreements, coding practices, Clinical Integration, Long Term Services & Supports, and Case Management . The Medical Director , as indicated, could need ... us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical authorizations to determine the… more
    Humana (01/25/25)
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  • Social Worker (MSW)

    Lompoc Valley Medical Center (Lompoc, CA)
    …based on experience and internal equity. Position Summary: + Reports to the Director of Case Management + Provides biopsychosocial assessment, crisis ... intervention, counseling, and linkage with resources for inpatients, outpatients, their families and significant others. + Assists patients and their families in coping with psychosocial problems related to acute and chronic illness, treatment regimes, and… more
    Lompoc Valley Medical Center (12/21/24)
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  • Intensive Case Management Behavioral…

    UCLA Health (Los Angeles, CA)
    Description We are seeking for a detail-oriented Intensive Case Management (ICM) Behavioral Coordinator dedicated to improving patient outcomes through effective ... case management and behavioral health support. Under the supervision of the Utilization Management Operations Manager and the RN Assistant Director , the… more
    UCLA Health (02/19/25)
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  • Exec Dir, Case Management - #1…

    Cedars-Sinai (Los Angeles, CA)
    …**Key Job Responsibilities** Provides overall strategic and operational leadership of the Case Management Department which encompasses the disciplines of Care ... + Responsible for planning, organizing, directing, controlling, and evaluating case management services provided in the inpatient/acute facility-based… more
    Cedars-Sinai (03/06/25)
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  • Bilingual Administrative and Case

    North Marin Community Services (Novato, CA)
    …to 2% retirement employer match, and childcare discount. The Administrative and Case Management Coordinator is responsible for overseeing the administrative and ... The coordinator will provide front desk reception, assist the Case Management team, and support the coordination...entry and other clerical tasks. + Collaborates with the Director of Operations to address facility needs at 1907… more
    North Marin Community Services (02/21/25)
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  • Case Manager- Out of Network…

    Sharp HealthCare (San Diego, CA)
    …Start Time** **Shift End Time** Accredited Case Manager (ACM) - American Case Management Association (ACMA); Driver's License - CA Department of Motor ... Emergency Room setting + 3 Years RN Acute Care, Ambulatory Care or comparable Case Management experience. + Driver's License - CA Department of Motor Vehicles… more
    Sharp HealthCare (02/21/25)
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  • Director , Product Management

    Rocket Software (Sacramento, CA)
    …solutions in support of our customer needs and business objectives. The Product Management Director collaborates with stakeholders across a variety of functions ... successful development of the entire product line. The Product Management Director ensures that the product and...determination on your request for reasonable accommodation on a case -by- case basis. _It is unlawful in Massachusetts… more
    Rocket Software (03/11/25)
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  • Interim Manager of Case Management

    HealthTrust Workforce Solutions (Riverside, CA)
    …access to more than 200,000 jobs nationwide. **_JOB SUMMARY_** The Interim Leader of Case Management Services is a Registered Nurse who participates as an active ... administrative member of the Nursing Management Team. The Case Management ...and tracking logs is also a responsibility of this director . Other Duties, as assigned **_EDUCATION & EXPERIENCE_** +… more
    HealthTrust Workforce Solutions (03/04/25)
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  • Director , Account Management

    First Databank, Inc. (FDB) (South San Francisco, CA)
    …for this exciting challenge? First Databank (FDB) is seeking a dynamic and experienced Director of Account Management to lead our Customer Success team. The ... + Develop and deliver regular reports on customer success metrics to senior management . + Continuously evaluate and improve customer success processes and tools. +… more
    First Databank, Inc. (FDB) (12/21/24)
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  • Medical Director - Medicaid N. Central

    Humana (Sacramento, CA)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
    Humana (03/11/25)
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  • Corporate Director of Clinical Utilization…

    Prime Healthcare (Ontario, CA)
    …field + A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management with a large Health Plan + An active CA Registered Nurse ... in Nursing, Healthcare Administration, or another relevant field + Professional Certification in Case Management + Claims experience, ideally with EPO Plan. A… more
    Prime Healthcare (03/04/25)
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  • Senior Director , Product Management

    Cisco (San Jose, CA)
    …making businesses secure and simplifying security with zero compromise. Your Impact As Senior Director of Product Management , you have a strong mix of product ... drive fast paced and high bar delivery of product management artifacts. * Work with engineering, design, machine learning...protected basis. Cisco will consider for employment, on a case by case basis, qualified applicants with… more
    Cisco (03/13/25)
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  • Medical Director - Mid West Region

    Humana (Sacramento, CA)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
    Humana (03/04/25)
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  • Director , Global Downstream Marketing…

    Philips (San Diego, CA)
    ** Director , Global Downstream Marketing - Lead Management (San Diego, CA, Colorado Springs, CO, Plymouth, MN)** The Director of Global Downstream Marketing ... leads the global commercial product strategy for the Lead Management (LM) business within Philips Image Guided Therapy Devices (IGTD)-responsible for… more
    Philips (03/14/25)
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