• Director of Case Management

    Prime Healthcare (Inglewood, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189094/ director -of- case - management utilization - ... more
    Prime Healthcare (01/18/25)
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  • Director Case Management

    Providence (Santa Monica, CA)
    **Description** **THE ROLE** The Director , Case Management promotes and supports the mission, vision and objectives of Saint John's Health Center and is ... more
    Providence (01/08/25)
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  • Utilization Management Nurse…

    LA Care Health Plan (Los Angeles, CA)
    …of varied clinical experience in an acute hospital setting. At least 2 years of Utilization Management / Case Management experience in a hospital or HMO ... more
    LA Care Health Plan (12/08/24)
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  • Exec Dir, Case Management

    Cedars-Sinai (Los Angeles, CA)
    …with internal and external stakeholders. + Promotes the role of Case management , medical social work & utilization management within the organization ... more
    Cedars-Sinai (12/05/24)
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  • Assistant Nursing Director , Administration

    The County of Los Angeles (Los Angeles, CA)
    …the following: + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT ... more
    The County of Los Angeles (01/18/25)
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  • Medical Director of Mental Health MDN

    Cedars-Sinai (Los Angeles, CA)
    …and vetting of any community MH provider as needed. + Supports and advises Utilization Management , CS 360, and population health teams as needed, including ... more
    Cedars-Sinai (01/16/25)
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  • Director -Rehab OT

    Genesis Healthcare (Los Angeles, CA)
    …of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient identification ... more
    Genesis Healthcare (01/10/25)
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  • Medical Director , Community Health

    LA Care Health Plan (Los Angeles, CA)
    …that the programs align with our operational systems and tools while also performing utilization review of cases. The Medical Director reports to the Senior ... more
    LA Care Health Plan (12/26/24)
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  • Program Director

    Sevita (Alhambra, CA)
    …strategy to manage census, maintain occupancy, improve daily attendance, and/or maximize utilization + Financial Management + When applicable, approve purchase ... more
    Sevita (01/03/25)
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  • Associate Medical Director , Clinical…

    Elevance Health (Cerritos, CA)
    …policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests involving radiology imaging requests, ... more
    Elevance Health (01/21/25)
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  • Associate Medical Director - Orthopedic…

    Elevance Health (Los Angeles, CA)
    …preferred. + Extensive orthopedic surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. For ... more
    Elevance Health (12/17/24)
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  • Associate Medical Director , Clinical…

    Elevance Health (Cerritos, CA)
    …reviews of high-tech diagnostic imaging, cardiac testing and sleep management services. Medical Directors in Clinical Operations determine the medical ... more
    Elevance Health (01/21/25)
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  • Area Director

    Sevita (Los Angeles, CA)
    …every day. Join us today, and experience a career well lived. **Area Director -** **Operations Management ** **_Full-Time position - Annual Salary $74,000 ... more
    Sevita (01/16/25)
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  • Associate Medical Director - Sleep Medicine

    Elevance Health (Cerritos, CA)
    …to work in a dynamic, fast-paced environment. + Preferred interest in Sleep management utilization review. For candidates working in person or remotely in ... more
    Elevance Health (11/20/24)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary ... more
    LA Care Health Plan (12/30/24)
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  • Medical Management Clinician Senior

    Elevance Health (Los Angeles, CA)
    …**Preferred skills, qualifications and experiences:** + Prior experience in inpatient Utilization Management , preferred. + Knowledge and/or experience of MCO, ... more
    Elevance Health (01/08/25)
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  • Project Manager (Hybrid)

    Cedars-Sinai (West Hollywood, CA)
    …guidance, including aiding in resolving any conflicting project decisions. Discusses business case scenarios, presents to senior management and guides team(s) on ... more
    Cedars-Sinai (11/23/24)
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  • Associate Manager of RRH

    Illumination Foundation (Anaheim, CA)
    …The Associate Manager of RRH will work closely with the Program Manager/ Director to ensure contract compliance and outcomes are met. Additionally, they will ... more
    Illumination Foundation (01/11/25)
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  • Account Manager, Endovascular - Orange County

    Abbott (Anaheim, CA)
    …This includes influencing stakeholders within the hospital, driving product utilization , support on contracting, relationship development, relationship management ... more
    Abbott (01/21/25)
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  • Med Mgmt Nurse CA (US)

    Elevance Health (Los Angeles, CA)
    …critical thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... more
    Elevance Health (12/20/24)
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