• Novo Nordisk Inc. (West Hollywood, CA)
    …sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Analyze and ... more
    HireLifeScience (01/08/25)
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  • Utilization Management

    UCLA Health (Los Angeles, CA)
    Description As the Utilization Management & Quality Review Nurse, you will be responsible for: + Ensuring appropriate, cost-effective, and high- ... more
    UCLA Health (01/08/25)
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  • LVN - Quality Assurance/ Utilization

    Emanate Health (Covina, CA)
    …Education Requirement:** **Minimum Experience Requirement:** Minimum of three years of utilization management experience. Experience in quality - related ... more
    Emanate Health (01/22/25)
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  • Utilization Management Denial…

    UCLA Health (Los Angeles, CA)
    …leader with: + Current CA LVN licensure required + Two or more years of utilization review / utilization management experience in an HMO, MSO, IPA, ... more
    UCLA Health (12/23/24)
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  • RN Case Manager - Utilization Review

    UCLA Health (Los Angeles, CA)
    …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site at our UCLA ... more
    UCLA Health (01/31/25)
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  • Utilization Management Admissions…

    LA Care Health Plan (Los Angeles, CA)
    …Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or CM. Knowledge of Department of Health Care Services ... more
    LA Care Health Plan (02/01/25)
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  • Case Manager - Utilization Review

    Prime Healthcare (Lynwood, CA)
    …Responsibilities Responsible for the quality and resource management ... more
    Prime Healthcare (01/13/25)
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  • Utilization Management Nurse…

    LA Care Health Plan (Los Angeles, CA)
    …Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM). Knowledge of Department ... more
    LA Care Health Plan (02/01/25)
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  • Corporate Director of Clinical Utilization

    Prime Healthcare (Ontario, CA)
    Utilization Management (UM) provides comprehensive oversight of the Utilization Review process for the self-insured Employee Health Plans, according to ... more
    Prime Healthcare (11/28/24)
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  • Director of Case Management

    Prime Healthcare (Inglewood, CA)
    …Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and ... more
    Prime Healthcare (01/18/25)
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  • Clinical Care Coordinator / Days / hybrid (must…

    Children's Hospital Los Angeles (Los Angeles, CA)
    …one of the following areas: Case Management ; use of Clinical pathways; or Quality / Utilization Management and/or Review . Ability to utilize managed ... more
    Children's Hospital Los Angeles (12/05/24)
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  • Exec Dir, Case Management

    Cedars-Sinai (Los Angeles, CA)
    …situations regarding reimbursement issues, social work, discharge planning, utilization review , continuity of care, and systems management . + Collaborates ... more
    Cedars-Sinai (12/05/24)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The expected pay range ... more
    LA Care Health Plan (12/30/24)
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  • Inpatient Review Case Manager (RN);…

    Molina Healthcare (Long Beach, CA)
    …or Interqual criteria **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina ... more
    Molina Healthcare (12/12/24)
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  • Nursing Manager - Case Management

    Prime Healthcare (Lynwood, CA)
    … Program. Provides leadership and supervision to case managers, case management coordinators/discharge planners, utilization review coordinators and ... more
    Prime Healthcare (01/30/25)
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  • Medical Management Clinician Senior

    Elevance Health (Los Angeles, CA)
    …or equivalent. + Requires a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or ... more
    Elevance Health (01/08/25)
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  • Clinic Quality Manager Auditor 3

    Fresenius Medical Center (Irwindale, CA)
    …to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders, ... more
    Fresenius Medical Center (12/31/24)
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  • Healthcare Quality Performance Improvement…

    UCLA Fielding School of Public Health (Los Angeles, CA)
    Healthcare Quality Performance Improvement and Patient Safety Instructor - UCLA Extension Apply now to Healthcare Quality Performance Improvement and Patient ... more
    UCLA Fielding School of Public Health (01/28/25)
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  • Anesthesiology - Vice Chair of Quality

    Cedars-Sinai (Los Angeles, CA)
    …participating in other activities as required. + Directs and oversees department quality management activities and provide leadership and clinical direction in ... more
    Cedars-Sinai (01/15/25)
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  • Director, Care Management

    LA Care Health Plan (Los Angeles, CA)
    …health care resource utilization . Assures appropriate staff support of Utilization Management and other relevant committees. Supports the maintenance of ... more
    LA Care Health Plan (01/18/25)
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