• Lead Care Manager

    Rady Children's Hospital San Diego (San Diego, CA)
    …needs of the department, this position requires proficiency in English and Spanish. JOB SUMMARY: The Lead Care Manager (LCM) operates a as a member of the ... patient's Enhanced Care Management (ECM) team and is responsible for coordinating...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
    Rady Children's Hospital San Diego (12/26/24)
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  • Mobile Department Lead

    MarketSource (La Mesa, CA)
    126643BRTitle:Mobile Department LeadJob Description: Mobile Department Lead MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed ... provides the unique skills and expertise to integrate brand-centric managed sales programs in the Automotive, Information Technology, Telecommunications, and… more
    MarketSource (12/16/24)
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  • Registered Nurse - Case Manager

    ERP International (Camp Pendleton, CA)
    …community agencies and organizations, the TRICARE Lead Agent office, and the Managed Care Support Contractor. + Maintain adherence to JCAHO, URAC, CMSA and ... International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic...**Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense… more
    ERP International (11/29/24)
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  • Senior Medical Director - Sharp Health Plan

    Sharp HealthCare (San Diego, CA)
    …services, and oversees the health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical ... a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks. + Assists… more
    Sharp HealthCare (10/20/24)
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  • Senior Quality Assurance Specialist

    Actalent (Carlsbad, CA)
    …Qualifications * Act as the primary liaison between the Quality Control Manager and Documentation Control during audits, focusing on ISO certifications for ... have been divided among multiple roles, streamlining and improving efficiency. * Lead the organization through audits as a certified auditor, drawing on experience… more
    Actalent (01/04/25)
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  • Director, Provider Contracting - San Diego, CA…

    The Cigna Group (San Diego, CA)
    …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting. This role assists in...Hospital systems, Ancillaries, and large physician groups). + May lead a team with direct reports. + Point person… more
    The Cigna Group (11/28/24)
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