• Utilization Management Administration…

    Humana (Sacramento, CA)
    …support for the policies and procedures ensuring best and most appropriate treatment, care or services for members utilizing Home Health and Skilled Nursing ... we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These… more
    Humana (10/10/25)
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  • Branch Director, Home Health

    CenterWell (San Diego, CA)
    …state of practice) _preferred._ + Minimum of 2 years of healthcare operations management experience, preferably within Home Health or Hospice. + OASIS experience ... opportunities. **About Us** About CenterWell Home Health : CenterWell Home Health specializes in personalized, comprehensive home care for patients managing… more
    CenterWell (10/10/25)
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  • Registered Nurse (RCI Nurse Manager)

    Veterans Affairs, Veterans Health Administration (San Francisco, CA)
    …utilization management standards, clinical documentation requirements, community care regulations, and Veterans Health Administration guidelines. ... utilization management standards, clinical documentation requirements, community care regulations, and Veterans Health Administration (VHA) standards… more
    Veterans Affairs, Veterans Health Administration (11/21/25)
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  • Nurse Practitioner (Section Chief - Impact Unit 6…

    Veterans Affairs, Veterans Health Administration (San Diego, CA)
    …vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in ... expected to meet the following dimension requirements: Clinical Practice. Delivers evidence-based health care , demonstrating proficiency in the ability to manage… more
    Veterans Affairs, Veterans Health Administration (10/10/25)
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  • Utilization Management Nurse

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... BSN or Bachelor's degree in a related field + Health Plan experience + Experience in utilization management...millions of people we serve to achieve their best health - delivering the care and service… more
    Humana (11/24/25)
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  • Assistant Mental Health Counselor, RN

    The County of Los Angeles (Los Angeles, CA)
    …activities, and facilitate development of independent living skills; educates client to integrate physical health care management into mental health ... management to coordinate comprehensive mental health /physical health services and to ensure continuity of care...+ Yes + No 02 Do you have an Associate 's degree from a Registered Nursing program? In order… more
    The County of Los Angeles (10/06/25)
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  • Claims Examiner III

    Dignity Health (Bakersfield, CA)
    …geographies and will lead the effort in developing Dignity Health 's Medicaid population health care management pathways. Dignity Health MSO is ... Coder (CPC) **Where You'll Work** The purpose of Dignity Health Management Services Organization (Dignity Health...that supports containing costs while continually improving quality of care and levels of service. Dignity Health more
    Dignity Health (11/24/25)
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  • Registered Nurse (Part-Time Surgical Case Manager)

    Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
    …seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a ... Summary The Surgical Case Manager assumes responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction… more
    Veterans Affairs, Veterans Health Administration (11/25/25)
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  • Systems Analyst-EDI Management - SHP…

    Sharp HealthCare (San Diego, CA)
    …space. **Required Qualifications** + HS Diploma or Equivalent + 2 Years experience in a health care and/or health plan organization. + Experience with data ... **Facility:** Health Plan **City** San Diego **Department** **Job Status**...Do** Under the direction of the Manager of EDI Management , the Systems Analyst-EDI Mgmt will use technical and… more
    Sharp HealthCare (10/26/25)
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  • Physical Therapist, Asian American Home…

    CenterWell (Alameda, CA)
    …evaluation, treatment plans, progress reports and discharge summary to the supervisor and care management staff. **Use your skills to make an impact** **Required ... program and Plan of Treatment. + Provide Physical Therapy Assistants and Home Health Aide + staff with written instructions/ care plan that reflects current… more
    CenterWell (09/26/25)
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