• Managed Care Benefit Configuration…

    Dignity Health (Bakersfield, CA)
    …and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality ... Associate's degree or equivalent experience **Preferred Qualifications:** - Healthcare benefit management industry preferred - Previous managed care platform… more
    Dignity Health (08/08/25)
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  • Manager, Customer Solution Center Appeals…

    LA Care Health Plan (Los Angeles, CA)
    …ability to interpret and apply regulations. Equivalency: Completion of the LA Care Management Certificate Training Program may substitute for the supervisory/ ... Manager, Customer Solution Center Appeals and Grievances Job Category: Management /Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017… more
    LA Care Health Plan (07/08/25)
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  • Manager, Technology Application Production Support…

    LA Care Health Plan (Los Angeles, CA)
    …issues. Experience supporting remote team members. Equivalency: Completion of the LA Care Management Certificate Training Program may substitute for the ... Manager, Technology Application Production Support and Control Job Category: Management /Executive Department: Production Support and HelpDesk Location: Los Angeles,… more
    LA Care Health Plan (07/06/25)
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  • Inpatient Clinical Pharmacist III, Transitions…

    Sutter Health (Sacramento, CA)
    …joining Sutter Health! **Organization:** SMCS-Valley Administration **Position Overview:** Transitions of Care management - focused on medication management ... access, discharge medication reconciliation and post-discharge follow-up. Delivers pharmaceutical care through the provision of patient-centered clinical service, medication… more
    Sutter Health (08/30/25)
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  • Pharmacist Specialist - Ambulatory Care

    Scripps Health (San Diego, CA)
    …This is a unique opportunity and is ideal for someone with ambulatory patient care management experience who is interested in working in various ambulatory ... 2 years' of hire. *Preferred Education/Experience/Specialized Skills/Certification:* * Ambulatory patient care management experience * Experience using Epic in… more
    Scripps Health (08/28/25)
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  • Job Profile Name Care Navigator

    Centene Corporation (Woodland Hills, CA)
    …fresh perspective on workplace flexibility. **Position Purpose:** Develops, assesses, and coordinates care management activities based on member needs to provide ... plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate + Collects, documents, and… more
    Centene Corporation (08/27/25)
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  • Manager Care Coord Social Work

    Dignity Health (Merced, CA)
    …other managers, physicians, administration, and community based healthcare workers regarding care management issues identified through corporate or facility ... not to exceed 10% of salary for this position. **Manager of Care Coordination (Case Management ) Social Work** **Position Summary:** As our Manager of Care more
    Dignity Health (08/24/25)
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  • Director Care Coordination

    Dignity Health (Long Beach, CA)
    …other managers, physicians, administration, and community based healthcare workers regarding care management issues identified through corporate or facility ... Center you will be responsible for the overall direction and management of care coordination and social services including planning, organizing and directing all… more
    Dignity Health (07/30/25)
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  • Care Manager LCSW

    Providence (San Pedro, CA)
    **Description** Care Management within the Department of Psychiatry includes a collaborative practice with patients, caregivers, nurses, social workers, ... and care coordination along a continuum through effective transitional care management . Recognizing the patient's right to self-determination, the… more
    Providence (07/17/25)
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  • Community Resource Center Specialist III

    LA Care Health Plan (Los Angeles, CA)
    …or resources. Informs LA Care and Plan Partner members of health care tailored services including Care Management , Social Services, Health Education, ... plan member benefits and knowledge of any of the following services: Care Management , Social Services, Health Education, or other social service or clinical… more
    LA Care Health Plan (08/21/25)
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