• Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    …Range: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... members, we make sure our members get the right care at the right place at the right time....targeted and random audits for non-clinical grievance and appeal case documentation. Ensure A&G Non-Clinical staff is following all… more
    LA Care Health Plan (08/29/25)
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  • Emergency Critical Care Division Chief

    Stanford University (Stanford, CA)
    …Emergency Medicine and Critical Care physician to join the Department as an Associate Professor/ Full Professor in the University Medical Line or as a Clinical ... Associate Professor/ Full Clinical Professor in the Clinician Educator...We seek candidates with administrative, academic, and clinical practice management experience in critical care medicine. The… more
    Stanford University (08/07/25)
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  • Business Analytics Developer - Ambulatory…

    Ventura County (Ventura, CA)
    …Ambulatory Care Program Administrator III/ Sr. Program Administrator are Management classifications and are not eligible for overtime compensation. The eligible ... Business Analytics Developer - Ambulatory Care Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4930117) Apply  Business Analytics Developer -… more
    Ventura County (06/26/25)
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  • Care Integration Coordinator

    Providence (Apple Valley, CA)
    …'s degree in a related field. + Medical Assistant Certification (CMA) upon hire. + Managed care or case management . + Experience with Mcg Care ... or Manager, this position is responsible for providing support to the Care Management team who coordinates care for identified members/patients throughout… more
    Providence (08/30/25)
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  • Coordinator, Care Services

    The ALS Association (Sacramento, CA)
    …required. + Knowledge of Medicare, Medicaid, patient assessments skills, planning and case management preferred. + Commitment to organization and highly ... people with ALS through a nationwide network of chapters, coordinating multidisciplinary care through certified clinical care centers, and fostering government… more
    The ALS Association (08/29/25)
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  • Manager Care Coord Social Work

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

    Bright Horizons (Encinitas, CA)
    Step into a leadership role as a **Child Care Assistant Director** at **Bright Horizons** , where your positive influence and motivational skills will help shape the ... Child, Family & Community, Curriculum, and Principles and Practices (Required) + Associate or higher degree in early childhood education, education, or child… more
    Bright Horizons (08/26/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Sacramento, CA)
    …is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH ... medical management services that support cost-effective quality care for members. + Work in clinical telephone queue...or prior authorization. + Remote work experience. **Education** + Associate degree in nursing RN required. + BSN preferred.… more
    CVS Health (08/15/25)
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  • Managed Long Term Services and Supports Nurse…

    LA Care Health Plan (Los Angeles, CA)
    … coordination functions and must adhere to regulatory mandates that apply to Utilization Management (UM) and Care Management (CM). This position is ... company objectives. Performs other duties as assigned. Education Required Associate 's Degree in Nursing Education Preferred Bachelor's Degree in... care OR experience in Utilization Review or Care Management will be considered in lieu… more
    LA Care Health Plan (08/26/25)
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  • Mental Health Clinician I

    The County of Los Angeles (Los Angeles, CA)
    …assessments with patients or clients in order to render a diagnosis and/or develop a care plan + Providing case management services to patients or clients ... university and qualify the degree-holder for registration as an Associate Professional Clinical Counselor with the State of California,...in order to render a diagnosis and/or develop a care plan * Providing case management more
    The County of Los Angeles (06/08/25)
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