• Regional Team Leader, Specifications

    CDM Smith (Rancho Cucamonga, CA)
    …our Specifications Group. We're looking for candidates with experience as a Senior Manager and Senior Specification Writer. At CDM Smith, we are invested in your ... of your team. - Coordinating workload within your Technical Services group and utilization goals for the individuals on your team. - Coordinating with your TDM… more
    CDM Smith (08/01/25)
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  • Patient Logistics RN

    CommonSpirit Health (Rancho Cordova, CA)
    …+ Progressive responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
    CommonSpirit Health (09/29/25)
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  • Patient Logistics RN

    CommonSpirit Health (Rancho Cordova, CA)
    …+ Progressive responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
    CommonSpirit Health (09/27/25)
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  • Behavioral Health Medical Director-Psychiatrist…

    Elevance Health (Costa Mesa, CA)
    …and Experiences:** + Child and Adolescent experience strongly preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
    Elevance Health (09/10/25)
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  • Registered Nurse - Clinical Documentation…

    Cedars-Sinai (Los Angeles, CA)
    …required Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required Working knowledge of ... Are you ready to bring your advanced Health Information Management skills to a world-class facility recognized as one...general direction of the HID CDI/Core Measures Supervisor or Manager , with responsibility for improving the overall quality and… more
    Cedars-Sinai (09/18/25)
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  • Licensed Clinical Social Worker - Eating Disorders…

    Sharp HealthCare (San Diego, CA)
    …with the interdisciplinary treatment team, coordinates patient care and provides case management for assigned patients. **Required Qualifications** + Master's ... in a behavioral health setting + Acute/psychiatric hospital experience, discharge planning/ case management experience **Essential Functions** + Communication and… more
    Sharp HealthCare (07/12/25)
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  • RN Team Lead

    Hospice Of San Joaquin (Stockton, CA)
    …the day, who is covering RNCM caseloads in their absence, etc.) 2. Ensures that Case management is being carried out in accordance with Hospice Policies 3. ... and supports our mission. POSITION PURPOSE/SUMMARY: Responsible for the management and delivery of clinical care to patients and...other health care providers in the absence of the case manager to ensure coordination of patient… more
    Hospice Of San Joaquin (08/29/25)
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  • Bilingual Community Health Worker

    Wider Circle (Palmdale, CA)
    …The CHW is an integral part of the member's care team and works closely with the Case Manager . + The CHW will lead the Connect For Life program, using Wider ... joy in one another's company. Reporting to the Area Manager , the CHW is a trusted community member who...will record details of interactions with members in the case management system (CMS) using a computer,… more
    Wider Circle (09/22/25)
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  • Psychiatric Technician III

    The County of Los Angeles (Los Angeles, CA)
    …to a line operation responsible for the delivery of psychological rehabilitation, case management and/or Psychiatric Emergency Service of the Department of ... team leaders reporting to a mental health clinical program manager or a physician manager . Positions allocable...caseload of clients and facilitate routine follow up and case management services as needed. + Works… more
    The County of Los Angeles (07/07/25)
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  • Associate Medical Director

    Elevance Health (Costa Mesa, CA)
    **Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management ** **Radiology Benefit Management / Utilization Review** _A proud ... member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
    Elevance Health (10/01/25)
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