• RN Supervisor, Healthcare Services

    Molina Healthcare (Sacramento, CA)
    …is not a compact state.** Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), ... professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term services and… more
    Molina Healthcare (11/21/25)
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  • Senior Information Security Engineer…

    Lumen (Sacramento, CA)
    …and track improvements in technologies and processes. + Analyze system utilization statistics to identify performance bottlenecks and recommend enhancements for ... update, and adhere to corporate and team-level processes, including change and outage management protocols. **What We Look For in a Candidate** + Bachelor's degree… more
    Lumen (11/25/25)
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  • Public Resource Specialist - PAS Self Pay Revenue…

    Sharp HealthCare (San Diego, CA)
    …experience in a health care system revenue cycle. + Previous social work or case management experience. + California Notary Public - California Secretary of ... to members of the community.Provides timely communication to the assigned social worker/ case manager regarding the status of application. + Database and… more
    Sharp HealthCare (11/21/25)
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  • Clinical Coordinator Patient Logistics RN

    CommonSpirit Health (Rancho Cordova, CA)
    …leading up to or including supervisory role highly preferred + 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 (11/26/25)
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  • LVN UM Delegation Oversight Nurse Remote based in

    Molina Healthcare (Long Beach, CA)
    …Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. * Participates as needed in joint… more
    Molina Healthcare (11/21/25)
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  • Behavioral Health Medical Director-Psychiatrist…

    Elevance Health (Los Angeles, CA)
    …Capabilities and Experiences:** + Child and Adolescent experience 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 (11/19/25)
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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 (11/02/25)
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  • HR Business Partner - Hybrid

    Global Foundries (Santa Clara, CA)
    …of either an individual contributor (as directed and/or independently), or as a manager :* Works closely with senior management within specific business units or ... of human resources issues using systemic approaches. * Administers talent management and succession planning activities within client organization. * Assists senior… more
    Global Foundries (11/18/25)
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  • Licensed Clinical Social Worker - COG/DBT OP…

    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 (11/26/25)
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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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