- UCLA Health (Los Angeles, CA)
- …Plan and coordinate the care for our Medicare Advantage members. As a Care Management Nurse, you will focus on improving health outcomes and streamlining the care ... care gaps for members enrolled in the Complex Care Management program. + Support members in participating in the...+ Experience with Medicare Advantage plans and knowledge of CMS regulations is highly desired + Strong assessment and… more
- Dignity Health (Sacramento, CA)
- …Center, Ventricular Assist Device, and Chest Pain Certification. Other accolades include CMS 5 stars, Practice Green Health 2021, Leapfrog Hospital Safety Grade "A", ... Level 4 Epilepsy Center and Opioid Stewardship Honor Roll. Mercy General Hospital is proud to foster inclusion and diversity as part of our mission, vision, and values. One Community. One Mission. One California… more
- Sutter Health (Sacramento, CA)
- …Overview:** About Sutter Health: Sutter Health is a leading not-for-profit healthcare system in Northern California, serving over 3.5 million patients through a ... The incumbent is responsible for all imaging-related equipment and the management of the installed base, including upgrades and replacements, adherence to… more
- WelbeHealth (Modesto, CA)
- …enrollment workflow, adhere to deadlines and ensure compliance with DHCS and CMS guidelines and policies (for example, marketing guidelines and denials policies) + ... + Demonstrated knowledge and experience with complex Medi-Cal enrollment case management **Benefits of Working at WelbeHealth Apply** your Medi-Cal expertise in… more
- LA Care Health Plan (Los Angeles, CA)
- …Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services ( CMS ), and other federal and state guidelines. Responsible for the oversight of ... and auditing compliance risks. Equivalency: Completion of the LA Care Management Certificate Training Program may substitute for the supervisory/ management … more
- Humana (Sacramento, CA)
- …by diverse resources which may include national clinical guidelines, CMS policies and determinations, Medicaid state contracts, clinical reference materials, ... Health Medical Director will attend and participate in meetings involving care management , provider relations, quality of care, audit, grievance and appeal and… more
- Alameda Health System (Oakland, CA)
- …Highland General Hospital + Disaster Command Center + Full Time - Day + Management + 69.06- 115.04/Hour + Req #:42232-31311 + FTE:1 + Posted:August 26, 2025 ... **Summary** **Alameda Health System offers outstanding benefits that include:** + 100% employer health plan for employees and their eligible dependents + Unique… more
- Dignity Health (Sacramento, CA)
- …Stroke Center Ventricular Assist Device and Chest Pain Certification. Other accolades include CMS 5 stars Practice Green Health 2021 Leapfrog Hospital Safety Grade A ... Level 4 Epilepsy Center and Opioid Stewardship Honor Roll. Mercy General Hospital is proud to foster inclusion and diversity as part of our mission vision and values. **Pay Range** $58.00 - $65.62 /hour We are an equal opportunity/affirmative action employer. more
- CommonSpirit Health (Woodland, CA)
- …Real Estate Services, and Environmental Safety. Responsibilities include project management / oversight of minor construction/building renovation projects and other ... serves as the Life Safety Officer over multiple facilities The Director, Facility Management carries out his/her duties by adhering to the highest standards of… more
- Prime Healthcare (Anaheim, CA)
- …with federal, state, and local regulations (Joint Commission, OSHA, HIPAA, CMS ) + Collaborate with physicians, nursing, and other healthcare professionals to ... efficiency + Stay current with trends in nutrition, food service management , and healthcare regulations Qualifications Education and Work Experience 1. Registered… more