- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's...required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH INFORMATION MANAGEMENT SUPERVISOR/CORRECTIONAL HEALTH Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4893836) Apply HEALTH INFORMATION ... MANAGEMENT SUPERVISOR/CORRECTIONAL HEALTH Salary $84,757.20 - $114,219.36 Annually Location...the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released… more
- Sutter Health (Modesto, CA)
- …a full continuum of care, built upon a core of sophisticated hospital -based services. Ensures the consistent management of physician/provider contracts including ... services to other communities whenever this will meet the critical needs and when it will enhance the productivity...oversight of the contract management process, development of specific standards, contract negotiations and… more
- CVS Health (Sacramento, CA)
- …skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and knowledge in clinically ... skills to coordinate, document and communicate all aspects of the utilization/benefit management program. + Applies critical thinking and knowledge in clinically… more
- Actalent (Santa Barbara, CA)
- …for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and ... Privacy, and Confidentiality laws and regulations * Adhere to Health Plan, Medical Management and Health Services policies and procedures * Be abreast on clinical… more
- Alameda Health System (Oakland, CA)
- Care Management Specialist + Oakland, CA + Highland General Hospital + HGH Care Coordination + Services As Needed / Per Diem - Day + Care Management + ... discharge planning activities, working with the payors, accurate and critical information data entry and tracking, and report creation....with the payors. 3. Reconciles census; works with Patient Access and the Care management team to… more
- Alameda Health System (Oakland, CA)
- …Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Evening + Nursing + ... + FTE:1 + Posted:July 14, 2025 **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN is responsible for ensuring the appropriate use… more
- Actalent (Redlands, CA)
- …for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and ... Job Title: Case Manager - Utilization ManagementJob Description Join our dynamic Utilization Management team as a Case Manager, where you will play a pivotal role in… more
- Edwards Lifesciences (Irvine, CA)
- …you'll hone your scientific curiosity and passion for evaluating data to increase access to pioneering technologies for patients in need. In close partnership with ... be part of our inspiring journey. As the **Associate Analyst, Clinical Device Management ** , you will develop and support device processes associated with clinical… more
- RELX INC (Sacramento, CA)
- …Time-off Programs* Short-and-Long Term Disability, Life and Accidental Death Insurance, Critical Illness, and Hospital Indemnity* Family Benefits, including ... post-installation implementation assessment. You will primarily work with various Document Management Systems, Document Drafting Software, and be proficient in APIs… more