• Nursing Director , Administration…

    The County of Los Angeles (Los Angeles, CA)
    NURSING DIRECTOR , ADMINISTRATION ( Director , Workforce Management and Operations) Print ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3110377) Apply  NURSING DIRECTOR , ADMINISTRATION ( Director , Workforce Management and Operations) Salary $163,996.80… more
    The County of Los Angeles (06/05/25)
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  • Senior Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …to accrediting and regulatory agency feedback. + Supports pre-admission review, utilization management , and concurrent and retrospective review Process. Performs ... + Participates in risk management reviews. + Assists in pharmacy utilization management , catastrophic case review, outreach programs, HEDIS reporting, site… more
    Sharp HealthCare (07/19/25)
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  • Assistant Director of Child, Youth,…

    City and County of San Francisco (San Francisco, CA)
    …BHS Managed Care (eg, Office of Coordinated Care , Quality Management , Utilization Management , Regulatory Affairs). Core responsibilities of the ... CYF Management and Leadership Meetings, System of Care Provider convenings, and Civil Service Clinic Director...division's service delivery system + Assists the System of Care Director of the Child, Youth and… more
    City and County of San Francisco (08/28/25)
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  • Field Medical Director , Pain…

    Evolent (Sacramento, CA)
    …Clinical Reviewer, Interventional Pain Management , you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical… more
    Evolent (08/20/25)
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  • Remote Medical Director - California…

    Centene Corporation (Sacramento, CA)
    …of Certifying Board Service (Internal and Family Medicine, preferred) + Utilization Management experience and knowledge of quality accreditation standards. ... business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality...coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes. +… more
    Centene Corporation (08/15/25)
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  • Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …to accrediting and regulatory agency feedback. + Supports pre-admission review, utilization management , and concurrent and retrospective rev1ew process. + ... Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director...Participates in risk management , pharmacy utilization management , catastrophic… more
    Sharp HealthCare (08/17/25)
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  • Director of Clinical Services, Faculty…

    UCLA Health (Los Angeles, CA)
    …of multiple clinical programs and medical services with an emphasis on optimizing Utilization Management for the Faculty Practice Group (FPG) Management ... Description We are seeking a highly skilled and dynamic Director of Clinical Services to lead the development, evaluation,...the delivery of program functionalities in all aspects of Utilization Management and its integration with other… more
    UCLA Health (06/22/25)
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  • Director -Assistant Rehab

    Genesis Healthcare (Elk Grove, CA)
    …department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient identification is overseen ... Director of Rehab is responsible for assisting the Director of Rehab in the efficient management ...Powerback Rehabilitation personnel and consultants within facility or home care contracts. 5. Assists the Director of… more
    Genesis Healthcare (07/30/25)
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  • Director -Rehab Clinical -$10K BONUS!

    Genesis Healthcare (Los Angeles, CA)
    …department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient identification is overseen. ... Director ). 11. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical...of Rehab OT must have three years direct patient care experience and one year of management more
    Genesis Healthcare (06/20/25)
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  • Field Medical Director , Interventional…

    Evolent (Sacramento, CA)
    …meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
    Evolent (07/30/25)
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