• Sr Analyst, Scope Management - Healthcare

    Evolent (Sacramento, CA)
    …sources to establish and maintain the definitive source of truth for specialty Utilization Management (UM) agreements. This important work is achieved through ... Minimum 3 years of professional experience in value-based healthcare analytics or utilization management within a payer, provider, clinical vendor, managed care,… more
    Evolent (07/18/25)
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  • RN Clinical Manager Home Health Full Time

    CenterWell (San Diego, CA)
    …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
    CenterWell (06/07/25)
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  • Management Assistant - Multiple Departments…

    City and County of San Francisco (San Francisco, CA)
    …maintenance and utilization of space. 2. Manages or assists in management of the functions of an office, section, operation or pro-gram; plans, prioritizes ... County of San Francisco is looking to hire multiple management assistants to be part of the City workforce...and consultation with man-agers and administrative staff; assists in review of budget requests from departmental man-agers; assists in… more
    City and County of San Francisco (07/07/25)
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  • Chief Medical Officer

    HCA Healthcare (Riverside, CA)
    …care issues. Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review / management + You will ... of quality and cost improvement, and develops systems to review utilization of resources and objectively measure...consult with facility-level staff regarding delegated utilization management and disease management … more
    HCA Healthcare (06/21/25)
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  • Senior Pharmacist

    Highmark Health (Sacramento, CA)
    …Organization's Formularies, utilization management programs, and disease management initiatives. + Provide clinical review and decisions including but ... . + Assist in the development and implementation of utilization management programs including but not limited...maximize overall efficiencies. + Manage individual projects for timely review with the Director , Clinical Pharmacy. +… more
    Highmark Health (06/26/25)
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  • Senior Management Assistant - Multiple…

    City and County of San Francisco (San Francisco, CA)
    …right fit. The City and County of San Francisco is looking to hire multiple management assistants to be part of the City workforce of nearly 40,000 staff and ... the City and County of San Francisco has to offer. Senior Management Assistants perform difficult and complex professional level administrative and/or management… more
    City and County of San Francisco (08/08/25)
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  • Principal Technical Services Project…

    Northrop Grumman (San Diego, CA)
    … management , production, planning, procurement, supply chain, project team, and line management + Review status of projects and budgets; manage schedules and ... and problem solving with Project Managers, Line Managers, Program Management and Clients **Basic Qualifications Principal Technical Services Project Manager:**… more
    Northrop Grumman (08/08/25)
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  • Supv Regional Care Mgmt- Integrated Care Mgmt…

    Sharp HealthCare (San Diego, CA)
    …the direction of the manager of in-patient care management and the Director of Utilization Management . **Required Qualifications** + 3 Years Experience ... Facility/Regional - SCMG Operations meetings and task forces.Facilitate regional Utilization Management committees and other working regional… more
    Sharp HealthCare (07/09/25)
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  • UM LVN

    Dignity Health (Bakersfield, CA)
    …as part of the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the ... medical necessity. The position partners with both the Pre-Service and In-Patient Utilization Management teams. Ensures to monitor and assure the appropriateness… more
    Dignity Health (08/09/25)
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  • UM LVN

    Dignity Health (Bakersfield, CA)
    …as part of the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the ... medical necessity. The position partners with both the Pre-Service and In-Patient Utilization Management teams. Ensures to monitor and assure the appropriateness… more
    Dignity Health (07/13/25)
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