• Senior Health Insurance (HIE)…

    UCLA Health (Los Angeles, CA)
    …making a difference in the communities we serve. With guidance and direction from the Health Insurance Program Manager, the Senior Health Insurance (HIE) ... Senior HIE Specialist will: + Determine the degree of case urgency and create an appropriate resolution plan. +...resolution plan. + Use their knowledge of current Public Health Insurance and other public benefit programs… more
    UCLA Health (08/01/25)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health ... Office MS Office applications. Maintain confidentiality in compliance with all Health Insurance Portability and Accountability Act (HIPAA) requirements. Ability… more
    LA Care Health Plan (07/16/25)
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  • System Utilization Management SUM…

    Alameda Health System (Oakland, CA)
    …in nursing Required Experience: Minimum three (3) years of experience in Utilization Management or Case Management AND proficiency in applying InterQual ... System Utilization Management SUM Utilization Review RN + Oakland, CA...Licenses/Certifications: Certified Case Manager (CCM) or Accredited Case Manager (ACM) Alameda Health System is… more
    Alameda Health System (07/29/25)
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  • Senior Social Worker- Active Management

    Veterans Affairs, Veterans Health Administration (Fresno, CA)
    …group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management . (b) Ability to incorporate complex multiple causation in ... VA Careers - Social Work: https://youtube.com/embed/enRhz\_ua\_UU Total Rewards of a Allied Health Professional Duties: -Active Management of Pain Senior Social… more
    Veterans Affairs, Veterans Health Administration (08/02/25)
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  • Street Health Outreach Community…

    Tiburcio Vasquez Health Center (Hayward, CA)
    …team approach, the program provides street and venue-based outreach and engagement, assessment, health services and triage, case management , as well as ... needs and works from an interdisciplinary approach. + Provides case management services in a culturally, linguistically...GA and SSI. + Provides culturally competent, trauma informed health services. + Maintains client information and case more
    Tiburcio Vasquez Health Center (05/23/25)
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  • Physician Advisor, Utilization Review/…

    Sutter Health (Sacramento, CA)
    …+ Excellent interpersonal communication and negotiation skills. + A broad knowledge base of health care delivery and case management within a managed care ... with governmental regulations and conditions of participation and commercial insurance contracts. The PA is responsible for establishing, maintaining...health care services. The PA meets with care management , UM staff and health care team… more
    Sutter Health (06/12/25)
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  • Street Health Outreach RN Care Manager

    Tiburcio Vasquez Health Center (Hayward, CA)
    …team approach, the program provides street and venue-based outreach and engagement, assessment, health services and triage, case management , linkages to ... the Community Health Worker and the Behavioral Health Case Manager. The RN Care Manager...Resuscitation Card (CPR). + Valid CA driver's license and insurance . + Preferably, two years of nursing experience serving… more
    Tiburcio Vasquez Health Center (07/02/25)
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  • Medical Management Clinician Senior 100%…

    Elevance Health (CA)
    …Experiences:** + Utilization Management experience is strongly preferred. + Health insurance billing and/or medical coding experience is strongly preferred. ... **Medical Management Clinician Senior** **Location:** This role enables associates...May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or… more
    Elevance Health (06/06/25)
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  • Enhanced Care Management Justice Involved…

    LA Care Health Plan (Los Angeles, CA)
    …At least 3 years working with justice-involved populations, focusing on reentry services, case management , or community health programs. Preferred: Justice ... Enhanced Care Management Justice Involved Specialist II Job Category: Administrative,...(Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by… more
    LA Care Health Plan (07/08/25)
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  • Head, ICSR Management Contractor - Job ID:…

    Ascendis Pharma (Palo Alto, CA)
    …+ Support Medical Safety Science team with activities related to signal detection, risk management and health authority responses as needed. + Raise or increase ... employees to grow and develop their skills. The ICSR Management Lead reports to the Head, ICSR Management...compensation plans + Accident, Critical Illness, and Hospital Indemnity Insurance + Mental Health resources + Paid… more
    Ascendis Pharma (08/09/25)
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