• Utilization Management Nurse Consultant

    CVS Health (Sacramento, CA)
    …is required during the first 3 weeks of training / 8:30am-5pm EST, Monday-Friday.** American Health Holding, Inc (AHH) is a medical management company that is a ... At CVS Health , we're building a world of health...Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management more
    CVS Health (08/15/25)
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  • Senior Advisor, System Administrator, Revenue…

    Cardinal Health (Sacramento, CA)
    …state or local law._ _To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal- health ... **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations...of basic medical terminology + Knowledge of reimbursement and policy impacts on fee schedules + Experience with GE… more
    Cardinal Health (08/08/25)
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  • Manager Information Security & Risk…

    Highmark Health (Sacramento, CA)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job provides Information Security and Risk Management services for the Organization. ... Works with peers within security, HM Health Solutions customers and application teams to ensure alignment with current and future security needs. Manages activities… more
    Highmark Health (08/30/25)
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  • Health Sciences Assistant/Associate…

    UCLA Fielding School of Public Health (Los Angeles, CA)
    Health Sciences Assistant/Associate Clinical Professor - Oral and Maxillofacial Surgery - Clinic Director Apply now to Health Sciences Assistant/Associate ... and step at appointment. See Table #5, Scale 8 (https://www.ucop.edu/academic-personnel-programs/\_files/2025-26/ policy -covered-october-2025-scales/t5-8.pdf) The salary range for this position is $186,400… more
    UCLA Fielding School of Public Health (08/09/25)
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  • Supervisor, Utilization Management RN

    LA Care Health Plan (Los Angeles, CA)
    …years of acute/clinical care experience. Minimum of 2 years of experience in Case/Care/Utilization Management in an acute care or health plan setting. Minimum of ... Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization ...(Mid.) - $163,492.00 (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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  • Manager Account Installation & Receivables…

    Highmark Health (Sacramento, CA)
    …met. Individual contributor roles as needed. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities including, but not limited to: involved in hiring ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the… more
    Highmark Health (08/12/25)
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  • Medical Management Clinician Senior 100%…

    Elevance Health (CA)
    …in multiple states. **Preferred Skills, Capabilities, and Experiences:** + Utilization Management experience is strongly preferred. + Health insurance billing ... **Medical Management Clinician Senior** **Location:** This role enables associates...onboarding and skill development. _Please note that per our policy on virtual work, candidates not within a reasonable… more
    Elevance Health (08/28/25)
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  • Director Client Management - HNAS

    Highmark Health (Sacramento, CA)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job implements and administers strategic activities related to client retention, growth, and ... team members to achieve and/or exceed upselling opportunities. Responsible for market management (ie, awareness and management of external distribution channel… more
    Highmark Health (07/17/25)
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  • Community Health Program Manager II (ALD)

    LA Care Health Plan (Los Angeles, CA)
    …which Community Health initiatives operate. This operational and policy infrastructure includes claims processing, provider network management , community ... Community Health Program Manager II (ALD) Job Category: Administrative,...Maintain strong positive working relationships with internal LA Care management staff and external business partners, in order to… more
    LA Care Health Plan (07/16/25)
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  • Registered Nurse (Inpatient Case Management

    Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
    …an experienced Registered Nurse to work in our Inpatient Case Management Service. Incumbent is expected to function independently, collaboratively, showing ... communication and coordination of care among members of the interprofessional health care team. Applies specialized skills, knowledge, and competencies throughout… more
    Veterans Affairs, Veterans Health Administration (08/21/25)
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