• Medical Claim Review LVN/LPN (CA LVN…

    Molina Healthcare (Long Beach, CA)
    …**Required Experience** Minimum three years clinical nursing experience. Minimum one year Utilization Review and/or Medical Claims Review . **Required ... Clinical Coder, Certified Medical Audit Specialists (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified… more
    Molina Healthcare (09/17/25)
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  • Construction Project Manager - Transmission…

    Burns & McDonnell (Brea, CA)
    …, Program Manager as well as internal and external executive management as required. + Collaborate with engineering team to establish the development and ... **Description** The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day… more
    Burns & McDonnell (09/10/25)
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  • Telephonic Nurse Case Manager

    ICW Group (San Diego, CA)
    …regulatory standards. + Interfaces with external agencies in relation to the utilization review process including, Third-Party Payers, Insurance Companies and ... treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and...Providers. + May perform Utilization Review activities (or review … more
    ICW Group (09/17/25)
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  • Program Manager (Level II or III - DOE)

    Crane Aerospace & Electronics (Burbank, CA)
    **Crane Aerospace and Electronics** has an exciting opportunity for a **Program Manager ** at our **Burbank, CA** location. **About Crane:** Crane Aerospace & ... Aerospace & Electronics! **Job Summary:** Program Managers provide leadership and management of cross functional business, technical, and operations teams while… more
    Crane Aerospace & Electronics (08/14/25)
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  • Case Manager , RN

    Sutter Health (San Francisco, CA)
    …Pacific Med Center - Mission Bernal **Position Overview:** Coordinates the utilization management , resource management , discharge planning, post-acute ... care referrals and care facilitation. Oversees the management of acute patient populations across the care continuum...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
    Sutter Health (07/30/25)
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  • Project Manager - Construction - Food…

    Burns & McDonnell (Brea, CA)
    …, Program Manager as well as internal and external executive management as required. + Collaborate with engineering team to establish the development and ... **Description** The Project Manager oversees the day-to-day operations from pre-construction through project completion and warranty periods. This Project Manager… more
    Burns & McDonnell (08/17/25)
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  • RN Case Manager

    Amergis (Mission Hills, CA)
    …and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making ... Salary: $3051 / Week The RN Case Manager is responsible for coordinating continuum of care...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… more
    Amergis (09/26/25)
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  • Regional Sales Manager , Trauma…

    Teleflex (Los Angeles, CA)
    Regional Sales Manager , Trauma and Emergency Medicine-California **Date:** Oct 9, 2025 **Location:** Los Angeles, CA, US **Company:** Teleflex **Expected Travel** : ... Medicine sales team, the focus of the Regional Sales Manager (RSM) (Los Angeles, or Sacramento, CA) is on...and strategic planning, business partnering, and time and resource management . Planning and conducting regional and national meetings is… more
    Teleflex (09/03/25)
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  • Medical Director - Sharp Health Plan - Hybrid…

    Sharp HealthCare (San Diego, CA)
    …and responds to accrediting and regulatory agency feedback. + Supports pre-admission review , utilization management , and concurrent and retrospective rev1ew ... Program and Quality Improvement Program, in conjunction with the Manager Medical Management and Quality Improvement ...process. + Participates in risk management , pharmacy utilization management , catastrophic case review ,… more
    Sharp HealthCare (08/17/25)
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  • Manager , Software (ERP)

    Hyundai Autoever America (Fountain Valley, CA)
    …to solution architecture discussions. + Ensure an optimal work environment (eg, device management ). + Review contracts, obtain quotes, and perform Total Cost of ... 10032 - Manager of ERP operation, Parts Sales Location -...solutions that meet evolving business requirements. + Team Performance Management : Drive the team's excellence in ticket processing, on-time… more
    Hyundai Autoever America (08/14/25)
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