• 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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  • Remote Medical Director - California…

    Centene Corporation (Sacramento, CA)
    …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... Provides medical leadership of all for utilization management , cost containment, and medical...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
    Centene Corporation (08/15/25)
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  • Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …objectives. + Provides professional leadership and direction to the functions within the Medical Management + Department ( Utilization /Cost Management and ... Works collaboratively with other plan functions that interface with medical management such as provider relations, member...in a managed care environment, preferably as an HMO Medical Director . + California Physicians and Surgeons… more
    Sharp HealthCare (08/17/25)
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  • Field Medical Director

    Evolent (Sacramento, CA)
    …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management more
    Evolent (07/30/25)
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  • Director of Case Management

    Select Medical (Los Angeles, CA)
    **Overview** California Rehabilitation Institute ** Director of Case Management ** A Joint Venture with Cedars-Sinai, UCLA Health and Select Medical At ... hospitalization for their recovery. We are currently seeking a ** Director of Case Management - RN or...growth of the Department including yet not limited to Utilization Review (UR) and resource management , discharge… more
    Select Medical (08/27/25)
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  • Director , Physician Leadership…

    Humana (Sacramento, CA)
    …most vulnerable members. The Director , Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations ... a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review...rate with denials and overturns. Deliver the upmost consistent medical director decision making. + _Internal Operations… more
    Humana (08/21/25)
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  • Field Medical Director , Cardiology

    Evolent (Sacramento, CA)
    …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... you will be a key member of the utilization management team. We can offer you...management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:**… more
    Evolent (08/15/25)
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  • Field Medical Director , MSK (Spine…

    Evolent (Sacramento, CA)
    …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... cases. you will be a key member of the utilization management team. We can offer you...management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:**… more
    Evolent (08/19/25)
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  • Behavioral Health Medical Director

    Humana (Sacramento, CA)
    …relationships, value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...healthcare providers, clinical group practice management + Utilization management experience in a medical more
    Humana (08/09/25)
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  • Director , Inpatient System Care…

    Alameda Health System (Oakland, CA)
    Director , Inpatient System Care Management + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Varies + Management + Req ... Alameda Health System is hiring! Under the direction of the Vice President of Care Management , the Director of Inpatient System Care Management manages the… more
    Alameda Health System (08/08/25)
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