• Patient Health Advocate - Mission Viejo

    Providence (Anaheim, CA)
    **Description** Working with the Case Manager , the Patient Health Advocate is a member of the Care Management team the Health Advocate assists with the daily ... year experience in Health medical claims/insurance operations + 1 year experience in Utilization Management + 1 year experience in Quality Measures and HCC Capture… more
    Providence (09/18/25)
    - Related Jobs

  • Medical Claim Review LVN/LPN (CA LVN Required)

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

  • Breast Care Sales Representative - Inland Empire,…

    Stryker (Palm Springs, CA)
    …this position is to drive capital acquisition of SPY technology and foster utilization in the clinical health space. Target customers are Operating Room personnel, ... and operation of trade shows, conventions, and/or clinical meetings. + Keeps Regional Manager informed of territory progress on a regular basis. + Solves product… more
    Stryker (09/10/25)
    - Related Jobs

  • Traveling Registered Nurse Specialist

    WelbeHealth (Los Angeles, CA)
    …interdisciplinary team (IDT). The Travel RN Specialist covers any nursing roles (eg, RN Case Manager , RN Clinic Nurse) as needed in multiple markets. The Travel ... of care, participant satisfaction, and to prevent unfavorable outcomes, inappropriate utilization of resources, and unnecessary hospitalizations + Act as the point… more
    WelbeHealth (07/19/25)
    - Related Jobs