• Utilization Management Nurse…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and… more
    LA Care Health Plan (12/20/25)
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  • Utilization Review Specialist

    TEKsystems (Los Angeles, CA)
    …Nurse (LVN) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong understanding of HMO/Medicare claims processes. ... LVN or RN license (California) + 2+ years of experience in Utilization Management (UM) + Hands-on experience with HMO/Medicare claims, audits, and denials +… more
    TEKsystems (12/31/25)
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  • Clinical Nurse Specialist…

    University of Southern California (Los Angeles, CA)
    The Clinical Nurse Specialist serves as a resource/consultant for all departments regarding clinical specialty, conducts/ participates in research across varied ... Essential Duties: + Consultant Clinical resource with staff on management of complex cases. Makes rounds for the purposes...the hospital and community. Facilitates the training of clinical nurse specialist students and other nursing students… more
    University of Southern California (12/18/25)
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  • Care Management Specialist II

    LA Care Health Plan (Los Angeles, CA)
    Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and...Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board Certified (CMGT-BC) Required… more
    LA Care Health Plan (12/20/25)
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  • SLH Care Management Specialist

    Alameda Health System (San Leandro, CA)
    SLH Care Management Specialist + San Leandro, CA + San...years in a health care field or one year in Utilization Management at a Medical Group or Health ... in-patient and post discharge services. + Per the direction of the Care Management social worker and/or nurse , facilitates, identifies and documents all… more
    Alameda Health System (12/31/25)
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  • Field Clinical Specialist , San Francisco…

    Edwards Lifesciences (San Francisco, CA)
    …difference to patients around the world. As a part of the Field Clinical Specialist team, you will be a critical part of delivering our patient focused innovations, ... Quality, Regulatory, and Education. After extensive training, a Field Clinical Specialist will travel frequently within an assigned territory, clinically training… more
    Edwards Lifesciences (11/15/25)
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  • Sr Specialist | PI - Quality & Safety…

    Sharp HealthCare (San Diego, CA)
    …Association for Healthcare Quality; Certified Professional in Healthcare Risk Management (CPHRM) - American Hospital Association; Certified Professional in Patient ... (CPPS) - Certification Board for Professionals in Patient Safety; California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours**… more
    Sharp HealthCare (12/14/25)
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  • Healthcare Clinical Documentation…

    Deloitte (Los Angeles, CA)
    … nurse , physician, physician assistant, case manager, clinical documentation specialist , utilization review, informatics RN, Quality, DRG Validation and ... Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist - CCDS (inpatient) certification required. + A minimum of 3 years of… more
    Deloitte (11/21/25)
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  • Sales Support, Clinical Specialist - FORS…

    Philips (San Diego, CA)
    …+ Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, etc. + You must ... **Sales Support, Clinical Specialist - FORS (West/National Travel)** In this role...with clinical experience as Radiologic Technologist (RT) or Registered Nurse (RN) highly preferred. + Experience in healthcare (in… more
    Philips (12/30/25)
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  • Clinical Sleep Specialist

    ZOLL Medical Corporation (Irvine, CA)
    …advancing customers across a brand belief continuum.The Clinical Sales Specialist (CSS) is responsible for developing and maintaining account relationships ... and management of those relationships in relation to Itamar Medical...and where possible, identifying and expanding opportunities to increase utilization and revenue.Essential Functions + Work in collaboration with… more
    ZOLL Medical Corporation (11/08/25)
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