• Lead Patient Service Rep / Call Center - Santa…

    Cedars-Sinai (Santa Monica, CA)
    …support activities to address physician and staff concerns such as facilities management , patient billing, utilization management , quality management ... an administrative team lead for the office. This position supports the physician and nursing staff in the delivery of health care by performing a range of… more
    Cedars-Sinai (10/11/25)
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  • Home Health ICM Coordinator (Limited - 6 Months)

    UCLA Health (Los Angeles, CA)
    …The Home Health ICM Coordinator plays a key role in supporting our Utilization Management team to ensure safe, high-quality, and cost-effective care for ... patients enrolled in UCLA Medicare Advantage and Intensive Case Management programs. Under the supervision of the RN Assistant Director, you will coordinate… more
    UCLA Health (10/04/25)
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  • Registered Nurse , Inpatient

    VNA Health (Santa Barbara, CA)
    …education, inservice and nursing staff meetings. + Participate in Quality Management and Utilization Review Activities. + Maintain necessary records and ... 3 days/week, 12 hours/day Job Description: The Inpatient Registered Nurse provides hospice care and is skilled at assessing...Health. Job Duties: + Responsible for providing comprehensive direct nursing care to Serenity House patients. + Provide … more
    VNA Health (09/07/25)
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  • RN - Case Manager - Per Diem - Days - 8hr ICH

    Emanate Health (Covina, CA)
    …Two years recent acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal ... Participates in quality improvement activities as they relate to the management of patient care. **Job Requirements** **Minimum Education Requirement:** Bachelor… more
    Emanate Health (08/02/25)
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  • Care Review Clinician (RN) Night Shift

    Molina Healthcare (Los Angeles, CA)
    …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. **Required Qualifications** * At ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 NIGHT SHIFT 7:30PM - 08:30AM PACIFIC HOURS NON EXEMPT, 3 days a week will… more
    Molina Healthcare (10/18/25)
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  • Care Coordinator RN

    Dignity Health (Bakersfield, CA)
    …emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers ... (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience. + California RN license +… more
    Dignity Health (09/19/25)
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  • Registered Nurse - Clinical Documentation…

    Cedars-Sinai (Los Angeles, CA)
    …Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required Working knowledge of Joint ... Are you ready to bring your advanced Health Information Management skills to a world-class facility recognized as one...reasons we've achieved our fifth consecutive Magnet designation for nursing excellence. From working with a team of dedicated… more
    Cedars-Sinai (09/18/25)
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  • Behavioral Health Care Manager I

    Elevance Health (Cerritos, CA)
    …quickly learn and adapt to new technologies preferred. + Previous experience in utilization management with a broad range of experience with complex ... offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty programs… more
    Elevance Health (10/04/25)
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  • Nursing Director, Administration (Director,…

    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 - $255,048.48 Annually Location Los Angeles County,… more
    The County of Los Angeles (09/03/25)
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  • Vice President, Cardiology

    Evolent (Sacramento, CA)
    …a key clinical executive responsible for leading cardiology- and vascular-related utilization management , quality improvement, and clinical operations across ... highly desirable + 7+ years managing teams to drive performance across physician, nursing , and shared services teams + 3+ yearsworking with clinical operations in a… more
    Evolent (10/07/25)
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