• Coding Quality Auditor, HEDIS *Remote

    Providence (CA)
    …in a medical record. + 2 years - HEDIS, Quality management /quality improvement/ utilization review auditing experience, including experience ... Health Information Management degree. + Experience with health plans, project management , data analysis, and/or case review . **Why Join Providence?** Our… more
    Providence (10/15/25)
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  • SLH Case Manager RN

    Alameda Health System (San Leandro, CA)
    …preferred. Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or ... Management issues; other issues including concerns involving under/over utilization , avoidable days and quality issues. Coordinate daily with interdisciplinary… more
    Alameda Health System (08/08/25)
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  • Mental Health Program Manager I/Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …scope of practice. + Participates in the development, negotiation, implementation, and management of the budget for the program support service operations, clinic, ... and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in...of care and establishes and modifies program monitoring and review methods as necessary. + Oversees audits and the… more
    The County of Los Angeles (10/20/25)
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  • Medical Assistant - Cardiology - Sharp Rees-Stealy…

    Sharp HealthCare (San Diego, CA)
    …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... **FTE** 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians; Vocational… more
    Sharp HealthCare (10/10/25)
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  • Coordinator, UM (LVN)

    Pomona Valley Hospital Medical Center (Pomona, CA)
    …or equivalent education necessary to meet licensure requirements. One year experience in Utilization Review or Case Management discharge planning, current ... Nurse plays a vital role within the Case Management Department. The LVN within the Utilization Management team collaborates closely with Case Managers,… more
    Pomona Valley Hospital Medical Center (09/20/25)
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  • Primary Care Physician (PCP)

    STG International (Victorville, CA)
    …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activates. ... in the orientation of clinical staff physicians, physician assistants and nurse practitioners. *Provide leadership to CBOC clinicians. *Evaluate the effectiveness of… more
    STG International (10/02/25)
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  • LVN - OBGYN Float Pool- SRS Multiple Clinics-…

    Sharp HealthCare (San Diego, CA)
    …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... (Advanced Cardiac Life Support) - American Heart Association; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians;… more
    Sharp HealthCare (10/19/25)
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  • LVN- Primary Care Float Pool - SRS Chula Vista…

    Sharp HealthCare (Chula Vista, CA)
    …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... Professional (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians… more
    Sharp HealthCare (10/01/25)
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  • Mental Health Program Manager II / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …scope of practice. Participates in the development, negotiation, implementation, and management of the budget for the Countywide program support operational areas, ... goals. Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner.… more
    The County of Los Angeles (10/09/25)
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  • LVN Phys Pract

    Banner Health (Susanville, CA)
    …quality management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission ... in, general surgeries and orthopedics. **As a Licensed Vocational Nurse , LVN, at Banner Lassen Health Center, you will...care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the… more
    Banner Health (09/28/25)
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