• VP & Medical Director

    Travelers Insurance Company (Sacramento, CA)
    …skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties ... to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon as medically… more
    Travelers Insurance Company (07/25/25)
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  • Liability Associate Managing Counsel

    Travelers Insurance Company (Rancho Cordova, CA)
    …Counsel. + Support and collaborate with Managing Counsel around the analysis and utilization management information to drive performance and execute upon value ... Travelers' insured customers. Responsible for recruitment, retention, development and performance management of assigned staff. As a technical line of business… more
    Travelers Insurance Company (09/14/25)
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  • RN Case Manager - Utilization Review

    Prime Healthcare (Lynwood, CA)
    …With Us! (https://careers-primehealthcare.icims.com/jobs/228577/rn-case-manager utilization - review /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... and service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the...to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,… more
    Prime Healthcare (10/16/25)
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  • Senior Medical Assistant, PACT - Ops Float Pool

    Cedars-Sinai (Beverly Hills, CA)
    …and clinical (based on scope of practice) support activities including facilities management , patient billing, utilization management , quality management ... Job Duties and Responsibilities: + Greets patients, take appropriate vital signs, review current medications and record in medical record. + Coordinates, or serve… more
    Cedars-Sinai (10/04/25)
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  • Senior Medical Assistant - Urology - La Cienega

    Cedars-Sinai (Beverly Hills, CA)
    …and clinical (based on scope of practice) support activities including facilities management , patient billing, utilization management , quality management ... Job Duties and Responsibilities: + Greets patients, take appropriate vital signs, review current medications and record in medical record. + Coordinates, or serve… more
    Cedars-Sinai (08/21/25)
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  • Physician Part-time

    MTC (Calexico, CA)
    …+ Monitor all potential catastrophic illnesses. + Implement basic cost containment and utilization management for patient care and facility operations. + Comply ... clinical impressions. + Inspect, complete and analyze medical records, assign review and update medical classifications; complete admission notes, progress notes,… more
    MTC (10/04/25)
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  • Cmcf 1101270 Senior Medical Assistant - Internal…

    Cedars-Sinai (Beverly Hills, CA)
    …and clinical (based on scope of practice) support activities including facilities management , patient billing, utilization management , quality management ... of this position. Greets patients, take appropriate vital signs, review current medications and record in medical record +...medical record + Greets patients, take appropriate vital signs, review current medications and record in medical record +… more
    Cedars-Sinai (09/17/25)
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  • 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 ... front office workflow. This position also assists with providing a review of Patient Service Representative administrative skills, assessing the workflow 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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  • 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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