• RN Care Coordinator

    Dignity Health (Long Beach, CA)
    …emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post ... + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
    Dignity Health (10/01/25)
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  • RN Care Coordinator

    Dignity Health (Long Beach, CA)
    …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
    Dignity Health (09/22/25)
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  • Director, Accounting Lease and Asset…

    Ross Stores, Inc. (Dublin, CA)
    …contracts, identifies embedded leases and applies proper accounting treatment for management utilization in decision making process\. * Drive cross\-functional ... 404\) controls including but not limited to account reconciliations and trial balance review , and Identity and Access management compliance for users of… more
    Ross Stores, Inc. (09/25/25)
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  • Authorization Technician II (12 Month Assignment)

    LA Care Health Plan (Los Angeles, CA)
    Authorization Technician II (12 Month Assignment) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and… more
    LA Care Health Plan (08/08/25)
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  • Content Management Analyst - Navy Programs

    Three Saints Bay (Port Hueneme, CA)
    …or managerial functions + Two (2) years of experience directly related with utilization of Content Management Systems, learning Management Systems, and/or ... **Content Management Analyst - Navy Programs (4802)** Location **Port...(R&M) Modeling, Prediction, Allocation and Analysis for program evaluations, review , or implementation. **Desired Qualifications:** + Demonstrated experience analyzing… more
    Three Saints Bay (09/23/25)
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  • Sr Manager, Planisware Clinical Trial Planning,…

    Gilead Sciences, Inc. (Foster City, CA)
    …and demand reporting + Stakeholder communication + Risk assessment & mitigation + Utilization of project management core principles (PMP certification a plus) + ... **Job Description** + The **Senior Manager, Planisware Clinical Trial Planning, Resource Management , and Reporting** is a member of the Portfolio, Project … more
    Gilead Sciences, Inc. (10/15/25)
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  • Clinical Review Pharmacist - 100% Remote

    Actalent (Los Angeles, CA)
    …Job Description This role involves utilizing clinical skills to perform utilization management reviews, including prior authorizations, coverage exceptions, and ... Clinical Review Pharmacist 100% Remote | Contract-to-Hire | Benefits...there is potential for long-term employment. Responsibilities + Conduct utilization management reviews such as prior authorizations… more
    Actalent (10/10/25)
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  • LCSW/LMFT - Orange County

    Amergis (Orange, CA)
    …such as those listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + ... to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and processing requests for… more
    Amergis (08/14/25)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (Sacramento, CA)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health....lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
    CVS Health (10/15/25)
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  • Case Manager, Registered Nurse

    Sutter Health (San Francisco, CA)
    …Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The ... case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some awareness… more
    Sutter Health (08/16/25)
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