• Clinical Coordinator Patient Logistics RN

    CommonSpirit Health (Rancho Cordova, CA)
    …leading up to or including supervisory role highly preferred + Experience in Utilization Management , Case Management or Care Coordination, Managed Care ... and communicating with department manager and director the outcomes of the review and any identified issues or barriers. **Accountabilities:** + Compiles data for… more
    CommonSpirit Health (09/29/25)
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  • Patient Logistics RN

    CommonSpirit Health (Rancho Cordova, CA)
    …responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, Managed ... performed and communicating with department manager and director the outcomes of the review and any identified issues or barriers. **Core Duties:** + Compiles data… more
    CommonSpirit Health (09/27/25)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I Print...Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply  UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 - $167,136.48 Annually… more
    The County of Los Angeles (10/06/25)
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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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  • Utilization Review Technician III

    Prime Healthcare (Ontario, CA)
    …With Us! (https://careers-primehealthcare.icims.com/jobs/212159/ utilization - review -technician-iii/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... new members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate... and appeals process as part of the denial management initiatives. This position will also serve as a… more
    Prime Healthcare (08/23/25)
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  • Discharge Planner II (LVN)

    Prime Healthcare (La Palma, CA)
    …Discharge Plan. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and ... Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist… more
    Prime Healthcare (07/24/25)
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  • Medical Director Managed Care Physician Engagement

    Dignity Health (Bakersfield, CA)
    …monitoring, and CRM. - Provide backup support to the Medical Director of Utilization Management in medical review activities, peer-to-peer consultations, ... communication, issue resolution, and network expansion. They partner with Network Management and Contracting leadership to support the development of Physician/APP… more
    Dignity Health (10/17/25)
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  • 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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