• Program Manager - Managed…

    Cedars-Sinai (CA)
    …people throughout Los Angeles and beyond. **Req ID** : 5668 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
    Cedars-Sinai (05/07/25)
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  • Program Manager , Managed…

    UCLA Health (Los Angeles, CA)
    Description UCLA Health is seeking a dynamic Program Manager to support the Managed Care Operations team. This role is instrumental in overseeing the ... UAT initiatives, and participate in strategic planning related to managed care operations. Salary Range: $83,800 -...$179,400 annually Qualifications We're looking for a strong, organized program leader with: + Bachelor's degree in a related… more
    UCLA Health (05/03/25)
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  • RN Case Manager , Managed…

    Sutter Health (Goleta, CA)
    …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time...Medicare and Medicaid Services (GR) Grouper (CMS), Department of Managed Health Care , National Committee for Quality… more
    Sutter Health (04/11/25)
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  • RN Case Manager , Managed…

    Sutter Health (Goleta, CA)
    …knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of ... Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management… more
    Sutter Health (04/23/25)
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  • Manager , Care Coordination (RN)…

    Stanford Health Care (Palo Alto, CA)
    …social work, care coordination and discharge planning. + Knowledge of managed care and commercial insurance, Medi-Cal, Medicare, and other third-party ... work-life balance while honoring its commitment to delivering evidence-based and patient-centered care . We are seeking a results-driven manager to further… more
    Stanford Health Care (02/22/25)
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  • Provider Network Account Manager III

    LA Care Health Plan (Los Angeles, CA)
    … Manager III is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider accounts ... Provider Network Account Manager III Job Category: Provider Relations Department: Provider...providing in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations.… more
    LA Care Health Plan (02/21/25)
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  • Manager , Care Coordination (RN),…

    Stanford Health Care (Palo Alto, CA)
    …social work, care coordination and discharge planning. + Knowledge of managed care and commercial insurance, MediCal, Medicare, and other third-party ... - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** This role independently supervises a multidisciplinary team… more
    Stanford Health Care (04/16/25)
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  • Senior Behavioral Health Manager - Quality…

    Ventura County (Ventura, CA)
    …POSITION Under general direction, the Senior Behavioral Health Manager - Quality Care provides senior management of a major program operation and/or services ... and outcomes, and training and education units within the Division of Managed Care Operations. EDUCATIONAL/BILINGUAL INCENTIVE: Incumbents may be eligible for… more
    Ventura County (02/17/25)
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  • Mental Health Program Manager…

    The County of Los Angeles (Los Angeles, CA)
    MENTAL HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658522) Apply  MENTAL ... HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Salary $122,088.00...to ensure that services conform to acceptable standards of care and establishes and modifies program monitoring… more
    The County of Los Angeles (05/06/25)
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  • Revenue Cycle Manager - Ambulatory…

    Ventura County (Ventura, CA)
    …of the following state programs and rules: + Medi-Cal Programs, including Medi-Cal Managed Care + Commercial Insurance + Medicare DESIRED: + Bachelor's degree ... Revenue Cycle Manager - Ambulatory Care Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4817015)...of the following state programs: * Medi-Cal Programs (including Managed Care ) * Commercial Insurance * Medicare… more
    Ventura County (04/03/25)
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