• Utilization Management

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing… more
    LA Care Health Plan (09/10/25)
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  • Case Management Coordinator - Inpatient…

    Cedars-Sinai (Beverly Hills, CA)
    …review process. The coordinator works collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims Department and other ... with community resources and social supports required. One (1) year of utilization management or managed care experience preferred. **About Us** Cedars-Sinai… more
    Cedars-Sinai (08/08/25)
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  • Case Manager (CM) - RN or LCSW - FT - $7,500 Sign…

    Select Medical (Los Angeles, CA)
    …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... Management . **Responsibilities** + Clinical Interventions/Discharge and Care Planning Management : Responsible for functioning as the liaison among all… more
    Select Medical (08/23/25)
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  • Primary Care Physician (PCP)

    STG International (Rancho Cucamonga, CA)
    …to ensure compliance and patient safety. *Participates in quality improvement, care management , risk management , peer review, utilization review, clinical ... with the veteran and assist in making referrals for services and/or admissions to the VAMC as medically appropriate. Determine which referrals are required… more
    STG International (09/06/25)
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  • Patient Care Shift Supervisor, RN

    Sutter Health (Tracy, CA)
    …STCH-Sutter Tracy Community Hosp **Position Overview:** Provides leadership and management support in planning, organizing, staffing and controlling the operational ... to direct facility operations, and supervises personnel in all departments when leadership/ management staff is not present in the facility. During that time, serves… more
    Sutter Health (09/06/25)
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  • Senior Patient Service Rep - Urology

    Cedars-Sinai (Beverly Hills, CA)
    …+ As liaison coordinates administrative support activities including facilities management , patient billing, utilization management , quality ... staff, insurance plans and other departments. + Actively participate in lean management processes by detailing, monitoring and updating department specific data. +… more
    Cedars-Sinai (09/04/25)
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  • Behavioral Health Therapist (Peds/Adults) - LCSW,…

    UCLA Health (Santa Monica, CA)
    …to the team, individual, family or group psychotherapeutic treatment; liaison with community agencies; treatment plan documentation; and disposition planning ... patients to improve access to psychiatric care and to prevent unnecessary ED admissions and hospitalizations. In this role, you will have three main functions: 1.… more
    UCLA Health (07/15/25)
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