• Case Manager - Utilization

    Prime Healthcare (Anaheim, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218947/ case - manager ... related field or at least one year experience in case management , discharge planning or nursing ...Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM) certification preferred.3. At least… more
    Prime Healthcare (08/08/25)
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  • Case Manager - Utilization

    Prime Healthcare (Montclair, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226814/ case - manager ... other Bachelor degree in a related field. At least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within… more
    Prime Healthcare (09/30/25)
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  • Case Manager (RN)…

    Prime Healthcare (San Dimas, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229285/ case - manager -%28rn%29 ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
    Prime Healthcare (10/10/25)
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  • LCSW/LMFT - Orange County

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

    Elevance Health (Costa Mesa, CA)
    …evening shifts from 11:30 AM to 8:00 PM (local time) The **Nurse Case Manager II** responsible for care management within the scope of licensure for members ... **Nurse Case Manager II** Location(s): California, Colorado,...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements**… more
    Elevance Health (10/11/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Costa Mesa, CA)
    …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**...Management experience is preferred. + Certification as a Case Manager is preferred. + Minimum 2… more
    Elevance Health (08/29/25)
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  • RN - Case Manager - Per Diem - Days…

    Emanate Health (Covina, CA)
    …Two years recent acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal ... in quality improvement activities as they relate to the management of patient care. **Job Requirements** **Minimum Education Requirement:**...and time management skills. Ability to work independently as well as… more
    Emanate Health (08/02/25)
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  • Care Manager MSW - Days Per Diem

    Providence (Fullerton, CA)
    …Certification in Case Management (CCM, ACM) + 3 years Experience in utilization management or case management . + Experience with Psychiatric ... **Description** **Care Manager MSW at Providence St. Jude Medical Center,...excellence in surgical and clinical care by Healthgrades. Care Management is a collaborative practice model including the patients,… more
    Providence (10/11/25)
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  • Clinical Account Manager - Surgical…

    Rep-Lite (Anaheim, CA)
    …, supporting surgeons and OR teams while also driving program growth and utilization . As the Clinical Account Manager , you will partner with surgeons, ... Clinical Account Manager - Surgical Robotics Position Overview We are...OR staff, and hospital leadership to deliver training, case coverage, and workflow optimization that ensures safe, effective,… more
    Rep-Lite (09/10/25)
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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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  • Medical Director ( CA)

    Molina Healthcare (Riverside, CA)
    …(CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) ... of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies… more
    Molina Healthcare (10/02/25)
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  • Cost Containment Analyst

    ICW Group (Woodland Hills, CA)
    case management and utilization review. + Works closely with Case Management Manager and Director to perform quarterly reporting on program ... AND SKILLS** Understanding of Workers' Compensation, Workers' Compensation Managed Care processes, Utilization Review, Telephonic Nurse Case Management , and… more
    ICW Group (09/22/25)
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  • Software Asset Management Specialist…

    CDM Smith (Irvine, CA)
    …project demands. **Preferred Qualifications:** * SAM, CSAM (Certified Software Asset Manager ), or SAMS (Software Asset Management Specialist) certifications ... Description:** CDM Smith is seeking a Senior IT Asset Management Specialist to lead and manage all aspects of...and improvements. * Provide insights that matter: Report on utilization , explain budget variances, and present forecasts to key… more
    CDM Smith (09/20/25)
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  • RN Care Coordinator

    Dignity Health (Long Beach, CA)
    …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs ... will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers...least five (5) years of nursing experience. + Certified Case Manager (CCM) Accredited Case more
    Dignity Health (10/01/25)
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  • RN Care Coordinator

    Dignity Health (Long Beach, CA)
    …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs ... emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post… more
    Dignity Health (09/22/25)
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  • Enhanced Care Management (ECM) Program…

    Illumination Foundation (Stanton, CA)
    …Role The Program Coordinator is an administrator role dedicated to upkeep, management , and oversight of front-end and back-end programmatic processes. These include ... skills. This individual will also be centrally involved in communicating information to management and lead housing entities and will be relied on for insight into… more
    Illumination Foundation (09/20/25)
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  • Discharge Planner II (LVN)

    Prime Healthcare (La Palma, CA)
    Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... Plan. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and… more
    Prime Healthcare (07/24/25)
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  • General Superintendent (Landscape Division)

    Griffith Company (Brea, CA)
    …methods and sequence of operations. + Coordinate manpower and equipment utilization . + Assist project manager in conducting effective ... specifications. + Direct and supervise foreman. + Coordinate with Project Manager /Project Engineer/Estimator. + Supervise and update the project schedule. + Interact… more
    Griffith Company (10/10/25)
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  • Regional Team Leader, Specifications

    CDM Smith (Irvine, CA)
    …our Specifications Group. We're looking for candidates with experience as a Senior Manager and Senior Specification Writer. At CDM Smith, we are invested in your ... of your team. - Coordinating workload within your Technical Services group and utilization goals for the individuals on your team. - Coordinating with your TDM… more
    CDM Smith (08/01/25)
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  • Behavioral Health Medical Director-Psychiatrist…

    Elevance Health (Costa Mesa, CA)
    …Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
    Elevance Health (10/08/25)
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