• The Oncology Institute of Hope and Innovation (Cerritos, CA)
    …in 75+ clinic locations and growing. TOI is changing oncology for the better. Utilization Management Medical Director Oncology Work Location: REMOTE (work ... all clinical decisions. Participate in the development and continuous improvement of utilization management protocols and criteria specific to oncology. Review… more
    Upward (07/14/25)
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  • Elevance Health (Woodland Hills, CA)
    …Job Description: Clinical Operations Associate Medical Director Carelon Medical Management Outpatient Rehab Utilization Management Virtual: This role ... including radiology, cardiology and oncology. The Clinical Operations Associate Medical Director is responsible for supporting the medical management staff… more
    Upward (07/08/25)
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  • Redlands Community Hospital - UTILIZATION MANAGEMENT (Redlands, CA)
    …timely and accurate information to payers. The roleintegrates and coordinates utilization management , care facilitation anddischarge planning functions. The Care ... This position reports to the Director , Case Managementthe Care Manager position is to...patient needs, manage the lengthof stay, and promote efficient utilization of resources. In addition, the CareManager helps drive… more
    Upward (07/19/25)
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  • City of Upland, CA (Upland, CA)
    …Closing Date: 7/28/2025 11:59 PM Pacific JOIN #TEAMUPLAND Join our team as a Deputy Director of Public Works - Utilities ! The City of Upland is seeking an ... experienced, forward-thinking, and results-driven professional to serve as our next Deputy Director of Public Works - Utilities. This critical leadership role plays… more
    Upward (07/05/25)
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  • South Central Family Health Center (Los Angeles, CA)
    Title: Clinic Operations Director Base Salary Range : $120,000 - $140,000 plus benefits FTE : Full-time, Exempt We seek a dynamic and experienced Clinic Operations ... Director who wants to make a difference in our...clinic policies and procedures by providing administrative, operational, and management support to the COO with primary duties and… more
    Upward (07/04/25)
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  • Summit Public Schools (Daly City, CA)
    Executive Director - 2025-2026 The Executive Director is in charge of ensuring that the mission and vision of the school is implemented effectively, ensuring ... that academic programs accelerate positive outcomes for all students. The Executive Director is responsible for overseeing all aspects of running a school. This… more
    Upward (07/17/25)
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  • Rio Staffing (Los Angeles, CA)
    …healthcare staff Oversee Quality Improvement and Performance Improvement Programs Monitor utilization management trends and develop interventions to promote ... Medical Director - PACE Program Location: Los Angeles, CA...leadership position that combines patient care with strategic program management . Key Responsibilities Ensure high-quality, cost-effective care for PACE… more
    Upward (07/14/25)
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  • University of California San Francisco (San Francisco, CA)
    …promotes the effective use of technology in the clinical setting and oversees utilization management to ensure accessibility and quality of care. The Executive ... Director leads financial management , budgeting, and strategic planning to support program growth, integration, and sustainability. The role also encompasses… more
    Upward (06/22/25)
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  • NORTH EAST MEDICAL SERVICES (San Francisco, CA)
    …3 months of hire Well-versed in industry and professional standards of healthcare, utilization management , quality improvement, and other medical management ... Francisco, CA Salary Range $285229.20 - $332260.24 Salary Description The PACE Medical Director is responsible for the management and oversight of the… more
    Upward (07/09/25)
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  • Fountain View Subacute and Nursing Center (Los Angeles, CA)
    Are You Ready to lead in Healthcare? We are currently seeking a Director of Nursing (DON) to join our outstanding healthcare team! Salary Range: $175k-$190k per year ... Continuing Education & Training : Stay current with industry standards. As Director of Nursing, You Will: Provide nursing and administrative direction for our… more
    Upward (06/24/25)
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  • Tiburcio Vasquez Health Center (Hayward, CA)
    …WIC support, mental health counseling, community health education, and more! The Medical Director , Family Medicine is an essential member of the TVHC team. By ... of the Chief Medical Officer (CMO), the Associate Medical Director is responsible for the day-to-day supervision of care...and the ongoing clinic operations of TVHC. Collaborates with Management Team members, as directed, to develop strategies and… more
    Upward (07/06/25)
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  • PACS (Clovis, CA)
    …patient progress, problem and plans. Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in ... to moderate. Additional Information Note: Nothing in this job specification restricts management 's right to assign or reassign duties and responsibilities to this… more
    Upward (07/13/25)
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  • 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. 1 year of previous utilization management or managed care experience; word processing spreadsheet skills… more
    Upward (07/19/25)
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  • University of Southern California (Los Angeles, CA)
    …patient populations. The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and ... information. *Participates in InterQual competency testing as requested by department director . Outcomes Management *Participates in core measure process in… more
    Upward (07/19/25)
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  • COPE Health Solutions (Sacramento, CA)
    …optimized deployment of an administrative case management tracking system/care management documentation Reports to the Director of Operations Performs ... Description The Enhanced Care Management (ECM) Program Manager, provides leadership and direction...Status Exempt Salary Range $68,000 - $75,000 Reports To Director of Operations Direct Reports Community Health Workers &… more
    Upward (07/07/25)
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  • AHMC Healthcare (San Gabriel, CA)
    …recent acute care experience in a critical care setting (preferred) Two years Utilization Management /Case Management experience in an acute care setting ... transition to other nursing units. Refers situations requiring immediate intervention to the Director of Case Management , Risk Management , Director more
    Upward (07/15/25)
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  • Inland Empire Health Plan (Rancho Cucamonga, CA)
    …medical leadership across the Health Services Departments. This includes direct oversight and management of the Utilization Management Medical Directors as ... across the organization. Works closely with the Health Services leadership team on Utilization Management activities and complex clinical cases. Has a lead role… more
    Upward (07/03/25)
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  • Adventist Health (Montebello, CA)
    …Summary: Provides unit-based leadership working collaboratively with the Nurse Manager, Director , Physicians, and staff. Supervises and directs the activities of ... patients throughout the continuum of care. Develops strategies with Nurse Manager/ Director to improve customer satisfaction for patients, families, and physicians.… more
    Upward (07/19/25)
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  • Anastasia Beverly Hills (Pico Rivera, CA)
    management system (WMS) Supervise put-away processes to maximize space utilization and stock accuracy Inventory Management : Monitor stock levels, conduct ... and communicates the cause to the VP of Distribution and Director of Finance and DC management , or other cross-functional members of the ABH leadership team.… more
    Upward (06/26/25)
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  • Cedars Sinai (Los Angeles, CA)
    …and leads department using shared governance model and Lean principles of management . Uses expert knowledge, clinical skills and critical thinking in managing daily ... for all customers. Participates in the interviewing, hiring, evaluation and human resource management functions of the staff. In collaboration with the Director more
    Upward (07/17/25)
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