• Insmed Incorporated (Los Angeles, CA)
    …strong related experience.Other Pharmaceutical experience - Medical Information, Medical Strategy, Clinical management /trial experience and 2 years clinical ... a local medical and scientific resource to Insmed for product planning, clinical insights, and intelligence. Bring together, synthesize and deliver HCP derived… more
    HireLifeScience (09/05/25)
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  • Clinical Reimbursement Case

    Genesis Healthcare (Los Angeles, CA)
    …impact in the communities we serve. Responsibilities The Manager, Case Management is responsible for the clinical , administrative, and financial oversight of ... Director, assists with the development, implementation, and maintenance of a case management model which meets the clinical and financial goals of Genesis… more
    Genesis Healthcare (11/06/25)
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  • Director of Case Management

    Prime Healthcare (Inglewood, CA)
    …ie full-time or part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case Management ... for the development of staff and systems to effectively operate a comprehensive Case Management Program. The Director provides leadership and supervision to … more
    Prime Healthcare (10/18/25)
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  • Telephonic Nurse Case Manager II (CA)

    Elevance Health (Los Angeles, CA)
    …is providing services in multiple states. **Preferred Capabilities, Skills and Experiences:** + Case Management experience is preferred. + Certification as a ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the… more
    Elevance Health (11/14/25)
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  • RN Case Manager - Utilization Review

    Prime Healthcare (Lynwood, CA)
    …years acute care nursing experience preferred. At least one year experience in case management , discharge planning or nursing management , preferred.4. ... and service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the...of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager… more
    Prime Healthcare (10/16/25)
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  • Registered Nurse, RN Case Manager

    Prime Healthcare (Inglewood, CA)
    …years acute care nursing experience preferred. 3. At least one year experience in case management , discharge planning or nursing management , preferred. 4. ... Outstanding Medical + Dental + Vision Coverage + Tuition Reimbursement + Many more Voluntary Benefit Options! (https://www.primehealthcare.com/careers/benefits/) Benefits… more
    Prime Healthcare (10/31/25)
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  • RN Home Health Case Manager + 5k Sign…

    Maxim Healthcare (Gardena, CA)
    Join Our Team as a Clinical Supervisor - RN at Maxim Healthcare! Are you an experienced RN looking to move beyond bedside care? Do you crave a role that offers the ... perfect blend of clinical and administrative responsibilities?...contributions through our awards and recognition programs + Expense Reimbursement : Mileage and cell phone reimbursement are… more
    Maxim Healthcare (11/12/25)
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  • Registered Nurse, RN- Case Manager

    Prime Healthcare (Inglewood, CA)
    …years acute care nursing experience preferred. 3. At least one year experience in case management , discharge planning or nursing management , preferred. 4. ... more information, visitwww.centinelamed.com. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility… more
    Prime Healthcare (10/24/25)
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  • Healthcare Clinical Documentation…

    Deloitte (Los Angeles, CA)
    …skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management , Finance, Revenue Cycle, and Coders + Other ... Clinical Informatics, Business Administration, Nursing and related health fields preferred + Case Management or Medical coding certification a plus (CRC, CCA,… more
    Deloitte (11/08/25)
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  • Principal Clinical Specialist - Perfusion…

    Medtronic (Los Angeles, CA)
    …Participate in the development and design of new autotransfusion and anticoagulation management devices providing input as a clinical /technical expert + ... marketing, sales and healthcare professionals + Knowledge of blood physiology and Blood Management products used in clinical settings + Ability to travel… more
    Medtronic (11/08/25)
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  • Senior Clinical Specialist Neuromodulation…

    Medtronic (Los Angeles, CA)
    …and meetings to increase product awareness. + Works closely with the DBS Sales and Clinical teams to provide customer case coverage and sales support. + Serves ... room, pain management , or home health care + Understands basic reimbursement and healthcare environment + Excellent organizational skills and ability to work… more
    Medtronic (11/14/25)
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  • Clinical Social Worker (LCSW) Per Diem…

    Cedars-Sinai (Beverly Hills, CA)
    …patient care delivery, including DPA/POSLT and documents pertinent information in the case management system. + Implements transitions of care between inpatient ... sophisticated medical education programs. We offer learning programs, tuition reimbursement and performance-improvement projects so you can achieve certifications… more
    Cedars-Sinai (10/04/25)
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  • Clinical Sales Specialist, Structural…

    Abbott (Los Angeles, CA)
    …of 50%. **WHAT YOU'LL DO** + Collaborate with Territory Managers to provide good case coverage and clinical outcomes for patients + Serve as primary resource ... savings plan with a high employer contribution + Tuition reimbursement , the Freedom 2 Save (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program,… more
    Abbott (09/24/25)
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  • Sr. Clinical Specialist - San Fernando…

    Abbott (Los Angeles, CA)
    …professionals, patients, and field sales staff regarding CRM (Cardiac Rhythm Management ) products. **Key Responsibilities:** + ** Clinical Interface** : Acts ... plan with a high employer contribution . + Tuition reimbursement , the Freedom 2 Save student debt program, and...in **San Fernando Valley, CA** in the Cardiac Rhythm Management division. As a global leader in Cardiac Rhythm… more
    Abbott (11/13/25)
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  • Utilization Management Admissions Liaison…

    LA Care Health Plan (Los Angeles, CA)
    …nursing facility, outpatient needs (home health, physical therapy, infusion), and case management referrals (5%) Performs prospective, concurrent, post-service, ... acute hospital setting. Previous experience to have a strong understanding of Utilization Management / Case Management practices including, but not limited to,… more
    LA Care Health Plan (10/03/25)
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  • Care Management Specialist II, D-SNP Team…

    LA Care Health Plan (Los Angeles, CA)
    …California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - ... Management Specialist II, D-SNP Team (12 month Assignment) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position… more
    LA Care Health Plan (10/21/25)
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  • Care Management Community Health Worker II…

    LA Care Health Plan (Los Angeles, CA)
    …members manage health conditions (including chronic disease). (10%) Care Coordination, Case Management , and System Navigation: Participating in care coordination ... Community Health Worker II (12 Month Contract) Job Category: Clinical Department: Care Management Location: Los Angeles,...and case management . Making referrals and providing follow-up.… more
    LA Care Health Plan (10/21/25)
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  • Supervisor, Utilization Management RN

    LA Care Health Plan (Los Angeles, CA)
    Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... work/licensure. The Supervisor is a subject matter expert (SME) in Care/ Case /Utilization Management and supporting regulations, policies, protocols, and… more
    LA Care Health Plan (10/14/25)
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  • Appeals RN - Care Management Per Diem…

    Providence (Torrance, CA)
    …+ Bachelor's Degree in Nursing. Or Master's Degree Nursing. + Upon hire: Case management certification. + Experience working with denials and appeals in/for ... Chance Act." **Requsition ID:** 400278 **Company:** Providence Jobs **Job Category:** Care Management **Job Function:** Clinical Care **Job Schedule:** Part time… more
    Providence (11/11/25)
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  • Lead Customer Solution Center Appeals…

    LA Care Health Plan (Los Angeles, CA)
    …aspects of a case are appropriately managed. Conduct targeted and random clinical case audits to ensure that all regulatory and departmental guidelines, ... years of clinical appeals and grievances experience in a managed care, utilization management and/or case management setting, At least 2 years in… more
    LA Care Health Plan (11/11/25)
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