• Amphenol CIT (Cerritos, CA)
    …world's leading designers and manufacturers of high-performance wire, cable, and medical devices. We provide complete interconnect solutions to industries like ... Aerospace, Military & Defense Electronics, Space, Medical , Test & Measurement, and Industrial. Our talented team of employees worldwide helps bring movies to your… more
    DirectEmployers Association (09/16/25)
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  • Deluxe (Monterey Park, CA)
    …+ We value our people so offer the typical benefits (401K, PTO, Medical , Dental) PLUS: Flexible time off, volunteer time off, paid maternity/paternity leave, tuition ... for project revenue and billable service hours. Ensure optimal resource utilization by managing and updating project and resource schedules. Release resources… more
    DirectEmployers Association (10/22/25)
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  • Teleflex (Los Angeles, CA)
    …four-year college or university. - Minimum 2+ years of experience in a sales management role within medical devices. - Proven success in Emergency Medicine, ICU, ... 50% **Requisition ID** :12959 **About Teleflex Incorporated** As a global provider of medical technologies, Teleflex is driven by our purpose to improve the health… more
    DirectEmployers Association (10/25/25)
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  • Organon & Co. (Los Angeles, CA)
    …District Business Manager and be responsible for driving product awareness and utilization . The Territory Business Manager will work towards achieving and exceeding ... healthcare office and to deliver outstanding customer service through total account management . + Develop relationships and maintain an active presence in the… more
    DirectEmployers Association (10/24/25)
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  • Southland Industries (Garden Grove, CA)
    …with an emphasis on **program cost analysis, compliance, and vendor management ** . This role requires experience with **self-insured program administration** and ... tools. **Reporting & Collaboration** + Provide reporting and analysis on benefits utilization and cost trends to HR and Finance leadership. + Support benefits… more
    DirectEmployers Association (09/20/25)
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  • Nurse Reviewer I

    Elevance Health (Los Angeles, CA)
    …experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , ... state(s) required. **Preferred Skills, Capabilities, and Experiences​:** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and… more
    Elevance Health (11/04/25)
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  • Supervisor, Care Review (RN) Utilization

    Molina Healthcare (Los Angeles, CA)
    …Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review, and/or other utilization management ... clinical and non-clinical team activities to facilitate integrated, proactive utilization management , ensuring compliance with regulatory and accrediting… more
    Molina Healthcare (10/16/25)
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  • Utilization Management Admissions…

    LA Care Health Plan (Los Angeles, CA)
    …observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests where determination ... Utilization Management Admissions Liaison RN II...acute care facilities. Acts as a department resource for medical service requests/referral management and processes. Actively… more
    LA Care Health Plan (10/03/25)
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  • Supervisor, Utilization Management

    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 ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
    LA Care Health Plan (10/14/25)
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  • Director of Case Management

    Prime Healthcare (Inglewood, CA)
    …Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patients ... Overview AtCentinela Hospital Medical Center, our dedicated team of professionals are...and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and… more
    Prime Healthcare (10/18/25)
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  • Utilization Management Quality…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Quality Reporting and Auditing Specialist I Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Quality Reporting and Auditing...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
    LA Care Health Plan (11/05/25)
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  • Utilization Management

    Elevance Health (Los Angeles, CA)
    ** Utilization Management Representative Lead** This role enables associates to work virtually full-time, with the exception of required in-person training ... **Hours** : 8:35 AM to 5:05 PM Pacific The ** Utilization Management Representative Lead** is responsible for...include complex customer service or call center experience and medical terminology training; or any combination of education and… more
    Elevance Health (11/05/25)
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  • Utilization Management

    Elevance Health (Los Angeles, CA)
    ** Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... between 7:00 AM and 5:00 PM Pacific. The **Behavioral Health (BH) Utilization Management Representative I** responsible for coordinating precertification and… more
    Elevance Health (10/31/25)
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  • LPN LVN - Utilization Management

    Providence (Anaheim, CA)
    …+ Bachelor's Degree in Healthcare related field. + 3 years experience in utilization management or case management . **Why Join Providence?** Our ... posting is for multiple openings of a LPN/LVN UNTILIZATION MANAGEMENT at ST. JOSEPH HOME HEALTH in ANAHEIM, CA.**...valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused,… more
    Providence (11/05/25)
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  • Utilization Review Nurse Supervisor I

    The County of Los Angeles (Los Angeles, CA)
    …staff training is needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review Committee meetings to ... I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator,... Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that… more
    The County of Los Angeles (10/06/25)
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  • Utilization Review RN

    Providence (Anaheim, CA)
    …graduate. + Upon hire: California Registered Nurse License. + 3 years experience in utilization management and/or case management . + 3 years Clinical ... Onsite in Anaheim, CA 20% and work remote 80%!** Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote… more
    Providence (11/04/25)
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  • RN Case Manager - Utilization Review

    Prime Healthcare (Lynwood, CA)
    …Us! (https://careers-primehealthcare.icims.com/jobs/228577/rn-case-manager utilization -review/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. ... Overview St. Francis Medical Center is one of the leading comprehensive...and service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
    Prime Healthcare (10/16/25)
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  • Nursing Director, Administration (Director,…

    The County of Los Angeles (Los Angeles, CA)
    …DIRECTOR, ADMINISTRATION (Director, Workforce Management and Operations) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3110377) Apply  ... NURSING DIRECTOR, ADMINISTRATION (Director, Workforce Management and Operations) Salary $163,996.80 - $255,048.48 Annually Location Los Angeles County, CA Job Type… more
    The County of Los Angeles (09/03/25)
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  • Contract Workers Compensation Field Case…

    Rising Medical Solutions (Los Angeles, CA)
    …the following specialties: industrial rehabilitation nursing, medical case management , occupational health, orthopedics, home health care, utilization ... of dedicated professionals committed to elevating the standards of medical case management for workplace injuries and find a collaborative environment where… more
    Rising Medical Solutions (10/03/25)
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  • Director of Clinical Services, Faculty Practice…

    UCLA Health (Los Angeles, CA)
    …multiple clinical programs and medical services with an emphasis on optimizing Utilization Management for the Faculty Practice Group (FPG) Management ... etc.), required + 3-5 years of executive leadership experience with a focus on Utilization Management for a medical group, IPA, or Health Plan, required +… more
    UCLA Health (09/20/25)
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