• 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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  • 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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  • 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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  • 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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  • 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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  • Mental Health Program Manager I/Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …nurses, psychiatric social workers, marriage and family therapists, medical doctors, clinical case managers, and/or other mental health care professionals ... nurses, psychiatric social workers, marriage and family therapists, medical doctors, clinical case managers, and/or other mental health care professionals… more
    The County of Los Angeles (11/09/25)
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  • Medical Review Coordinator

    Prime Healthcare (Inglewood, CA)
    …records while working closely with CMO (Chief Medical Officer). Actively participates in the Case management and UR meetings. Serves as on-going educator to all ... reviewing patient charts in order to assess whether the clinical criteria for admission and continuation of treatment is...closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently… more
    Prime Healthcare (11/05/25)
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  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    …HIE, Health Analytics required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management , Disease Management ... required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management...benefits including + Paid Time Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision… more
    LA Care Health Plan (09/16/25)
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  • Senior Social Worker

    Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
    …team. Conducting assessment interviews, developing treatment plans and providing intensive case management to eligible Veterans. Collecting data, administrative ... group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management . Ability to incorporate complex multiple causation in… more
    Veterans Affairs, Veterans Health Administration (10/10/25)
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  • Director, US CAR-T Pricing & Contracting

    Gilead Sciences, Inc. (Santa Monica, CA)
    …Brand, Medical, HEOR, Global Commercial Strategy, Sales, Strategic Account Management , Finance, and Legal-to drive coordinated market-shaping and value creation ... + Serve as a subject matter expert (SME) for pricing, contracting, and reimbursement across the portfolio + Identify, develop, and execute initiatives and ecosystem… more
    Gilead Sciences, Inc. (11/18/25)
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