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Keywords: Utilization Management RN Team Lead (CA Licensed), Location: California

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Utilization Management RN Team Lead (CA Licensed)

management and work quality for assigned team Produce necessary tracking, trending and reporting for staff management Monitor... Finalize for inclusion into files for performance management discussions Conduct team meetings as needed Provide updates...

Location: California
Posted Date: 28 Jan 2026
Salary: $70000 - 100000 per year

Lead Customer Solution Center Appeals and Grievances RN

will mentor, coach, and may provide feedback to management on performance of staff. Ensure team effectiveness and project... in a managed care, utilization management and/or case management setting, At least 2 years in Medicare/ Medicaid in a managed...

Posted Date: 12 Nov 2025

Grievance and Appeals Nurse Specialist - LVN or RN

required. Active Licensed Vocational Nurse (LVN) license to practice in the state of California required. Active Registered Nurse (RN... required. Preferably in the following related areas of responsibility: Grievances and Appeals, Utilization Management and/or Quality...

Location: Orange, CA
Posted Date: 10 Dec 2025
Salary: $43 - 65 per hour

Senior Behavioral Care Advocate - Hybrid in San Diego, CA

on authorizations for psychiatric and chemical dependency patients and supporting the larger Utilization Management (UM) team with data... products are covered and turnaround times met for the sub team and/or the larger Utilization Management team Assist...

Location: San Diego, CA
Posted Date: 17 Jan 2026
Salary: $72800 - 130000 per year

Senior Behavioral Care Advocate - Hybrid in San Diego, CA

on authorizations for psychiatric and chemical dependency patients and supporting the larger Utilization Management (UM) team with data... products are covered and turnaround times met for the sub team and/or the larger Utilization Management team Assist...

Location: San Diego, CA
Posted Date: 16 Jan 2026
Salary: $72800 - 130000 per year

Clinical Director Remote within California

utilization management (UM) reviews across a broad spectrum of clinical specialties, including Advanced Imaging, Audiology... in utilization management reviews and case management practices. Ensure clinical operations consistently meet contractual...

Location: California
Posted Date: 10 Jan 2026

Grievance & Appeals Nurse Specialist

areas of responsibility: grievances and appeals, utilization management and/or quality management; an equivalent combination...Grievance & Appeals Nurse Specialist CalOptima Join Us in this Amazing Opportunity The Team You'll...

Company: CalOptima
Location: Orange, CA
Posted Date: 09 Jan 2026

Director of Staff Development

talent. We are team-oriented, caring and honest. POSITION SUMMARY: The DSD acts as a primary support to the licensed... on high quality job performance, professional development, effective time management, budget management, workplace safety...

Posted Date: 23 Dec 2025
Salary: $88000 - 108000 per year

Director of Staff Development

licensed staff with the management of the resident's care plan. This position is responsible to organize, assess, direct, plan... and place value on high quality job performance, professional development, effective time management, budget management...

Posted Date: 09 Nov 2025
Salary: $88000 - 108000 per year