24 remote care manager jobs at 22 companies in Fillmore, CA
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Bilingual RN Care Manager (Remote Flexible - Spanish Speaking)
Los Angeles County or San Bernardino County or California
$80k-$95k/yrRemoteFull Time
Pair Team: Provides clinical and social care services for Medicaid populations.
2+ YOEActive California RN license, 2+ years care coordination/case management experience, bilingual English/Spanish, experience with CRM and Google suite, ability to work PST remote schedule and HIPAA-compliant home workspace.
Precise Behavioral: Physician-led provider of integrated virtual and clinical behavioral healthcare.
3+ YOEBachelor's degree in a related field, 3+ years of healthcare operations experience preferred, referral and scheduling workflow expertise, EHR experience, strong organization and communication skills, and Microsoft Office proficiency.
Cerritos or Woodland Hills or Costa Mesa or Grand Prairie
$80k-$120k/yrRemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOELicensed clinician (LCSW/LMSW/LMHC/LPC/LMFT/Clinical Psychologist) with 3+ years behavioral health facility/outpatient and utilization/case management experience; strong communication and analytical skills.
Providence: Non-profit health system providing comprehensive medical and social services.
4+ YOERequires an associate nursing degree, California RN license, four years of acute hospital direct patient care, and four years of acute hospital case management experience. Case management certification and nursing bachelor's or master's degree preferred.
Firefly Health: Provides virtual primary care and integrated health insurance plans.
5+ YOEMD or DO with residency in Family or Internal Medicine, board-certified, 5+ years primary care experience, active physician licensure (multi-state preferred), DEA and MA controlled substance registration preferred, experience supervising NPs and value-based care.
Los Angeles or Orange County or Atlanta or Chicago or Phoenix or California or United States
RemoteFull Time
City of Hope: Medical research and treatment center for cancer and diabetes.
10+ YOE5+ MgmtBachelor's degree; 10+ years healthcare/financial analytics experience with managed care expertise; 5+ years leading analytics teams; deep knowledge of payer reimbursement, contracting, and value-based models; SQL/Power BI/Tableau/Epic proficiency.
RN- Care Review Clinician- Utilization Review (Remote- CA License Req)
San Francisco or Los Angeles or San Jose or San Diego or Sacramento or Long Beach or California
$30-$59/hrRemoteFull Time
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
2+ YOEActive unrestricted RN license in state of practice (CA required for this posting), 2+ years clinical experience (acute care/prior authorization/managed care), UM/prior authorization experience preferred, Microsoft Office proficiency, strong communication and critical-thinking skills.
Tenet HealthcareNYSE: THC: Operates a network of hospitals and ambulatory care centers.
2+ YOE2+ years health plan/MSO or managed care experience preferred; strong analytical, presentation, project management, and communication skills; intermediate+ MS Office; ability to work independently and with clients.
Microsoft Outlook, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Excel Pivot Tables, Access
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOEMD/DO with active license; board certified; 5+ years clinical practice; 2+ years quality management; managed care proficiency; strong communication, project management, and data analysis skills; telephonic and presentation skills.
MedPOINT Management: Provides administrative and management services for healthcare networks and hospitals.
2+ YOE2+ years regulatory or healthcare compliance/case management experience, knowledge of DMHC/CMS/managed care, excellent communication, proficiency with case management systems and Microsoft Office, bachelor's degree preferred.
Center for Social Dynamics: Provides behavioral health and therapy services for individuals with autism.
Current BCBA certification required; clinical oversight, supervision and leadership skills; passion for ethical ABA care; interest in flexible/hybrid schedule and caseload management.
Seattle or Los Angeles or San Francisco or United States
$85k-$115k/yrRemoteFull Time
Pearl Health: Technology platform for primary care value-based care management.
4+ YOEBachelor's degree or equivalent experience, 4+ years in provider-facing customer success or enterprise relationship management, value-based care experience, executive presentations, relationship building, and issue resolution.
ABA 360: Provides ABA therapy and support for children with autism.
Active BCBA certification and master’s degree required; experience with ABA preferred. Must document care, supervise technicians, and communicate with caregivers.
CSMC 8750000 Utilization Management Utilization Review Case Manager CS_PER_DIEM 48010 Allen PD68 0.01
Los Angeles, California, United States
$68-$75/hrRemotePart Time
Cedars-Sinai: Provides academic medical care, specialized treatment, and biomedical research.
3+ YOEGraduate of accredited nursing program and current CA RN license required; BLS required; 3+ years acute care nursing experience; 2+ years case management preferred; knowledge of reimbursement and medical literature; flu vaccine required.
Manager, Laboratory Services (Information Systems) - Clinical Lab - Full Time 8 Hour Days (Exempt) (Non-Union)
Los Angeles, California, United States
$115k-$189k/yrRemoteFull Time
Keck Medicine of USC: Provides specialized medical care and research via university health system.
5+ YOE1+ MgmtBachelor's degree, 5 years in acute care, 3 years as a laboratory information system analyst, 1 year supervisory experience, and familiarity with CAP, CLIA, LIS, management, and analytical problem-solving.
PowerChart, Cerner AP, Cerner CP, Kronos, PBAR, Master Control, Cerner, HL7, SQL, Co-path, PathNet, Excel, Word, PowerPoint, MDI, FSO, E”KM editor, Discern Visual Developer, Microsoft Word, Microsoft PowerPoint
Board Certified Behavior Analyst (BCBA) with Arizona LBA
Los Angeles or Arizona
$85k-$95k/yrRemoteFull Time
The Treetop: Provides applied behavior analysis therapy for children with autism.
Active BCBA and Arizona LBA certification required, with strong communication and coaching skills, compassionate care, and adaptability across clinic and remote environments.
Physical Medicine & Rehabilitation Telecommute Medical Review Stream Physician
Los Angeles, California, United States
RemoteContract
ConcentraNYSE: CON: Provider of occupational health and urgent care services.
Board-certified MD or DO with an unrestricted clinical license, active medical practice, direct patient care experience, managed care knowledge, review skills, communication skills, and liability coverage.
Gold Coast Health Plan: Public health plan serving Medi-Cal members in Ventura County.
8+ YOE5+ Mgmt8+ years in managed care claims operations with 5+ years leadership; Bachelor\u0002s in business/healthcare or equivalent; knowledge of claims adjudication, encounter data, regulatory compliance, and performance management.
Physician, Family Medicine – Telemedicine Opportunity – DrHouse
California or Los Angeles or San Diego or San Jose or San Francisco or Fresno
$210k/yrRemotePart Time
DrHouse: Online platform providing on-demand virtual doctor visits and prescriptions.
Board-certified MD/DO licensed in California, comfortable with telemedicine and EHR, managing primary/urgent care and chronic conditions, strong communication and clinical judgment.
US Director, Payor & Access Strategy Lead - Vaccines, Medical Affairs, Health Systems
North Wales or San Francisco or Los Angeles or Puerto Rico or United States
$191k-$300k/yrRemoteFull Time
Merck & Co.NYSE: MRK: Produces prescription medicines, vaccines, and animal health products.
5+ YOEDoctorate (MD/PhD/PharmD) required, 5+ years pharmaceutical/field medical or managed care experience, strategic planning ability, knowledge of pharmaco-economics, value-based payment, HIPAA/FDA/OIG regulations, strong communication and project management skills.