County of San Diego: Provides regional government services to San Diego County residents.
1+ YOECurrent California RN/LCSW/LMFT/LPCC/Clinical Psych license, 1+ year recent licensed clinical experience with charting and utilization review; knowledge of EHR, Medi-Cal/regulatory standards, quality improvement practices.
University of California, San Diego: A public research university providing higher education and healthcare.
5+ YOEBachelor's in nursing, active California RN, 5+ years relevant experience including IPA/MSO or Health Plan/HMO experience, prior authorization and UM knowledge, supervisory experience, strong communication and analytical skills.
AMFM Healthcare: Providing residential and outpatient mental health treatment services.
0.5+ YOEMust be 18+, high school diploma or equivalent, pass background check, at least 6 months behavioral health/substance abuse experience, able to type 40 WPM, proficient with Microsoft Office/Adobe/G Suite, knowledge of insurance criteria.
Santa Fe Irrigation District: Manages water resources and infrastructure for California communities.
Construction or water-utility experience; safety awareness; ability to perform physical outdoor labor; California Water Distribution Operator certificate (D1 within 12 months for Utility Worker I; D2 for Utility Worker II).
Prime Healthcare: Operates community hospitals and provides healthcare services.
Knowledge of discharge planning, utilization/case management terminology, basic to intermediate computer skills, high school diploma, BCLS required upon hire (LVN preferred), hospital experience preferred.
Prime Healthcare Services: Operates a nationwide network of acute care hospitals.
Knowledge of discharge planning, utilization management, and case management; basic to intermediate computer skills; high school diploma required; BCLS certificate required upon hire; associates degree or LVN preferred; hospital experience preferred.
Utilization Management Medical Director - Medical Oncology - Remote anywhere in US
Houston or Chicago or Atlanta or Phoenix or Los Angeles or Saint Louis or San Diego or Dallas or Philadelphia or Seattle
$249k-$373k/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOEMD or DO with current medical license; Board Certification in Oncology; 5+ years clinical experience in oncology; NCCN guideline experience; able to support utilization review and case/disease management.
Department of Veterans Affairs: Provides healthcare, benefits, and cemetery services to military veterans.
1+ YOEOne year specialized experience equivalent to GS-11 in acquisition/procurement in healthcare, supervisory experience, must be U.S. citizen and meet federal hiring requirements.
Case Manager EX - Utilization Management-Days - Remote - Irvine
Irvine, California, United States
$69-$100/hrRemoteFull Time
University of California, Irvine: Public research university offering higher education and academic degrees.
5+ YOECurrent RN license and BLS; BSN required for external candidates; minimum 5 years clinical experience and 1 year case management; familiarity with InterQual, Joint Commission/CMS/CDPH/CCS; strong communication and computer skills.
Microsoft Windows, Microsoft Excel, Microsoft Access, Microsoft Word, Microsoft PowerPoint, internet, e-mail
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.
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$139k-$434k/yrHybridFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
10+ YOE10+ years in utility GIS solution architecture with full‑lifecycle ArcGIS Utility Network implementations; experience advising utility executives, defining enterprise GIS architecture, and leading large transformation programs; must be eligible to work in the US and willing to travel.
City of Newport Beach: Provides municipal services and governance for the Newport Beach community.
1+ YOEPart-time/full-time Utilities Specialist with 1 year in water/wastewater utilities; high school diploma; California driver license; relevant certifications; pass background check.
SYTE Corp: Provides field-based locating and damage prevention services to protect underground infrastructure and public safety.
2+ YOE2+ years utility locating experience preferred, knowledge of APWA marking standards, ability to read utility maps, valid driver’s license, operate locating and GPR equipment, work outdoors, and maintain documentation.
Electromagnetic locators, Ground penetrating radar (GPR), GPS/GIS devices, Signal transmitters and receivers, GIS systems
US E-Consulting Services-Power and Utilities OT Operational Technology-Manager-Cyber/Enterprise Security-352459
Houston or Dallas or Cleveland or Detroit or St. Louis or Pittsburgh or Boston or Charlotte or Atlanta or Miami or Memphis or Denver or Phoenix or Salt Lake City or Los Angeles or San Diego or San Francisco or Seattle
$135k-$265k/yrHybridFull Time
Deloitte: Provides professional audit, consulting, advisory, and tax services.
7+ YOE7+ years in Power and Utilities OT security, with governance and risk management expertise.
Quanta ServicesNYSE: PWR: Infrastructure solutions for electric, energy, and communications industries.
7+ YOE7+ years electric utility/EPC experience, B.S. in Electrical Engineering, PE required, strong substation design and leadership experience, knowledge of industry codes and utility processes.