Clinical Review Nurse - Prior Authorization AkidoClinical Review Nurse - Prior AuthorizationChino, CA$62,400–$93,600 / yearThe Clinical Review Nurse – Prior Authorization & Case Management is responsible for reviewing and processing prior authorization requests to ensure medical necessity, appropriate level of care, and compliance with health plan and regulatory requirements, as well as supporting complex case management for members with ongoing or high-risk care needs. Serving 500K+ patients across California, Rhode Island, and New York, Akido offers primary and specialty care in 26 specialties—from serving unhoused communities in Los Angeles to ride-share drivers in New York.
Director II Clinical Field Excellence AbbVie IncDirector II Clinical Field ExcellenceIrvine, CAThis role will collaborate with key cross-functional stakeholders including but not limited to the CSM Leadership Team, Medical Affairs globally, Business Insights/Study Feasibility/Patient Recruitment, Global, Area & Country CSM teams, and CDO stakeholders to achieve and drive the vision. Director II, Clinical Field Excellence steers the strategic direction and elevates the performance of Clinical Site Management (CSM)'s clinical field activities globally, driving continuous innovation and improvement, ensuring that AbbVie remains at the forefront of the industry.
Sr. Director, Clinical Program Management Kyverna Therapeutics IncSr. Director, Clinical Program ManagementCARemote$240,000–$270,000 / yearThis individual will partner closely with Clinical Development, Clinical Operations, Medical Affairs, Biometrics, Regulatory, Safety, Technical Operations, and external partners to drive execution of complex global clinical programs from early development through registrational studies and potential commercialization. This salary range is an estimate of what we reasonably expect to pay for this position, and the actual salary may vary based on various factors that may include but are not limited to quality and length of experience, education, geographic location and alignment with market data.
Clinical Supv 2 Easter Seals Southern CaliforniaClinical Supv 2Los Angeles, CaliforniaStarting annual salary: $87,000 OVERVIEW OF POSITION: Under direct supervision, provides quality clinical supervision and work direction to direct reports, providing discipline- specific treatment for children with developmental delays, disabilities, and autism spectrum disorders (ASD). Competent in employing and directing behavior analytic methodologies including Pivotal Response Training (PRT), Natural Environment Teaching (NET), Picture Exchange Communication System (PECS), Behavior Skills Training (BST), and Experimental Functional Analysis (EFA).
Clinical Supervisor (TUC –Strength United) CSU CareersClinical Supervisor (TUC –Strength United)Northridge, CaliforniaWork is performed in an office setting with a low-to-moderate noise level; employee will need to utilize their personal vehicle for travel to and from meetings outside the office; employee must regularly communicate by telephone, written communications and in-person with staff, families served, partners, funders and other professionals; occasionally lift, carry and position objects weighing up to 20 pounds. Ensures treatment interventions are consistent with the agencies policies and procedures, the California Board of Behavioral Sciences (BBS) and the American Association of Marriage and Family Therapy (AAMFT) Code of Law and Ethics; Ensures Trauma Informed and Empowerment practices are at the forefront of all clinical decisions.
Staff Clinical Product Engineer Abbott LaboratoriesStaff Clinical Product EngineerSylmar, CA$114,000–$228,000 / yearRequires comprehensive written and verbal communication, interpersonal, facilitation, presentation, quantitative, analytical, organizational, and follow-up skills, the ability to meet deadlines on multiple projects as well as the ability to converse effectively with all levels of employees. Engages with customers throughout product development cycle, defines clinical and workflow requirements for new product/feature development and represent the Voice of Customer in product development cycle, and drives the translation into new projects through clinical review and evaluation.
Registered Nurse Clinical Manager COPE HEALTH SOLUTIONSRegistered Nurse Clinical ManagerLos Angeles, CA$80,000–$110,000 / yearOur comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. Collaborates with interdisciplinary care team members to address member care needs, participates in case reviews to assess ECM case acuity, and contributes to the development and implementation of appropriate care management strategies to ensure quality, coordinated care.
Crisis Response Team Clinical Manager (Day Shift) Penny Lane JobsCrisis Response Team Clinical Manager (Day Shift)North Hills, California$89,000–$107,953 / yearThe mobile crisis response team will work in collaboration with the LAPD to respond to non-violent calls that may have a social services impact including but not limited to (a) mental health, (b) substance abuse, (c) suicide threats, (d) behavioral distress, (e) conflict resolution, and (f) welfare checks. The Crisis Response Team Clinical Manager ensures that the treatment and the services provided are consistent with Penny Lane Center’s philosophy and with Intensive Services principles, while they adhere to the guidelines of the program.
Crisis Response Team Clinical Manager (Night Shift) Penny Lane JobsCrisis Response Team Clinical Manager (Night Shift)North Hills, California$89,000–$107,953 / yearThe mobile crisis response team will work in collaboration with the LAPD to respond to non-violent calls that may have a social services impact including but not limited to (a) mental health, (b) substance abuse, (c) suicide threats, (d) behavioral distress, (e) conflict resolution, and (f) welfare checks. Valid California driver’s license; current automobile insurance; have and maintain a clean driving record acceptable to the organization’s insurance company; have immediate access to his or her vehicle during work hours.
DRG Clinical Validation Lead Elevance HealthDRG Clinical Validation LeadCosta Mesa, CA$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
CALIFORNIA - LICENSED CLINICAL THERAPIST - LCSW/LPCC/LMFT - Case Management for Outpatient Addictions Program. University Health Services IncCALIFORNIA - LICENSED CLINICAL THERAPIST - LCSW/LPCC/LMFT - Case Management for Outpatient Addictions Program.CARemoteInternet connection - broadband wired or wireless (3G or 4G/LTE) Speakers and a microphone - built-in, USB plug-in, or wireless Bluetooth A webcam or HD webcam - built-in, USB plug-in or an HD cam or HD camcorder with a video-capture card OR virtual camera software for use with broadcasting software like OBS or IP cameras. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Clinical Vendor Management Specialist AltasciencesClinical Vendor Management SpecialistCypress, CaliforniaThe role of the Clinical Vendor Management Specialist is to serve as an integral member of the Clinical Operations team by sourcing, networking, and recruiting physicians and specialists to provide patient referrals, procedural support, or consulting services in support of all project/trials. By living our values of Employee Development, Customer Focus, Quality and Excellence, Respect and Integrity, we look to foster a passionate and collaborative work environment and we are looking for talented and enthusiastic people, like you, to join our growing team!
NewExperienced Clinical Project Manager - Inflammation (Sponsor Dedicated/ Remote- US only) Syneos Health IncExperienced Clinical Project Manager - Inflammation (Sponsor Dedicated/ Remote- US only)CARemoteTogether we share insights, use the latest technologies and apply advanced business practices to speed our customers' delivery of important therapies to patients. Selecting us as an employer secures a career in which you're guaranteed to: Collaborate with passionate problem solvers Partner with the most diverse team of experts in the industry.
NewTemporary Clinical Research Coordinator (CRC) University of CaliforniaTemporary Clinical Research Coordinator (CRC)Irvine, CA2025 University of California, Irvine, UCI Health, and UC Regents. Sign-up to be notified of hiring events, newly posted job opportunities, and much more.
Product Manager, Consultant - Clinical Strategy Blue Cross and Blue Shield AssociationProduct Manager, Consultant - Clinical StrategyWoodland Hills, CAYour role is vital in leveraging digital technologies to guide members toward cost-effective, high-quality healthcare services, in alignment with our mission to enhance health outcomes and reduce healthcare costs through effective digital interventions and digital engagement initiatives that personalize member experience. Develop and refine use cases, user stories, and member journey concepts to guide the design and implementation of cross-channel care journeys, including working with marketing and content strategy teams to develop digital messaging, email, in-app content and chatbot interactions.
NewClinical Specialist, TEG (Los Angeles, CA) (Field role) Haemonetics CorpClinical Specialist, TEG (Los Angeles, CA) (Field role)Los Angeles, CA$85,000–$160,000 / yearWork closely with Account Manager and Implementation team during laboratory installation, validation, and verification process including assistance with training, competency, SOP and IQCP development, normal donor sourcing, logistics support for TEG program, and ordering/interfacing needs. Provision of dedicated onsite support for new TEG customers "going live" with the technology or additional assays inclusive of all affected shifts and areas of use case support and training inclusive of after-hours support.
Business Analyst, Clinical & Reimbursement Policy Clover Health Investments CorpBusiness Analyst, Clinical & Reimbursement PolicyCARemote$107,000–$130,000 / yearSuccess in this role looks like: By the end of your initial 90-day period: You will have established a recurring review framework and a comprehensive project plan for Clover''s clinical and reimbursement policy library to ensure baseline quality and strict adherence to clinical guidelines. In this high-impact role, you will be responsible for the end-to-end lifecycle of Clover's clinical and reimbursement policies, ensuring they are accurately interpreted, regularly updated, and seamlessly integrated into our claims environment.
Clinical Sales Specialist II Masimo CorpClinical Sales Specialist IILos Angeles, CA$85,000–$120,000 / yearDuties & Responsibilities The Clinical Specialist II is responsible for all of the job duties of a Clinical Specialist plus the following: Consults with healthcare partners and skilled clinicians to identify solutions that consistently deliver optimal care at a lower cost through automating patient management across the continuum of care with Masimo products, measurements, and data. Performs the Project Management Role, Lead Clinical Specialist Role, or Clinical Specialist Resource Role for on-site implementations, evaluations and additional projects.
Diagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)Costa Mesa, CA$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Senior Clinical Oncology Solutions Architect Cardinal Health IncSenior Clinical Oncology Solutions ArchitectCARemote$123,400–$176,300 / yearThis role works closely with architects, product managers, clinicians, vendors, and fellow engineers to deliver secure, scalable, and interoperable healthcare systems, with a strong emphasis on hands‑on engineering and operational excellence. This position is ideal for an experienced Senior Engineer with deep healthcare systems experience who enjoys working at the intersection of clinical workflows, technology, and real‑world operations in a multi‑practice Oncology MSO environment.