NewDirector of Quality & Risk Management Prime Healthcare Services IncDirector of Quality & Risk ManagementSherman Oaks, CA$87,048–$115,273 / hourThis position partners with executive leadership, department leaders, medical staff, and multidisciplinary teams to promote safe, high-quality patient care, mitigate organizational risk, improve clinical outcomes, and maintain continuous regulatory and accreditation readiness. Staffed with over 500 employees and an extraordinary team of physicians, the hospital is recognized for advanced technology and compassionate care and provides 24/7 emergency care in addition to a full range of specialized medical, surgical, and diagnostic services to improve and save lives.
Provider Demographic Management Coordinator ICONMA, LLCProvider Demographic Management CoordinatorFountain Valley, CA$40–$42 / hourSupports the Manager, Provider Network Ops to ensure all Boeing plan partner changes are accurately updated in ECHO and various databases. Supports the Manager of Provider Relations with the maintenance of ACO rosters and ensures daily changes are accurately updated within internal systems e.g.
VP, Vendor Management Alignment Healthcare USA, LLCVP, Vendor ManagementOrange, CAFull timeThis role ensures that all delegated entities, technology partners, operational service providers, and business process outsourcing partners deliver high-quality, compliant, cost-effective services that support the organization's Medicare Advantage growth, operational excellence, member experience, and regulatory obligations. This leader partners across Operations, Clinical Services, Compliance, Finance, Information Technology, Risk Adjustment, Quality, Legal, and Procurement to maximize vendor value while mitigating operational, financial, regulatory, and reputational risk.
NewDirector, Risk Management & Patient Safety I8IS INC.Director, Risk Management & Patient SafetyDowney, CAClinical Risk Management | Patient Safety | Acute Care | Root Cause Analysis | FMEA | Clinical Chart Review | Infection Prevention | Infection Control | Architectural Infection Control | Healthcare Cybersecurity | Regulatory Compliance | Accreditation | Quality Improvement | Risk Assessment | Healthcare Data Analytics | Population Health | Patient Safety Programs | Healthcare Leadership . The Director, Risk Management & Patient Safety will provide strategic and operational leadership for clinical risk management, patient safety, infection prevention, and quality improvement initiatives within an acute-care hospital environment.
Utilization Management Nurse Auditor UCLA Health SystemUtilization Management Nurse AuditorLos Angeles, CA$98,200–$214,600 / yearAs the Utilization Management Nurse Auditor, you will conduct concurrent and retrospective case reviews, support denial appeals, analyze utilization and denial trends, and collaborate with Care Coordination, Clinical Documentation Integrity, Revenue Cycle, and Physician Advisor teams. Prepare clinical summaries and supporting documentation for first- and second-level appeals, support payer, RAC, and Medi-Cal audit responses, and collaborate with Revenue Cycle and Physician Advisor teams to strengthen appeal strategies.
Director of Risk Management Pipeline HealthDirector of Risk ManagementGardena, CaliforniaSurveys the Pipeline Health facilities with enough frequency to be 1) recognized as a supportive team member for staff, 2) a credible resource for regulatory, accreditation, and patient safety issues, 3) able to accurately represent Pipeline Health’s needs related to patient safety, accreditation and regulatory issues to the Execute Team, and 4) able to timely recognize unfavorable trends and provide effective intervention. Wears nametag properly; follows dress code policy; answers phone correctly and promptly; is prepared for meetings; meets deadlines; does not participate in gossip; acts ethically and treats others with respect; respects customer’s and co-worker’s time; establishes and maintains effective relationships with customers and co-workers.
Risk Management Specialist II Comprehensive Community Health CentersRisk Management Specialist IIGlendale, CA$29–$33 / hourMonitor assigned Risk Management shared email accounts and communication channels, including Patient Experience, Risk Management information, reporting, and fax communications; independently assess and respond to incoming correspondence within delegated authority, coordinate and track required follow-up through resolution, and escalate high-risk, sensitive, unusual, or legally significant matters requiring higher-level review or management action. Coordinate assigned complex grievances, potential claims, subpoenas, deposition requests, and related matters; conduct necessary fact-finding; retrieve, review, and compile medical and dental records and supporting documentation as appropriate; maintain accurate documentation; coordinate required follow-up; and appropriately escalate high-risk, sensitive, or legally significant matters to Risk Management leadership.
RISK MANAGEMENT SPECIALIST II Comprehensive Community Health Centers IncRISK MANAGEMENT SPECIALIST IIGLENDALE, CA$29–$33 / hourMonitor assigned Risk Management shared email accounts and communication channels, including Patient Experience, Risk Management information, reporting, and fax communications; independently assess and respond to incoming correspondence within delegated authority, coordinate and track required follow-up through resolution, and escalate high-risk, sensitive, unusual, or legally significant matters requiring higher-level review or management action. Coordinate assigned complex grievances, potential claims, subpoenas, deposition requests, and related matters; conduct necessary fact-finding; retrieve, review, and compile medical and dental records and supporting documentation as appropriate; maintain accurate documentation; coordinate required follow-up; and appropriately escalate high-risk, sensitive, or legally significant matters to Risk Management leadership.
Administrative Assistant - Case Management Providence Health & ServicesAdministrative Assistant - Case ManagementCalifornia, CARequsition ID: 450846 Company: Providence Jobs Job Category: Administrative Support Job Function: Administration Job Schedule: Per-Diem Job Shift: Day Career Track: Admin Support Department: 7017 LCMSP CASE MGMT Address: CA San Pedro 1300 W 7th St Work Location: Providence Little Co of Mary Medical Ctr-San Pedro Workplace Type: On-site Pay Range: $25.00 - $37.98 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
Provider Demographic Management Coordinator Iconma LLCProvider Demographic Management CoordinatorFountain Valley, CASupports the Manager, Provider Network Ops to ensure all Boeing plan partner changes are accurately updated in ECHO and various databases. Supports the Manager of Provider Relations with the maintenance of ACO rosters and ensures daily changes are accurately updated within internal systems e.g.
NewDirector, Risk Management & Patient Safety Fox Point RecruitmentDirector, Risk Management & Patient SafetyDowney, California$175,600–$258,100 / yearThe Director of Risk Management & Patient Safety oversees critical risk management projects and drives continuous clinical quality, patient safety, and regulatory compliance across acute care hospital operations. Direct patient safety programs, hazard responses, and event management protocols; collaborate with executive leadership to improve patient flow, clinical support, and seamless care transitions.
Administrative Assistant - Case Management - Per Diem Providence St. Joseph HealthAdministrative Assistant - Case Management - Per DiemSan Pedro, CATogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Responds to patients and families with knowledge of age specific, young adult, middle adult and older adult needs based on scope of service of units/department where assigned.
Workforce Management Supervisor- Patient Access Organization University of CaliforniaWorkforce Management Supervisor- Patient Access OrganizationLos Angeles, CA$42.58–$91.14 / hourThis position supervises Workforce Management Analysts and ensures the delivery of accurate forecasting, scheduling, reporting and operational insights that enable leaders to effectively manage patient access demand and maintain high levels of service for patients and clinics. The Workforce Management (WFM) Supervisor provides operational leadership for workforce planning, real-time staffing management, and performance monitoring within the Patient Access Organization's centralized call center operations.
Billing & Denial Management Coordinator TARLANI HealthcareBilling & Denial Management CoordinatorMontrose, CaliforniaThe Billing & Denial Management Coordinator is responsible for supporting daily billing, insurance verification, accounts receivable, and related administrative functions while ensuring compliance with company policies and regulatory requirements. This role requires strong organizational skills, attention to detail, confidentiality, and the ability to work collaboratively across departments.
Manager, Enhanced Care Management (RN or LCSW) L.A. Care Health PlanManager, Enhanced Care Management (RN or LCSW)Los Angeles, CAProgram Operations Enhancement: Manages complex projects, engaging and updating key stakeholders, developing timelines, leads others to complete deliverables on time and ensures implementation upon approval. Reporting to the Director of Enhanced Care Management (ECM), the ECM Manager will be responsible for overseeing the day-to-day operations of both clinical and non-clinical ECM staff.
NewExecutive Director of Product Management , Resiliency Global Healthcare Exchange, LLCExecutive Director of Product Management , ResiliencyCA$150,000–$214,000 / yearThis is a build-and-commercialize role: the Executive Director owns the platform requirements, product launch, and forward-deployed pilot through general availability, driving pilot customer selection and execution, product requirements and roadmap, commercial packaging and pricing, and cross-functional GTM alignment across Engineering, forward-deployed teams, Sales, Marketing, Implementation, Professional Services, Customer Care and Finance. The Executive Director, Product Management - Supply Chain Resiliency reports to the VP, Product Management and owns the full product development lifecycle and go-to-market execution for GHX''s Supply Resiliency Platform - the cross-application layer spanning two use-case tracks: Procure-to-Pay (hospital) and Order-to-Cash (manufacturer/supplier) workflows.
Director, Health Information Management AHMC HealthcareDirector, Health Information ManagementAnaheim, CaliforniaDirect oversite of the collection, organization, storage, and protection of patient health data (like diagnoses, histories, test results) to ensure its accuracy, security, and accessibility for healthcare providers, patients, and payers, bridging clinical, technical, and administrative functions while ensuring compliance with regulations. Overview: The Director for Medical Records is responsible for the planning, organizing, leading, and controlling the activities and functions of Medical Records to effectively provide services for the financial and medical needs of the hospital.
Case Management Coordinator MedPOINT ManagementCase Management CoordinatorSherman Oaks, CARemoteFull timeJoin MedPOINT Management as a Case Management Coordinator in Sherman Oaks, CA, where you will play a vital role in enhancing patient care and ensuring seamless case management. MedPOINT Management has been a leader in healthcare management for over a decade, providing innovative solutions that enhance patient care and streamline processes.
Provider Demographic Management Coordinator MemorialCare Health SystemProvider Demographic Management CoordinatorFountain Valley, CA$24.01–$34.81 / hourWe are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties.
Senior Emergency Management Program Coordinator County of OrangeSenior Emergency Management Program CoordinatorSanta Ana, CA$94,660.80–$127,524.80 / yearUnder the direction of the Agency Director, a new and dynamic executive team with an organizational structure comprised of five (5) service areas - Administrative Services, Behavioral Health Services, Correctional Health Services, Specialized Medical Services and Public Health Services - is committed to meeting the health needs of the diverse Orange County community. Responsibilities and duties for this position include, but are not limited to, the following: Represent HCA, report/receive necessary information during regular Area Emergency Management Meetings held with cities, special districts, hospitals, mutual aid partners, OC Sherriff's Department, OC Fire Authority, Municipal Fire Departments and other County Agencies.