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13 Jobs in Costa Mesa, CA

  • Behavioral Health Case Manager I

    COSTA MESA, California
    ... . The Behavioral Health Care Manager I is responsible for performing case management telephonically and ... during assessment. Monitors and evaluates effectiveness of care plan and modifies plan as needed ...
  • Behavioral Health Care Manager II

    Costa Mesa, California
    ... Sign-on Bonus: $3,000 The Behavioral Care Manager II is responsible for ... center position, incumbents should be expected to take a high volume of clinical calls and be measured on ...
  • Cost of Care Mgr (US)

    Costa Mesa, California
    ... The Cost of Care Mgr leads and manages multiple cost of care initiatives enterprise wide (e.g ... , but are not limited to: Identifies and develops best practices and cost of care improvement ...
  • National Medical Director - Total Cost of Care, Post Acute

    COSTA MESA, California
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... Medical Director for a set of Post Acute Care Solutions.** This high-performing individual contributor ...
  • Business Analyst II

    Costa Mesa, California
    ... leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of ... Business Analyst II **Supports the Carelon Medical Benefits Management line of business ...
  • Associate Medical Director - Sleep Medicine

    COSTA MESA, California
    ... platform delivers significant cost-of-care savings across an expanding set of clinical domains, including ... Medical Benefits Management** Location : This position will work a hybrid model (remote and ...
  • Nurse Medical Management II

    COSTA MESA, California
    ... resources for more complex medical issues. Ensures medically appropriate, high-quality, cost-effective care ... directors in interpreting appropriateness of care and accurate claims payment. May also manage appeals for ...
  • Wound Care UM RN

    COSTA MESA, California
    ... Wound Care UM RN Location: Remote, within 50 miles of a pulse point ... the advancement of care for the people we serve. The Wound Care UM RN is responsible for ...
  • Associate Medical Director - Neurosurgery

    Costa Mesa, California
    ... leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of ... and advanced practice nurses regarding established guidelines and accepted standards of care as it ...
  • National Solution Medical Director - Surgery

    COSTA MESA, California
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management ...
  • Managed Care Coordinator Clinician Non RN

    COSTA MESA, California
    ... Managed Care Coordinator Clinician Non RN Location: Remote, within 50 miles of an ... , member and the health care team, to ensure cost effective and efficient utilization of health benefits ...
  • Associate Medical Director - Interventional Pain

    Costa Mesa, California
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... ** Interventional Pain Benefit Review Location : This position will work a hybrid model (remote and ...
  • Medical Oncology Medical Director - Utilization Review

    Costa Mesa, California
    ... leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of ... guidelines and accepted standards of oncology care. Document the pre-certification review in a complete ...