L.A. Care Health Plan - On-site work

Seeking a skilled **Utilization Management Nurse Specialist RN II** in **Los Angeles, CA**. Requires an active California RN license, 5+ years of acute clinical experience, and 2+ years in UM/Case Management. You will coordinate referrals, conduct concurrent reviews, and develop discharge plans. ...

Seeking a detail-oriented **Utilization Management Clinical Quality Nurse Reviewer RN II** in **Los Angeles, CA**. Leverage 5+ years of clinical nursing and 2+ years of auditing experience to ensure **regulatory compliance** for Medi-Cal and Medicare. Conduct internal audits, lead pre/post extern...

Seeking a Unified Communications Engineer III in Los Angeles to lead Cisco UCCE/PCCE, CVP scripting, and telecom integration. Requires 5+ years of system testing and IT telecommunications experience with strong customer orientation and critical thinking skills. Responsibilities include supporting...

Seeking a skilled Clinical Data Analyst III in Los Angeles to drive healthcare quality improvements. This role requires advanced SQL/SAS expertise and 4+ years designing production reports using HEDIS, NCQA, and CMS measures. You will lead complex data integration projects, mentor junior staff, a...

Seeking a Manager, Quality Data in Los Angeles to lead HEDIS and Survey data operations. This role requires 6+ years in clinical outcomes review, 4+ years of management experience, and expertise in HEDIS, CAHPS, and ETL processes. You will oversee data analysts, ensure regulatory compliance with ...

Seeking an experienced Unified Communications Engineer III in Los Angeles. Lead support for Cisco UCCE/PCCE, CVP scripting, IVR, and disaster recovery planning. This role requires 5+ years in telecom, Cisco VoIP certification, and expertise in SIP trunking. We offer comprehensive benefits includi...

Lead the design and support of our critical Microsoft SQL platform in Los Angeles. This hands-on principal role requires 7+ years of SQL Server DBA expertise, focusing on high-availability, disaster recovery, and environment management. You will provide technical leadership and ensure 24/7 uptime...

Seeking a skilled **Utilization Management Nurse Specialist RN II** in **Los Angeles, CA**. This role requires an active California RN license, 5+ years of acute clinical experience, and 2+ years in UM/Case Management. You will coordinate referrals, perform concurrent reviews, and develop dischar...