Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, a…
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Affordable Housing Assistant Manager - New Hope Home
Long Beach, California, United States · On-site
Mid level
<p><strong>Position Overview</strong></p><p>New Hope Home is an affordable housing community compromised of 140 units, in Long Beach, CA. The Assistant Community Manager is responsible, under the supervision of the Regio…
The Opportunity When the media talks about North Korea, it often focuses on dictators and nukes. But there’s so much more to the story than that. There are 26 million people with their own stories to tell. That’s where y…
At Vast, our mission is to contribute to a future where billions of people are living and thriving in space. Vast is developing next-generation space stations to ensure a continuous human presence in space for America an…
Skills: Fluid Systems Engineering, Technical Leadership, Thermal Control Systems, ECLSS, Propulsion Systems
shift supervisor - Store# 17553, BELLFLOWER & STEARN, LONG BEACH
Long Beach, California, United States · On-site
$25/hr–$29/hr
Entry level$2.6B raised
Crafting the world’s finest coffee, one meaningful moment at a time We believe in creating a warm and welcoming space where every cup of coffee sparks connection. Every shift is a chance to brighten someone’s day. As a s…
Skills: Leadership, Customer Service, Cash Handling, Team Coordination, Task Delegation
Crafting the world’s finest coffee, one meaningful moment at a time We believe in creating a warm and welcoming space where every cup of coffee sparks connection. Every shift is a chance to brighten someone’s day. As a s…
Skills: Leadership, Customer Service, Cash Handling, Task Delegation, Oral Communication
Crafting the world’s finest coffee, one meaningful moment at a time We believe in creating a warm and welcoming space where every cup of coffee sparks connection. Every shift is a chance to brighten someone’s day. As a s…
Skills: Leadership, Customer Service, Cash Handling, Team Coordination, Oral Communication
Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we sti…
Overview Chief Nursing Officer (CNO) Pacific Grove Hospital Riverside, CA | Relocation Assistance Available About Pacific Grove Hospital Located in Riverside, California, Pacific Grove Hospital is a freestanding inpatien…
Skills: Nursing Leadership, Behavioral Health Care, Clinical Excellence, Operational Performance, Regulatory Compliance
Overview Chief Nursing Officer (CNO) Pacific Grove Hospital Riverside, CA | Relocation Assistance Available About Pacific Grove Hospital Located in Riverside, California, Pacific Grove Hospital is a freestanding inpatien…
Care Management - Nurse, Senior (CA Children's Services)
Long Beach, California, United States · Hybrid
$91k–$154k/yr
Senior
Your Role The Children’s Services Program (CSP) team provides identification, referrals, and care management for all Medi-Cal members under 21 years old and collaborates within Promise Clinical Team. The Case Management …
Skills: Clinical Review, Case Management, Care Coordination, Pediatric Nursing, Medical Assessment
Representative, Health Plan Provider Relations - Remote must resided in NY
Long Beach, California, United States · Hybrid
Mid level$2.4B raised
JOB DESCRIPTION Job Summary Will require to be infield twice a week subject to change Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training a…
Health Plan Provider Contracts Manager (Contract Experience Required)
Long Beach, California, United States · On-site
Senior$2.4B raised
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy, financial …
Skills: Provider Network Contracting, Contract Negotiation, Value-Based Payment Methodology, Managed Health Care, Financial Analysis
Vuori
Retail Assistant Store Manager
Long Beach, California, United States · On-site
$24/hr–$27/hr
Mid level$1.3B raised
Company Description Vuori is re-defining what athletic apparel looks like: built to move and sweat in but designed with a casual aesthetic to transition into everyday life. We draw inspiration from an active coastal Cali…
Efficiency. Innovation. Integrity. These are our 3 Pillars. At Curtin Maritime, these core values are the framework for safe performance and operational excellence; proof of these pillars is evident in our people and our…
Ford is looking for a versatile and proactive HR professional to join our team. This unique role blends the responsibilities of a HR Generalist/ junior HRBP with those of an HR Operations Specialist. You will serve as a …
Skills: California Labor Law, HR Information Systems, Microsoft Excel, Employee Relations, HR Operations
Care Manager, LTSS (RN) - Field travel in Washington County, WI
Long Beach, California, United States · On-site
$26/hr–$51/hr
Mid level$2.4B raised
JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of …
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Waiver Enrollment
shift supervisor - Store# 05774, ATLANTIC & SAN ANTONIO
Long Beach, California, United States · On-site
$25/hr–$29/hr
Entry level$2.6B raised
Crafting the world’s finest coffee, one meaningful moment at a time We believe in creating a warm and welcoming space where every cup of coffee sparks connection. Every shift is a chance to brighten someone’s day. As a s…
Skills: Leadership, Customer Service, Cash Handling, Team Coordination, Oral Communication
Crafting the world’s finest coffee, one meaningful moment at a time We believe in creating a warm and welcoming space where every cup of coffee sparks connection. Every shift is a chance to brighten someone’s day. As a s…
Skills: Leadership, Customer Service, Cash Handling, Task Delegation, Oral Communication
The clinician is responsible for reviewing clinical service requests to ensure medical necessity and compliance with guidelines and regulations. They collaborate with multidisciplinary teams to provide cost-effective care and manage prior authorizations.
Requirements
Requires a Registered Nurse (RN) license and at least 2 years of experience in acute care, inpatient review, or managed care. Proficiency in Microsoft Office and strong organizational skills are essential.
Full job description
Job Summary
Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
• Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
• Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
• Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
• Processes requests within required timelines.
• Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
• Requests additional information from members or providers as needed.
• Makes appropriate referrals to other clinical programs.
• Collaborates with multidisciplinary teams to promote the Molina care model.
• Adheres to utilization management (UM) policies and procedures.
Required Qualifications
At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Ability to prioritize and manage multiple deadlines.
• Excellent organizational, problem-solving and critical-thinking skills.
• Strong written and verbal communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Professional in Healthcare Management (CPHM).
• Recent hospital experience in an intensive care unit (ICU) or emergency room.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care.
Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
Managed CarePrimary Care ClinicsMedicaidand MedicareHospitalHealth CareManagement Information SystemsMedical
How many Management & Leadership jobs are open in Long Beach, CA right now?
There are currently 858 open management & leadership positions in Long Beach, CA listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Management & Leadership roles in Long Beach, CA?
Companies currently hiring include Molina Healthcare, Vast, Rocket Lab, Relativity Space, SCAN, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Management & Leadership jobs in Long Beach, CA?
Yes — 226 of the 858 open management & leadership positions offer remote or hybrid work (55 remote, 171 hybrid).
How do I apply for Management & Leadership jobs in Long Beach, CA?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.