Clinical Case Review Jobs in California
Clinical Case Review jobs in California are in strong demand, concentrated in managed care organizations, health insurance plans, and large integrated hospital systems, with openings ranging from entry-level utilization review coordinator through senior clinical reviewer and medical director roles. The busiest hiring markets are Los Angeles, San Francisco, and San Diego, where employers such as Kaiser Permanente, Anthem Blue Cross of California, and Centene Corporation maintain major operations. The most sought-after specialties include utilization management, workers' compensation case review, and behavioral health clinical review. Find a role that fits below and apply directly.
Find Clinical Case Review JobsOverview
Showing 5 of 19+ Clinical Case Review jobs
Why work for Ampla Health? 29539
Ampla Health provides the individuals and communities we serve with high quality, comprehensive, community health care that is accessible to all and culturally and linguistically appropriate.
- Great Benefits including Medical, Dental, and Vision
- 4 weeks paid time off to start.
- 9 paid holidays
- 401k and profit sharing
- Full time, Monday to Friday
- Great work/home life balance
Ampla Health is seeking a compassionate and patient-focused Clinical Case Manager (LVN) to support care coordination, case management, and patient advocacy services. This role works closely with medical providers, behavioral health clinicians, pharmacies, insurance companies, and community organizations to ensure patients receive comprehensive, coordinated care.
Responsibilities
- Provide case management and care coordination services.
- Process and track medication prior authorizations and appeals.
- Coordinate referrals and connect patients with community resources.
- Collaborate with medical and behavioral health teams to support patient care plans.
- Maintain accurate documentation and ensure patient confidentiality.
- Advocate for patient needs and assist with navigating healthcare services.
- Participate in care team meetings and quality improvement activities.
Qualifications
- Current California LVN or RN license required.
- Current CPR certification required.
- Experience working with LGBTQ+ communities required.
- Case management experience preferred.
- Experience with prior authorizations preferred.
- Strong communication, organizational, and patient advocacy skills.
- Bilingual English/Spanish, English/Punjabi, or English/Hmong preferred.
Why Join Ampla Health?
- Mission-driven organization serving diverse communities.
- Collaborative, patient-centered care environment.
- Opportunities for professional growth and meaningful impact.
Why work for Ampla Health? 29539
Ampla Health provides the individuals and communities we serve with high quality, comprehensive, community health care that is accessible to all and culturally and linguistically appropriate.
- Great Benefits including Medical, Dental, and Vision
- 4 weeks paid time off to start.
- 9 paid holidays
- 401k and profit sharing
- Full time, Monday to Friday
- Great work/home life balance
Ampla Health is seeking a compassionate and patient-focused Clinical Case Manager (LVN) to support care coordination, case management, and patient advocacy services. This role works closely with medical providers, behavioral health clinicians, pharmacies, insurance companies, and community organizations to ensure patients receive comprehensive, coordinated care.
Responsibilities
- Provide case management and care coordination services.
- Process and track medication prior authorizations and appeals.
- Coordinate referrals and connect patients with community resources.
- Collaborate with medical and behavioral health teams to support patient care plans.
- Maintain accurate documentation and ensure patient confidentiality.
- Advocate for patient needs and assist with navigating healthcare services.
- Participate in care team meetings and quality improvement activities.
Qualifications
- Current California LVN or RN license required.
- Current CPR certification required.
- Experience working with LGBTQ+ communities required.
- Case management experience preferred.
- Experience with prior authorizations preferred.
- Strong communication, organizational, and patient advocacy skills.
- Bilingual English/Spanish, English/Punjabi, or English/Hmong preferred.
Why Join Ampla Health?
- Mission-driven organization serving diverse communities.
- Collaborative, patient-centered care environment.
- Opportunities for professional growth and meaningful impact.
See All 19 Clinical Case Review Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
Find Clinical Case Review JobsClinical Case Review Jobs by City in California
Where California roles are concentrated, by current openings.
Clinical Case Review Job Market in California
A snapshot from current California openings, updated as new roles post.
Who's Hiring
- Clinica Sierra Vista7
- Kindred Hospitals3
- CorVel Corporation2
- University of the Pacific2
- AMPLA HEALTH1
Top Industries Hiring
- Healthcare & Medical Services12
- Education3
- Technology & Software2
- Non-Profit & Social Services1
What California Employers Look For
The qualifications that appear most often in clinical case review jobs across California.
- Active California RN license or licensed clinical social worker credential required
- Minimum two to five years of clinical practice experience in an acute or managed care setting
- Working knowledge of InterQual or Milliman Care Guidelines for medical necessity review
- Experience with California Department of Managed Health Care regulations and compliance standards
- Proficiency in electronic health record systems such as Epic or Cerner for documentation
- Strong written communication skills for producing clear, defensible clinical determination letters
Clinical Case Review Jobs in California: Frequently Asked Questions
How do you become a clinical case review in California?
Most clinical case review positions in California require an active clinical license issued by a California board, most commonly an RN license from the California Board of Registered Nursing or a clinical social work license from the California Board of Behavioral Sciences. Employers typically expect a bachelor's degree in nursing or a related clinical field alongside direct patient care experience before transitioning into a review role. Certifications such as the Accredited Case Manager credential strengthen applications considerably.
Which companies hire clinical case reviews in California?
Employers hiring clinical case reviews in California right now include Clinica Sierra Vista, Kindred Hospitals, and CorVel Corporation, based on current listings on Migrate Mate as of June 2026. California's large managed care market means health plans and integrated delivery systems consistently post the highest volume of clinical case review openings in the state.
Which California cities have the most clinical case review jobs?
Bakersfield, Fresno, and Los Angeles have the most clinical case review openings in California. Los Angeles and San Diego concentrate openings because of their dense networks of major health plans, hospital systems, and workers' compensation insurers, while San Francisco draws demand from large integrated systems and technology-sector employer health programs headquartered in the Bay Area.
Are there remote clinical case review jobs in California?
Yes, and more than most clinical roles, because case review work is fundamentally analytical and documentation-based rather than hands-on. About 11% of clinical case review openings tied to California are remote or hybrid as of June 2026, reflecting how well the role translates to a home office environment. Utilization management and prior authorization review tend to be the sub-specialties most frequently posted as fully remote.
How can I get hired as a clinical case review in California with little or no experience?
The most realistic entry path is applying for utilization review coordinator or case management assistant roles at large California health plans or hospital systems, which often require only an active clinical license rather than years of review experience. Kaiser Permanente and Dignity Health run structured onboarding programs that bring clinicians with acute care backgrounds into review functions. Building familiarity with InterQual criteria and completing a case management certificate through a California community college or professional association gives candidates a practical edge over other applicants.
Where can I find and apply to clinical case review jobs in California?
You can find and apply to clinical case review jobs in California on Migrate Mate, which lists current California openings across health plans, hospital systems, and managed care organizations. Find roles that fit your license type, specialty, and preferred location, then apply directly to the employer through each listing.
See All 19 Clinical Case Review Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
Find Clinical Case Review Jobs