• Transition of Care Coach ( RN )

    Molina Healthcare (Long Beach, CA)
    …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have… more
    Molina Healthcare (08/13/25)
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  • RN - Quality Assurance/Utilization Review…

    Emanate Health (Covina, CA)
    …ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical ... judgment and refer to Medical Directors for review depending on case findings. **Job Requirements** **M** **inimum Education Requirement :** **Minimum Experience… more
    Emanate Health (07/23/25)
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  • Field Case Manager-Sign-On Bonus Eligible

    Sedgwick (Sacramento, CA)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager-Sign-On Bonus Eligible **We are growing all across the US and are ... looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery… more
    Sedgwick (08/27/25)
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  • Nurse Practitioner

    The County of Los Angeles (Los Angeles, CA)
    …an accredited college or university. LICENSE(S) REQUIRED: + A license to practice as a Registered Nurse and a certificate to practice as a Nurse Practitioner ... of a physician whenever the incumbent determines if a case falls outside the scope authorized by policies and...Do you have a license to practice as a Registered Nurse issued by the California Board… more
    The County of Los Angeles (06/05/25)
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  • LCSW/LMFT - Orange County

    Amergis (Orange, CA)
    Case Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and ... Qualifications: + Current California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of clinical experience required;… more
    Amergis (08/14/25)
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  • Treatment Center Program Coordinator

    Sacramento County (Sacramento, CA)
    …Psychiatrist, Psychologist, Licensed Clinical Social Worker, Marriage and Family Therapist, or Registered Nurse . AND Either: Two years of experience coordinating ... + Questions The Position There is an additional 3.35% Management Differential which is added to the posted salary...Psychologist, Licensed Clinical Social Worker, Marriage Family Therapist, or Registered Nurse . Note: Failure to maintain a… more
    Sacramento County (07/22/25)
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  • Lead Advanced Practice Provider - Outpatient…

    Stanford Health Care (Palo Alto, CA)
    …their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or ... a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist). +… more
    Stanford Health Care (08/17/25)
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  • Mental Health Program Manager I/Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …mental health team. Option III : A valid, current license to practice as a registered nurse issued by the appropriate State of California licensing agency -AND- ... practice. + Participates in the development, negotiation, implementation, and management of the budget for the program support service...have a valid, current license to practice as a registered nurse issued by the appropriate State… more
    The County of Los Angeles (08/26/25)
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  • Utilization Management Nurse

    CVS Health (Sacramento, CA)
    …without personal distractions to meet quality and metric expectations. **Required Qualifications** + Registered Nurse ( RN ) - active license. + 3+ Years ... initiate a Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners...Management experience. + Must have active and unrestricted RN license in the state you reside. + 5… more
    CVS Health (08/15/25)
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  • Clinical Nurse Manager

    WelbeHealth (La Quinta, CA)
    …other healthcare related field, preferred; professional experience may be substituted + Unencumbered registered nurse ( RN ) state license required + Minimum ... Nurse Manager is well-versed in people development, management , and RN level nursing care. The...are clearly understood and followed by all clinic and RN Case Manager team members. **Essential Job… more
    WelbeHealth (08/15/25)
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