• Case Manager - Utilization…

    Prime Healthcare (Anaheim, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218947/ case - manager ... related field or at least one year experience in case management , discharge planning or nursing ...Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM) certification preferred.3. At least… more
    Prime Healthcare (08/08/25)
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  • Case Manager - Utilization…

    Prime Healthcare (Montclair, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226814/ case - manager ... other Bachelor degree in a related field. At least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within… more
    Prime Healthcare (09/30/25)
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  • Case Manager (RN)…

    Prime Healthcare (Chino, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226811/ case - manager -%28rn%29 ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
    Prime Healthcare (09/30/25)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: ... current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager … more
    LA Care Health Plan (07/16/25)
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  • Health Plan Nurse Coordinator

    Actalent (Santa Barbara, CA)
    …unit, such as Mental/Behavioral Health services. Skills: Care plans, Case Manager , Pediatrics, Utilization Management , Clinical Reviews Experience level: ... Description: + REMOTE + RN with experience in providing Case Management services to the Pediatric population....alpha resource center, parents helping parents, etc. knowledge of Utilization Management process/ turnaround times. + Familiar… more
    Actalent (09/19/25)
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  • LCSW/LMFT - Orange County

    Amergis (Orange, CA)
    …Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and ... as those listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral… more
    Amergis (08/14/25)
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  • Sr Spec-Integrated Care Mgmt - Utilization…

    Sharp HealthCare (San Diego, CA)
    …- Commission for Case Manager Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA) **Hours** **:** **Shift ... a healthcare related field. + Accredited Case Manager (ACM) - American Case Management...and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for… more
    Sharp HealthCare (08/02/25)
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  • Discharge Planner - Utilization…

    Prime Healthcare (National City, CA)
    … Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and… more
    Prime Healthcare (09/10/25)
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  • Nurse Supervisor, Healthcare Services…

    Molina Healthcare (Los Angeles, CA)
    …and unrestricted in the state of California. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified ... professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term services and… more
    Molina Healthcare (09/25/25)
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  • Case Manager I - Sharp Memorial…

    Sharp HealthCare (San Diego, CA)
    …Registered Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Master's Degree; ... Manager Certification -PREFERRED + Accredited Case Manager (ACM) - American Case Management...competency and individual development planning process.Maintain current knowledge of case management , utilization management… more
    Sharp HealthCare (07/13/25)
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