• Utilization Management Admissions…

    LA Care Health Plan (Los Angeles, CA)
    …in an acute hospital setting. Previous experience to have a strong understanding of Utilization Management / Case Management practices including, but not ... Utilization Management Admissions Liaison RN II...unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management more
    LA Care Health Plan (08/02/25)
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  • Discharge Planner II (LVN) - Utilization

    Prime Healthcare (San Dimas, CA)
    Case Management Department under the direction of the assigned Case Manager /Social Worker in the development and implementation of the discharge plan. ... EDUCATION, EXPERIENCE, TRAINING Required qualifications. 1. Knowledge in discharge planning/ utilization management / case management terminology… more
    Prime Healthcare (07/15/25)
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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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  • Case Manager (RN) - Transitional…

    Stanford Health Care (Palo Alto, CA)
    …a combination of remote and onsite as scheduled. Whether this would be your first case management role or you are seasoned, here is your opportunity to work ... from the hospital back into the community. The RN Case Manager is an integral part of...the delivery and quality of patient care. A hospital-based case management system has as its primary… more
    Stanford Health Care (08/08/25)
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  • RN Case Manager - Case

    Cedars-Sinai (Marina Del Rey, CA)
    …staff member feels like family. **Req ID** : 11455 **Working Title** : RN Case Manager - Case Management (ED) - Full-Time (12-hour night shifts) - Marina ... You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of...care. + Assumes responsibility for timely completion of required case management reports for regulatory bodies, health… more
    Cedars-Sinai (08/08/25)
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  • RN Case Manager

    Lompoc Valley Medical Center (Lompoc, CA)
    …and internal equity. Position Summary + Reports to the Director of Case Management + Plan, organize and deliver utilization management activities for BOP ... preferred. + Experience: A minimum of two years of clinical experience in Utilization Review or Case Management is preferred. + Per Diem Positions: Case more
    Lompoc Valley Medical Center (07/28/25)
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  • Utilization Review RN

    Dignity Health (Bakersfield, CA)
    …+ Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience. + Ability to ... pass annual Inter-rater reliability test for Utilization Review product(s) used. **Preferred** + Graduate of an...least five (5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case more
    Dignity Health (08/08/25)
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  • Clinical Case Manager -Oncology…

    Sharp HealthCare (San Diego, CA)
    …American Heart Association; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... employer business practices. **What You Will Do** The Clinical Case Manager 's (CCM) role is to be...of specialty. + Previous clinical experience with cancer care, case management or patient teaching. + Experience… more
    Sharp HealthCare (07/18/25)
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  • RN Case Manager

    HCA Healthcare (Riverside, CA)
    …. Requirements: + Registered Nurse (RN) with current California license required, Case Management Certification or utilization review preferred + ... opportunity to make a real impact. As an RN Case Manager you can be a part...would be an evening shift position. The Coordinator of Case Management (RN CM) is responsible for… more
    HCA Healthcare (08/02/25)
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  • SLH Case Manager RN

    Alameda Health System (San Leandro, CA)
    …SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and social ... SLH Case Manager RN + San Leandro,...SLH Case Manager RN + San Leandro, CA + San...Management issues; other issues including concerns involving under/over utilization , avoidable days and quality issues. Coordinate daily with… more
    Alameda Health System (08/08/25)
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