- Sharp HealthCare (San Diego, CA)
- … Management experience, preferably in a Managed Care setting. + Experience as a case manager or discharge planner interacting with managed care payers. **Other ... be unrestricted. **Essential Functions** + Referral CoordinationEnsures consistent application of the utilization review process for effective utilization of… more
- Prime Healthcare (Anaheim, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218947/ case - manager ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM) certification preferred.3. At least… more
- Prime Healthcare (San Dimas, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229285/ case - manager -%28rn%29 ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- Prime Healthcare (Montclair, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226814/ case - manager ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...a related field. At least one year experience in case management, discharge planning or nursing management; + CCM… more
- LA Care Health Plan (Los Angeles, CA)
- …- Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management Association ... to complete reviews and determinations within required turnaround times specific to the case type. Identifies requests needing medical director review or input… more
- Sharp HealthCare (San Diego, CA)
- …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ... Certification; California Registered Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association… more
- Amergis (French Camp, CA)
- Salary: $3242 / Week The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization ... be at least 18 years of age ?? Hospital Case Manager RN - Acute Care |...Responsibilities: + Discharge Planning + Appeals & Denials + Utilization Review + InterQual assessments + Collaborating… more
- Sutter Health (San Francisco, CA)
- …**Organization:** CPMC-California Pacific Med Center Van Ness **Position Overview:** The RN Case Manager is responsible for Care Coordination, Care Transitions, ... Management throughout the acute care patient experience. The RN Case Manager works in collaboration with the...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- Cedars-Sinai (Beverly Hills, CA)
- …plans (including concurrent review , which assists the hospitalist/specialist and case manager to determine the appropriateness of services rendered and ... Facilities, refer to nurse practitioner and case manager assigned to the SNF's for continued review...experience required + 3 years of previous experience in case management, discharge planning, utilization review… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN + San Leandro, CA + San Leandro Hospital + SLH Social Services + Part Time - Day + Care Management + $58.74 - $97.91 per hour + Req ... + Posted:August 6, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing...Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical… more