• Supervisor, Utilization Management RN

    LA Care Health Plan (Los Angeles, CA)
    …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... appropriate supporting documentation. Monitors of staff's performance including productivity and compliance with regulatory requirements, compliance with… more
    LA Care Health Plan (07/08/25)
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  • System Utilization Management SUM Utilization…

    Alameda Health System (Oakland, CA)
    …or higher IRR) Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California Preferred Licenses/Certifications: ... to ensure compliance with regulations and coverage criteria. The UR RN plays a critical role in optimizing care delivery, reducing avoidable inpatient denials,… more
    Alameda Health System (08/22/25)
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  • Complex Case Manager RN - GI…

    Highmark Health (Sacramento, CA)
    …are achieved. + Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and ... knowledge and adheres to applicable CMS, state, local, and regulatory agency requirements and applicable standards of practice for...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (08/27/25)
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  • Acute Dialysis Services Program Manager

    Fresenius Medical Center (Simi Valley, CA)
    …contracted hospitals according to the established policies and procedures and in compliance with all applicable regulatory requirements. + Ensures efficient ... and acting as the industry expert on behalf of the customer. + Ensures compliance with hospital regulations and participates in surveys conducted by TJC, CMS, OSHA… more
    Fresenius Medical Center (08/16/25)
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  • RN Telemetry

    Dignity Health (Bakersfield, CA)
    **Responsibilities** **Position Summary:** The Registered Nurse is responsible for supporting the Nurse Manager of the unit to manage and coordinate ... all aspects of documentation, care planning and patient care delivery to meet regulatory requirements. The qualified candidate is expected but is not limited to: +… more
    Dignity Health (08/03/25)
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  • RN Nursing Supervisor

    Option Care Health (Hayward, CA)
    …assessing, managing, and reporting nursing operational and financial data to the Regional Nurse Manager , Area Director of Nursing, and/or Director of Operations. ... Director of Operations, Area Director of Nursing and/or the Nurse Manager in the recruitment, development, and...No Yes X **Basic Education and/or Experience Requirements** + Registered Nurse with a license in the… more
    Option Care Health (07/01/25)
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  • Case Manager I - Sharp Memorial Hospital…

    Sharp HealthCare (San Diego, CA)
    …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA... RN CM I has accountability for maintaining compliance contractual and regulatory compliance more
    Sharp HealthCare (07/13/25)
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  • Clinical Operations Coordinator II, RN

    Cedars-Sinai (Beverly Hills, CA)
    …**What will you be doing in this role?** The Clinical Operations Coordinator II, RN reports to the Manager of Clinical Operations and works independently and ... ensure consistency in clinical practices as they relate to regulatory standards, policies and procedures. In collaboration with the...Provides direct patient care as needed within scope of RN license. + Supports and coordinates flu vaccines to… more
    Cedars-Sinai (07/09/25)
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  • Nurse Manager

    The County of Los Angeles (Los Angeles, CA)
    NURSE MANAGER Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1272528) Apply  NURSE MANAGER Salary $150,057.36 - $224,617.44 ... to approved budget. + Monitors and evaluates operations for compliance with licensure, accreditation and regulatory standards....1. A current active license to practice as a Registered Nurse issued by the California Board… more
    The County of Los Angeles (07/14/25)
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  • RN Team Lead

    Hospice Of San Joaquin (Stockton, CA)
    …of everything we do. We are seeking a Dynamic, self-motivated Full - Time RN Team Lead who thrives in a fast-paced environment and supports our mission. POSITION ... laws. Directly supervises and schedules the assignments of the RN nursing staff. Under the direction of the Chief...supervision of assigned staff, as well as ensuring the compliance of patient visit schedules, quality assurance activities, and… more
    Hospice Of San Joaquin (08/29/25)
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