• Utilization Management Admissions Liaison…

    LA Care Health Plan (Los Angeles, CA)
    …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Admissions Liaison RN II...California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management Association (ACM) Required Training… more
    LA Care Health Plan (08/02/25)
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  • Utilization Review RN

    Prime Healthcare (Ontario, CA)
    …of nursing and a current state Registered Nurse license. + Minimum 3 years RN Utilization Manager working for a Health Plan. + At least 3 years of ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/211752/ utilization -review- rn /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)… more
    Prime Healthcare (08/15/25)
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  • Utilization Management Nurse

    CenterWell (Sacramento, CA)
    …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... a team that focuses on excellent service to others. **Required Qualifications** + Active RN license + Possession of or ability to obtain Compact Nursing License + A… more
    CenterWell (08/08/25)
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  • Utilization Management Nurse

    CenterWell (Sacramento, CA)
    …and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active RN license + Possession of or ability to obtain Compact Nursing License + A… more
    CenterWell (08/02/25)
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  • Sr Spec-Integrated Care Mgmt - Utilization

    Sharp HealthCare (San Diego, CA)
    …Degree; California Registered Nurse ( RN ) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... or clinical experience in area of specialty. + California Registered Nurse ( RN ) - CA...Degree in a healthcare related field. + Accredited Case Manager (ACM) - American Case Management Association (ACMA) -PREFERRED… more
    Sharp HealthCare (08/02/25)
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  • RN Case Manager

    HCA Healthcare (Thousand Oaks, CA)
    …our RN Case Manager II opportunity. **Job Summary and Qualifications** The Registered Nurse ( RN ) Case Manager is responsible for promoting ... from any other healthcare provider. We are seeking an RN Case Manager II to join our...Diploma required. BSN preferred. + Currently licensed as a Registered Nurse in the state of California… more
    HCA Healthcare (08/08/25)
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  • Case Manager ( RN ) - Transitional…

    Stanford Health Care (Palo Alto, CA)
    …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure and/or Compact ... to support clients with the transition from the hospital back into the community. The RN Case Manager is an integral part of the interdisciplinary team which… more
    Stanford Health Care (08/08/25)
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  • RN Case Manager

    HCA Healthcare (Riverside, CA)
    …a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse ( RN ) with current California license required, Case ... the opportunity to make a real impact. As an RN Case Manager you can be a...location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential… more
    HCA Healthcare (08/02/25)
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  • Clinical Case Manager ( RN

    Sharp HealthCare (San Diego, CA)
    …BBS Licensed Marriage and Family Therapist (LMFT) - CA Board of Behavioral Sciences; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... (AHA BLS Healthcare) - American Heart Association + California Registered Nurse ( RN ) - CA...in use.Is knowledgeable of current laws and regulations regarding Utilization Review and Discharge Planning.Morning arrival time insures orderly… more
    Sharp HealthCare (08/08/25)
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  • UM Clinical Program Manager RN

    Providence (Irvine, CA)
    …Nursing. + Bachelor's Degree Nursing. Or + Upon hire: California Registered Nurse License + 3 years Experience in Utilization Management. + Experience ... **Description** Utilization Management RN - Clinical Program Manager (Remote) at Providence Holy Cross Medical Center in Mission Hills, CA. This position is… more
    Providence (08/15/25)
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