• Registered Nurse Case Manager - 5K Sign…

    VNA Health (Solvang, CA)
    …Compensation: $56 - 58/hr Job Description: VNA Health is looking for compassionate Registered Nurse Case Managers (RN CM) to join our Home Health care team. The RN ... organizes and directs home care services. Responsibilities: + Responsible for continuous review of all aspects of every patient on his/her caseload to include:… more
    VNA Health (01/06/26)
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  • Dialysis Clinical Manager Registered Nurse…

    Fresenius Medical Center (Bellflower, CA)
    …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
    Fresenius Medical Center (01/03/26)
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  • UM RN

    Dignity Health (Bakersfield, CA)
    **Job Summary and Responsibilities** As a Utilization Management RN, you will be crucial in ensuring accurate and compliant medical necessity decisions. Your ... . You'll work closely with both Pre-Service and In-Patient Utilization Management teams to ensure appropriate and...with CommonSpirit's values. You will function as a UM nurse reviewer , applying clinical expertise to ensure… more
    Dignity Health (12/18/25)
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  • Per Diem RN - Case Management - Sharp…

    Sharp HealthCare (La Mesa, CA)
    …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... competency and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge planning, as… more
    Sharp HealthCare (12/06/25)
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  • LVN

    Actalent (Sacramento, CA)
    …experience (eg, med-surg, telemetry, ICU) + At least 1 year of experience in utilization review , case management , or hospital discharge planning + ... Remote Licensed Vocational Nurse (LVN) Fully remote but MUST reside within...of the Sacramento area Job Duties + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, and… more
    Actalent (12/24/25)
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  • Case Manager II - Transition Planning - Sharp…

    Sharp HealthCare (San Diego, CA)
    … management experience. + 3 Years case management , utilization review , care coordination experience. + California Registered Nurse (RN) - CA Board of ... position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving… more
    Sharp HealthCare (12/18/25)
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  • Director of Case Management Sign On Bonus

    Select Medical (San Diego, CA)
    …functions and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management , discharge planning, ... focus on resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating UR compliance with… more
    Select Medical (12/24/25)
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  • Case Manager I - Transition Planner - Sharp…

    Sharp HealthCare (San Diego, CA)
    …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... competency and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge planning, as… more
    Sharp HealthCare (11/09/25)
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  • Assistant Nursing Director, Administration

    The County of Los Angeles (Los Angeles, CA)
    …the following: + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT ... the work of staff, and evaluating employee performance. For this examination, Utilization Review is defined as provides technical and administrative direction… more
    The County of Los Angeles (10/18/25)
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  • SLH Care Management Specialist

    Alameda Health System (San Leandro, CA)
    …specific clinical information for the purpose of completing initial and concurrent utilization review to ensure certification/approval of in-patient and post ... discharge services. + Per the direction of the Care Management social worker and/or nurse , facilitates, identifies...in a health care field or one year in Utilization Management at a Medical Group or… more
    Alameda Health System (12/31/25)
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