• Supervisor, Utilization Management RN

    LA Care Health Plan (Los Angeles, CA)
    …of work/licensure. The Supervisor is a subject matter expert (SME) in Care / Case /Utilization Management and supporting regulations, policies, protocols, and ... other duties as assigned. Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing ... experience. Minimum of 2 years of experience in Case / Care /Utilization Management in an acute… more
    LA Care Health Plan (07/08/25)
    - Related Jobs

  • Director, Care Management (RN/SW)

    Sutter Health (Modesto, CA)
    …available health care and community resources. + A broad knowledge base of health care delivery and case management within a managed care environment ... Work + OR Master's (or current enrollment with completion within 2 years) in Case Management or Health Administration with relevant acute hospital experience +… more
    Sutter Health (08/02/25)
    - Related Jobs

  • Patient Care Coordinator - Care…

    Providence (Orange, CA)
    …Associate's Degree in related field + Medical Assistant Certification (CMA) upon hire + Managed care or case management experience + Experience with Mcg ... **Description** Patient Care Coordinator for our Care Management Team at Providence St....four-time designated for Magnet status, the highest recognition for nursing excellence. Since 2007, St. Joseph Hospital has been… more
    Providence (09/05/25)
    - Related Jobs

  • Case Manager I - Scmg Integrated…

    Sharp HealthCare (San Diego, CA)
    …management skills. **Required Qualifications** + 2 Years Recent acute care nursing experience, case management experience or equivalent experience in ... Nurse (RN) - CA Board of Registered Nursing ; Certified Case Manager (CCM) - Commission...will collect and document avoidable day's information in appropriate care management software.The RN CM I will… more
    Sharp HealthCare (09/05/25)
    - Related Jobs

  • Telephonic Nurse Case Manager II

    Elevance Health (Los Angeles, CA)
    …different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within ... **Telephonic Nurse Case Manager II** **Sign on...Conducts assessments to identify individual needs and a specific care management plan to address objectives and… more
    Elevance Health (08/29/25)
    - Related Jobs

  • Advice RN - Nurse Advice Call Center

    Providence (Brea, CA)
    …+ Graduate of an accredited school of nursing . + Upon hire: California Registered Nurse License. + Case management or acute care experience in ... Nursing or related field. + 2 years of Case management or acute care ...**Job Schedule:** Part time **Job Shift:** Evening **Career Track:** Nursing **Department:** 7520 NURSE ADVICE CALL CENTER… more
    Providence (08/15/25)
    - Related Jobs

  • Care Manager (RN)

    Molina Healthcare (San Diego, CA)
    …Nursing . Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management , disease management , managed care or medical ... Education** Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management , disease management , managed care or medical or… more
    Molina Healthcare (08/13/25)
    - Related Jobs

  • Supv Regional Care Mgmt- Integrated…

    Sharp HealthCare (San Diego, CA)
    …analyzing UM data. Works in collaboration with regional medical directors, ambulatory care managers and hospital case management departments. Participates ... a managed care setting + California Registered Nurse (RN) - CA Board of Registered Nursing...care related field **Other Qualification Requirements** + Utilization, Case Management , or Quality Management … more
    Sharp HealthCare (07/09/25)
    - Related Jobs

  • Contract Workers Compensation Field Case…

    Rising Medical Solutions (Los Angeles, CA)
    …specialties: industrial rehabilitation nursing , medical case management , occupational health, orthopedics, home health care , utilization review, ... Rising Medical Solutions Are you an experienced workers' compensation nurse case manager eager to bring your...dedicated professionals committed to elevating the standards of medical case management for workplace injuries and find… more
    Rising Medical Solutions (07/04/25)
    - Related Jobs

  • Case Manager (CM) - RN or LCSW - FT…

    Select Medical (Los Angeles, CA)
    …the discharge planning process. The primary job functions in Case Management include: Clinical Interventions/Discharge and Care Planning Management ; ... state guidelines (RN, LCSW preferred). + Previous experience in Case Management and Discharge Planning preferred. +...job titles including, but not limited to: + Rehabilitation Assistant/ Nursing Assistant + Nurse + Physical, Occupational… more
    Select Medical (08/23/25)
    - Related Jobs