• Enhanced Care Management Clinical Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case ...Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements… more
    LA Care Health Plan (07/16/25)
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  • Care Manager , Registered

    Sutter Health (Vallejo, CA)
    …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... + Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** +… more
    Sutter Health (06/11/25)
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  • Traveling Registered Nurse

    WelbeHealth (Los Angeles, CA)
    …(IDT). The Travel RN Specialist covers any nursing roles (eg, RN Case Manager , RN Clinic Nurse ) as needed in multiple markets. The Travel RN ... vulnerable seniors with better quality and compassion in a value-based model, and the Travel Registered Nurse ( RN ) Specialist directly guides this care as a… more
    WelbeHealth (07/19/25)
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  • Registered Nurse - Clinical…

    Cedars-Sinai (Los Angeles, CA)
    …care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician ... of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required...for Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist -… more
    Cedars-Sinai (06/19/25)
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  • System Utilization Management SUM…

    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: ... System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland...Certified Case Manager (CCM) or Accredited Case Manager more
    Alameda Health System (07/29/25)
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  • LCSW/LMFT - Orange County

    Amergis (Orange, CA)
    Case Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and ... Qualifications: + Current California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of clinical experience required;… more
    Amergis (05/15/25)
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  • Supervisor, Utilization Management…

    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 ... Supervisor, Utilization Management RN Job Category: Clinical...The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols,… more
    LA Care Health Plan (07/08/25)
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  • 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 more
    LA Care Health Plan (08/02/25)
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  • Case Manager ( RN ) - Timely…

    Stanford Health Care (Palo Alto, CA)
    …of America) Why work at Stanford Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with the Timely ... improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in...patient health care **Licenses and Certifications** + Nursing / RN - Registered Nurse -… more
    Stanford Health Care (07/22/25)
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  • RN Case Manager

    HCA Healthcare (Thousand Oaks, CA)
    …our RN Case Manager 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 to join...Diploma required. BSN preferred. + Currently licensed as a Registered Nurse in the state of California… more
    HCA Healthcare (07/26/25)
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