- Sutter Health (Modesto, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination...an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of… more
- Stanford Health Care (Palo Alto, CA)
- …to create an effective plan to address them. **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State ... RN - 3+ years of experience in case management/ utilization review Why work at Stanford...evidence-based and patient-centered care. We are seeking a results-driven manager to further develop the framework for clinical, operational,… more
- 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
- Sharp HealthCare (San Diego, CA)
- … Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing **Hours** **:** ... experience, preferably in a Managed Care setting. + California Registered Nurse ( RN ) - CA...in Nursing or in health related field. + Certified Case Manager (CCM) - Commission for … more
- 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 (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Nurse Specialist RN...California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN , Part Time, Benefited, Days, 8hours, 0.50fteFeatured Job + San Leandro, CA + San Leandro Hospital + SLH Social Services + Part Time - Day ... + Posted:April 17, 2025 **Summary** **Job Summary:** The SLH Case Manager RN is responsible...Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
- Sharp HealthCare (La Mesa, CA)
- …**Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case ... experience or case management experience. + California Registered Nurse ( RN ) - CA...**Preferred Qualifications** + Bachelor's Degree in Nursing + Certified Case Manager (CCM) - Commission for … more
- UCLA Health (Los Angeles, CA)
- …regulations + Ability to travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager ... all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll...a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,… more
- Select Medical (Los Angeles, CA)
- …CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) **Schedule: Sun - Thu** ... protected under applicable law_ _._ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/327414/ case - manager -%28cm%29 rn --or-lcsw ft %247%2c500-sign-on/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share… more