• Elevance Health (Los Angeles, CA)
    …to client needs, and direct, hands-on engagement. The LTSS Service Coordinator - RN Clinician is responsible for overall management of member's case within ... Job Level: Non- Management Non-Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation… more
    Upward (07/18/25)
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  • Registered Nurse - Case Manager

    ERP International (Twentynine Palms, CA)
    **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers** for full-time positions in support of the **Naval Hospital Twentynine ... algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with… more
    ERP International (07/23/25)
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  • Case Manager, Registered Nurse…

    CVS Health (Sacramento, CA)
    …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... is URAC accredited in Case Management , Disease Management and Utilization Management . AHH...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
    CVS Health (07/18/25)
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  • Telephonic Nurse Case Manager

    ICW Group (Woodland Hills, CA)
    …Discharge Planning, or Home Health preferred. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational ... evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and...Nurse (LVN) required. Certification in case management , rehabilitation nursing or a related specialty is strongly… more
    ICW Group (06/18/25)
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  • Utilization Management Nurse…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (07/08/25)
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  • RN Case Manager - Case Management…

    Cedars-Sinai (Marina Del Rey, CA)
    …us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review...like family. **Req ID** : 11148 **Working Title** : RN Case Manager - Case Management (ED)… more
    Cedars-Sinai (07/18/25)
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  • LTSS Service Coordinator- RN Clinician

    Elevance Health (Sacramento, CA)
    …to client needs, and direct, hands-on engagement. The **LTSS Service Coordinator - RN Clinician** is responsible for overall management of member's case within ... **LTSS Service Coordinator - RN Clinician** **Location:** Candidate should reside in California...you will make an impact:** + Responsible for performing telephonic clinical assessments for the identification, evaluation, coordination and… more
    Elevance Health (06/28/25)
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  • Disease Management Nurse - Remote

    Sharecare (Sacramento, CA)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
    Sharecare (07/12/25)
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  • Enhanced Care Management Clinical…

    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. ... aggregate progress and individual ECM member cases. May use telephonic , onsite, or written methods and both group and...care with internal LA Care departments such as Care Management (CM), Utilization Management (UM),… more
    LA Care Health Plan (07/16/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Cerritos, CA)
    …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... + 2+ years of experience in a managed care organization in a utilization management behavioral health role preferred. For candidates working in person… more
    Elevance Health (07/24/25)
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