• Utilization Review RN

    Prime Healthcare (Ontario, CA)
    …Post Graduate of an accredited school of nursing and a current state Registered Nurse license. + Minimum 3 years RN Utilization Manager working for a ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/211752/ utilization -review- rn /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)… more
    Prime Healthcare (08/15/25)
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  • Case Manager ( RN ) - Utilization

    Prime Healthcare (Chino, CA)
    …experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 ... an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At… more
    Prime Healthcare (08/14/25)
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  • Case Manager, RN - Utilization

    Prime Healthcare (Lynwood, CA)
    …experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/219588/case-manager%2c- rn utilization more
    Prime Healthcare (08/08/25)
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  • Case Manager ( RN ) - Utilization

    Prime Healthcare (San Dimas, CA)
    …experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 ... an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At… more
    Prime Healthcare (07/15/25)
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  • Manager, Utilization Management ( RN

    Evolent (Sacramento, CA)
    …with others. **Collaboration Opportunities:** + The Manager, Client Services oversees daily utilization management and directs the medical care of our members on ... health plans and serves in a supporting role to the Director, Intake and Utilization Management Operations. + This individual will not only lead a production team… more
    Evolent (08/14/25)
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  • RN - Quality Assurance/ Utilization

    Emanate Health (Covina, CA)
    …States, and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity ... or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and level of care reviews for requested… more
    Emanate Health (07/23/25)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    …stooping, or squatting. Considerable ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case ... OPTION II: Two (2) years of experience as a registered nurse , of which one year must...Nurse ? In the County of Los Angeles, a Utilization Review Nurse is an RN more
    The County of Los Angeles (05/22/25)
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  • RN - Utilization Review

    Health Advocates Network (Arcata, CA)
    Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend ... & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare… more
    Health Advocates Network (08/09/25)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    …AED) Programs. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered ... UTILIZATION REVIEW NURSE SUPERVISOR II Print...in a state other than California must provide their Registered Nurse License Number from that state… more
    The County of Los Angeles (06/28/25)
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  • Sr Spec-Integrated Care Mgmt - Utilization

    Sharp HealthCare (San Diego, CA)
    …**Shift End Time** Master's Degree in Nursing; Bachelor's Degree in Nursing; Master's Degree; California Registered Nurse ( RN ) - CA Board of Registered ... or clinical experience in area of specialty. + California Registered Nurse ( RN ) - CA...and maintain this certification.For Sr Spec ICM assigned to Utilization Management, Train-the-Trainer certification may substitute for ACM or… more
    Sharp HealthCare (08/02/25)
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