• Utilization Management Nurse

    CenterWell (Sacramento, CA)
    …and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active RN license + Possession of or ability to obtain Compact Nursing License + A… more
    CenterWell (08/02/25)
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  • RN Supervisor UM Prior Auth

    Dignity Health (Rancho Cordova, CA)
    …of nursing. - BS degree or experience equivalent required. - Clear and current CA Registered Nurse ( RN ) license. - Knowledge of all applicable federal and ... guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable for coordination of services for… more
    Dignity Health (06/20/25)
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  • Clinical Case Manager ( RN -LCSW-LMFT…

    Sharp HealthCare (San Diego, CA)
    …BBS Licensed Marriage and Family Therapist (LMFT) - CA Board of Behavioral Sciences; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... (AHA BLS Healthcare) - American Heart Association + California Registered Nurse ( RN ) - CA...in use.Is knowledgeable of current laws and regulations regarding Utilization Review and Discharge Planning.Morning arrival time insures orderly… more
    Sharp HealthCare (08/08/25)
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  • RN Case Manager

    HCA Healthcare (Riverside, CA)
    …a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse ( RN ) with current California license required, Case ... the opportunity to make a real impact. As an RN Case Manager you can be a part of...location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential… more
    HCA Healthcare (08/02/25)
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  • UM Clinical Program Manager RN

    Providence (Irvine, CA)
    …Nursing. + Bachelor's Degree Nursing. Or + Upon hire: California Registered Nurse License + 3 years Experience in Utilization Management. + Experience ... **Description** Utilization Management RN - Clinical Program Manager (Remote) at Providence Holy Cross Medical Center in Mission Hills, CA. This position is… more
    Providence (08/15/25)
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  • Sharp Rees-Stealy - RN - Float Pool -Fir…

    Sharp HealthCare (San Diego, CA)
    …**Job Status** Regular **Shift** Variable **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered ... nursing expert for assigned areas. **Required Qualifications** + California Registered Nurse ( RN ) - CA...errors; Have the ability to proof work.Knowledge of insurance, utilization review, scheduling requirements and support of front desk… more
    Sharp HealthCare (08/14/25)
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  • Sharp Rees Stealy - RN - Triage - Genesee…

    Sharp HealthCare (San Diego, CA)
    …Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... RN experience in related clinical area. + California Registered Nurse ( RN ) - CA...errors; have the ability to proof work.Knowledge of insurance, utilization review, scheduling requirements and support of front desk… more
    Sharp HealthCare (08/14/25)
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  • Advanced Clinician RN -Day Charge…

    Sharp HealthCare (San Diego, CA)
    …Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA...standards. May participate in the process of evidence-based research utilization . Demonstrates critical thinking skills. Serves as a role… more
    Sharp HealthCare (06/08/25)
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  • RN Case Manager

    HCA Healthcare (Riverside, CA)
    …a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse ( RN ) with current California license required, Case ... **Introduction** Do you have the career opportunities as an RN Case Manager you want in your current role?...Management Certification or utilization review preferred + Associate's Degree minimum required +… more
    HCA Healthcare (08/02/25)
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  • Administrative Liaison - House RN

    Sharp HealthCare (Coronado, CA)
    …Certification (Advanced Cardiac Life Support) - American Heart Association; Bachelor's Degree; California Registered Nurse ( RN ) - CA Board of Registered ... Qualifications** + Three years recent clinical experience + California Registered Nurse ( RN ) - CA...staffing planning and acts to improve outcomes; and/orContributes to utilization of resources in cost-effective manner. Sharp HealthCare is… more
    Sharp HealthCare (07/03/25)
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