- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - ... 14, 2025 **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN ...IRR) Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Actalent (Santa Barbara, CA)
- … and health services team members in the implementation and management of Utilization Management , Case Management , Disease Management , Population ... Data entry, Concurrent review, Prior authorization, Health care, Medicare, Managed care, Medical management , Case management , Utilization management ,… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …and internal equity. Position Summary + Reports to the Director of Case Management + Plan, organize and deliver utilization management activities for BOP ... visitors. Position Qualifications: + Education: Current California license as Registered Nurse . Bachelors in nursing degree preferred....A minimum of two years of clinical experience in Utilization Review or Case Management … more
- Dignity Health (Long Beach, CA)
- …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs ... acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu...experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification **Overview**… more
- Prime Healthcare (San Dimas, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/214914/ case -manager-%28rn%29 utilization - ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute… more
- Sharp HealthCare (San Diego, CA)
- …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...competency and individual development planning process.Maintain current knowledge of case management , utilization management… more
- HCA Healthcare (Thousand Oaks, CA)
- …our RN Case Manager II opportunity. **Job Summary and Qualifications** The Registered Nurse ( RN ) Case Manager is responsible for promoting ... appropriate resource utilization . + You will provide case management services for both inpatient and...Diploma required. BSN preferred. + Currently licensed as a Registered Nurse in the state of California… more
- UCLA Health (Los Angeles, CA)
- …Nursing staff) + CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + Minimum ... teams + Knowledge of a large university teaching hospitals Emergency Department case management experience preferred. UCLA Health welcomes all individuals,… more