• Chief Nursing Officer

    Banner Health (Susanville, CA)
    … initiatives. Articulates and models an emphasis on patient quality and safety. Understands utilization management and case management and their ... progressive leadership development and competency. Must possess licensure as a professional nurse ( RN ) in the state of practice. Proven experience and… more
    Banner Health (05/17/25)
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  • Clinical Documentation Integrity Lead - Service…

    Stanford Health Care (Palo Alto, CA)
    …and analysis experience. + ICU/ED and Academic Medical Center experience preferred. + Case management , utilization review and/or direct provider interaction ... cycle certification- Health Care Quality (HACP, CPHQ, HCQM) certification- Case Management Certification (CCM) or clinical certification-...Document Spec . + CCDS-O or CDIP . + Nursing\ RN - Registered Nurse -… more
    Stanford Health Care (07/26/25)
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  • RN Manager - Care Management

    Providence (Tarzana, CA)
    …**Required Qualifications:** + Bachelor's Degree Healthcare related field. + Upon hire: California Registered Nurse License + Management experience in a ... **Description** RN Manager of our Care Management ...directing activities of assigned departments/areas of responsibility which include Case Management Department. The position reports to… more
    Providence (07/19/25)
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  • Clinical Case Manager-Oncology Navigation…

    Sharp HealthCare (San Diego, CA)
    …Association; California Registered Nurse ( RN ) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... of specialty. + Previous clinical experience with cancer care, case management or patient teaching. + Experience...health care promotion programs and/or community development. + California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (07/18/25)
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  • RN Clinical Manager Home Health Full Time

    CenterWell (San Diego, CA)
    …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... of care analysis to determine efficiency, the efficacy of case management system as well as any...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (06/07/25)
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  • Care Manager II, Acute ( RN )

    Sutter Health (Modesto, CA)
    …**EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** ... experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN...A broad knowledge base of health care delivery and case management within a managed care environment.… more
    Sutter Health (06/28/25)
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  • Managed Care Case Manager Nurse II

    Sutter Health (Goleta, CA)
    …an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + CCM - Certified Case Manager (certification may be ... Santa Barbara **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted… more
    Sutter Health (07/25/25)
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  • Care Manager RN *Full- time Days

    Providence (Santa Monica, CA)
    …Monica, CA. This position is Full-Time and will work 8-hour Day shifts.** Case Management is a collaborative practice including patients, caregivers, nurses, ... physicians, payers, support staff, other practitioners and the community. The Case Management process facilitates communication and care coordination along… more
    Providence (06/19/25)
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  • Clinical Director

    Sedgwick (Sacramento, CA)
    …**PRIMARY PURPOSE** :: To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for ... at client locations; to provide expertise in client specific case management and utilization review...**QUALIFICATIONS** **Education & Licensing** For Managed Care: Current unrestricted RN license in a state or territory of the… more
    Sedgwick (08/08/25)
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  • LTSS Service Coordinator- RN Clinician

    Elevance Health (Sacramento, CA)
    …The **LTSS Service Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision ... and direction to non- RN clinicians participating in the member's case ...chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any… more
    Elevance Health (06/28/25)
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