• Lead Customer Solution Center Appeals…

    LA Care Health Plan (Los Angeles, CA)
    …the ability to manage multiple training initiatives simultaneously. Licenses/Certifications Required Licensed Registered Nurse ( RN ) - Active, current and ... performance to department management . Work closely with management to review performance and quality standards...clinical appeals and grievances experience in a managed care, utilization management and/or case management more
    LA Care Health Plan (11/11/25)
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  • Appeals Nurse

    Evolent (Sacramento, CA)
    …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators...Be Doing:** + Practices and maintains the principles of utilization management and appeals management more
    Evolent (12/24/25)
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  • RN Supervisor

    Insight Global (Los Angeles, CA)
    …2+ years in a lead or supervisor role EMR system experience valid California Registered Nurse ( RN ) license Current Basic Cardiac Life Support (BLS/CPR) ... Job Description Insight Global is seeking a skilled Registered Nurse Supervisor for a community...preferred. Experience in chronic disease management , case management , utilization management and quality… more
    Insight Global (12/07/25)
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  • Case Manager, Registered Nurse

    Sutter Health (San Francisco, CA)
    …+ Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** + ... case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of… more
    Sutter Health (01/06/26)
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  • Case Manager, Registered Nurse

    Sutter Health (Roseville, CA)
    …**EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** ... case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… more
    Sutter Health (12/29/25)
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  • Registered Nurse - Health Education…

    ERP International (San Diego, CA)
    **Overview** ERP International is seeking a temporary ** Registered Nurse ( RN ) Health Educators** supporting **Naval Medical Center San Diego, CA ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
    ERP International (12/18/25)
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  • Registered Nurse Case Manager - 5K…

    VNA Health (Solvang, CA)
    …+ Competitive Compensation: $56 - 58/hr Job Description: VNA Health is looking for compassionate Registered Nurse Case Managers ( RN CM) to join our Home ... Health care team. The RN CM plans, organizes and directs home care services....directs home care services. Responsibilities: + Responsible for continuous review of all aspects of every patient on his/her… more
    VNA Health (01/06/26)
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  • Registered Nurse - Perioperative…

    ERP International (San Diego, CA)
    …essential. Licensure:** Possess and maintain a current unrestricted license to practice as a registered nurse in any of the 50 States, the District of Columbia, ... **Overview** ERP International is seeking temporary **Perioperative Registered Nurses** in support of the Operating Room at **Naval Medical Center San Diego, CA… more
    ERP International (12/18/25)
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  • RN Case Manager - Utilization

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/ rn -case-manager utilization - ... and service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the...an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April… more
    Prime Healthcare (12/19/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    …squatting. Considerable ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management ... Nurse ? In the County of Los Angeles, a Utilization Review Nurse is an RN that has Case Management experience whose primary charge is to ensure… more
    The County of Los Angeles (12/25/25)
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