• Senior Registered Nurse - Hospital…

    Ventura County (Ventura, CA)
    Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply  Senior ... Registered Nurse - Hospital Management Utilization Salary $118,668.43...general and specialized principles, practices, techniques and methods of utilization review /management, discharge planning or case… more
    Ventura County (09/21/25)
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  • Registered Nurse - Clinical…

    Cedars-Sinai (Los Angeles, CA)
    …required Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review , Coding, or Case Management required Working knowledge of ... care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician… more
    Cedars-Sinai (09/18/25)
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  • Per Diem Registered Nurse II/III…

    Ventura County (Ventura, CA)
    Per Diem Registered Nurse II/III - Utilization Management VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply  Per Diem ... Registered Nurse II/III - Utilization ...quality, risk and/or patient safety which are identified during case review or other activities; + Reviews,... II + Six (6) months of experience in Utilization Management Per Diem RN III +… more
    Ventura County (09/27/25)
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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 (08/18/25)
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  • Assistant Nursing Director, Administration

    The County of Los Angeles (Los Angeles, CA)
    …the following: + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT ... CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board...of staff, and evaluating employee performance. For this examination, Utilization Review is defined as provides technical… more
    The County of Los Angeles (07/19/25)
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  • Case Manager, Registered…

    Sutter Health (San Francisco, CA)
    …or related field. **CERTIFICATION & LICENSURE** + RN - Registered Nurse of California (required) + CCM-Certified Case Manager (preferred) **PREFERRED ... CPMC-California Pacific Med Center Van Ness **Position Overview:** The RN Case Manager is responsible for Care...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
    Sutter Health (08/16/25)
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  • Manager, Healthcare Services ( RN…

    Molina Healthcare (Los Angeles, CA)
    …and experience. * At least 1 year of health care management leadership experience. * Registered Nurse ( RN ). License must be active and unrestricted in state ... in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS),… more
    Molina Healthcare (09/25/25)
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  • Case Manager II, Registered…

    Sutter Health (Burlingame, CA)
    …: **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire CCM certification ... case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… more
    Sutter Health (09/19/25)
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  • Case Manager, Registered…

    Sutter Health (Auburn, 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 (09/18/25)
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  • Case Manager, Registered…

    CVS Health (Sacramento, CA)
    …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
    CVS Health (08/15/25)
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