• Clinical Reimbursement Case Management…

    Genesis Healthcare (Los Angeles, CA)
    …Five to seven years of clinical nursing experience is required. Prior experience in utilization review , case management or discharge planning is required. ... meaningful impact in the communities we serve. Responsibilities The Manager, Case Management is responsible for the clinical, administrative, and financial oversight… more
    Genesis Healthcare (11/06/25)
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  • 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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  • RN Case Manager - Utilization

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228577/ rn - case -manager ... 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
    Prime Healthcare (10/16/25)
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  • Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …direction, the Senior Medical Management Nurse is responsible for performing utilization review , case management, and quality improvement functions to ... in Case Management, Disease Management, Quality Assurance, HEDIS and/or Utilization Review . NECESSARY SPECIAL REQUIREMENTS + Must possess and maintain… more
    Ventura County (11/07/25)
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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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  • 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 (10/06/25)
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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 (10/18/25)
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  • RN Case Manager - Value Based…

    University of Southern California (Alhambra, CA)
    …Associate's Degree Nursing + Req 5 years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the last three ... InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic… more
    University of Southern California (11/19/25)
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  • Case Manager, RN - Case

    University of Southern California (Los Angeles, CA)
    …care team in the management of specific patient populations. The RN case manager role integrates the functions of utilization management, quality management, ... Qualifications: + Pref Bachelor's degree + Pref 1 year Case management or utilization review ...the last three years preferred. Required Licenses/Certifications: + Req Registered Nurse - RN (CA… more
    University of Southern California (11/19/25)
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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 (11/25/25)
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