• Registered Nurse Case Manager…

    VNA Health (Santa Barbara, CA)
    …$5,000 sign on BONUS! Job Description: VNA Health is looking for compassionate Registered Nurse Case Managers ( RN CM) to join our Home Health care team. ... directs home care services. Responsibilities: + Responsible for continuous review of all aspects of every patient on his/her...audio acuity. Apply today to be considered for our RN Case Manager role or email ###@vna.health… more
    VNA Health (07/18/25)
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  • Care Manager, Registered Nurse

    Sutter Health (Roseville, CA)
    …school of nursing + Bachelor's in Nursing preferred. **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** + ... A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
    Sutter Health (09/26/25)
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  • Case Manager ( RN )…

    Prime Healthcare (Chino, CA)
    …experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 ... an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience… more
    Prime Healthcare (09/30/25)
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  • Enhanced Care Management Clinical Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements… more
    LA Care Health Plan (07/16/25)
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  • Inpatient Concurrent Review RN

    Dignity Health (Rancho Cordova, CA)
    …- Three (3) years acute care or related experience, including experience in case management, utilization review or discharge planning. - Clear ... judgment and established guidelines. Refer to Medical Directors for review depending on case findings. - Collaborate...and current CA RN license. **Preferred Qualifications:** - Concurrent review ,… more
    Dignity Health (09/05/25)
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  • RN Case Manager

    Amergis (Mission Hills, CA)
    …PM + Weekend Requirement: Every other weekend ?? Requirements + Minimum 1 year of Case Management and Utilization Review experience in a hospital setting + ... Salary: $3099 / Week The RN Case Manager is responsible for...Mission Hills, CA Amergis Healthcare Staffing is seeking experienced Registered Nurses for a Case Manager role… more
    Amergis (09/20/25)
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  • RN - Quality Assurance/ Utilization…

    Emanate Health (Covina, CA)
    …States, and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical ... protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices....using clinical judgment and refer to Medical Directors for review depending on case findings. **Job Requirements**… more
    Emanate Health (09/06/25)
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  • Per Diem RN - Case Management…

    Sharp HealthCare (La Mesa, CA)
    …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... experience or case management experience. + California Registered Nurse ( RN ) - CA...the department head as indicated. + Utilization review and utilization managementThe RN … more
    Sharp HealthCare (09/06/25)
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  • Intensive Case Management - Medicare…

    UCLA Health (Los Angeles, CA)
    Description Under the direction of the Assistant Director, the ICM Medicare Advantage Utilization Review Nurse performs utilization review of medical ... enrolled under UCLA Medical Group. The ICM Medicare Advantage Utilization Review Nurse ensures that...Required: + BSN or MSN degree + Active CA RN License + Minimum of 2 years' experience in… more
    UCLA Health (09/24/25)
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  • Director of Case Management…

    Prime Healthcare (Inglewood, CA)
    …leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and ... of Case Management to lead our dynamic Case Management Team consisting of Registered Nurses,...and reducing readmissions. #LI-CC2 Qualifications Required qualifications: 1. CA Registered Nurse 2. Bachelor's of Science in… more
    Prime Healthcare (08/26/25)
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