• RN Case Manager - Health Services…

    Sharp HealthCare (San Diego, CA)
    …**FTE** 1 **Shift Start Time** **Shift End Time** Other; Bachelor's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... performing effective acute and ambulatory case management, utilization management and claims review activities, to...+ 2 Years Medical or surgical nursing + California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (09/21/25)
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  • Case Manager (CM) - RN or LCSW - FT…

    Select Medical (Los Angeles, CA)
    …/ Los Angeles, CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) **Pay Rate: $50 - ... + Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure positive fiscal… more
    Select Medical (08/23/25)
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  • RN Case Manager - Case…

    Cedars-Sinai (CA)
    …named us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic ...like family. **Req ID** : 10481 **Working Title** : RN Case Manager - Case … more
    Cedars-Sinai (09/29/25)
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  • SLH Case Manager RN

    Alameda Health System (San Leandro, CA)
    …preferred. Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or ... SLH Case Manager RN + San Leandro,...Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
    Alameda Health System (08/08/25)
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  • Case Manager, RN

    Sutter Health (San Francisco, CA)
    …an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + CCM - Certified Case Manager (certification may be ... 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 (07/30/25)
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  • RN Case Manager

    Amergis (French Camp, CA)
    Salary: $3242 / Week The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization ... be at least 18 years of age ?? Hospital Case Manager RN - Acute Care |...Responsibilities: + Discharge Planning + Appeals & Denials + Utilization Review + InterQual assessments + Collaborating… more
    Amergis (09/27/25)
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  • Lead Case Manager RN - Inpatient…

    Cedars-Sinai (Beverly Hills, CA)
    …3 years of acute nursing experience required + 3 years of previous experience in case management, discharge planning, utilization review , and HMO in the ... their needs, coordinating care, communicating with health plans (including concurrent review , which assists the hospitalist/specialist and case manager to… more
    Cedars-Sinai (09/28/25)
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  • RN Case Manager

    Amergis (Mission Hills, CA)
    Salary: $3051 / Week The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization ... for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers...of services + Follows State/County mandated guidelines for the nurse case management programs + Participates in… more
    Amergis (09/26/25)
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  • Case Manager I - Sharp Memorial Hospital…

    Sharp HealthCare (San Diego, CA)
    …Time** California Registered Nurse ( RN ) - CA Board of Registered Nursing; Bachelor's Degree in Nursing; Certified Case Manager (CCM) - Commission for ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...the department head as indicated. + Utilization review and utilization managementThe RN … more
    Sharp HealthCare (09/10/25)
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  • RN Case Manager | Travel & Local…

    Amergis (French Camp, CA)
    …Current Discharge Planning experience Denials experience + Appeals Experience Utilization review experience InterQual experience Working with multidisciplinary ... Experience with PERFORMANT or CDCR denials PREFERRED not REQUIRED. The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned… more
    Amergis (09/28/25)
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