• RN Case Manager, Per Diem…

    UCLA Health (Los Angeles, CA)
    …of safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital ... accepted for current UCLA Health Nursing staff) + CA RN License and BLS certification + Recent experience in... License and BLS certification + Recent experience in case management, utilization management and discharge planning… more
    UCLA Health (09/12/25)
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  • RN Clinical Manager Home Health Full Time

    CenterWell (San Diego, CA)
    …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (09/05/25)
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  • Care Manager II, Acute ( RN )

    Sutter Health (Oakland, CA)
    …+ BSN Preferred **CERTIFICATION & LICENSURE** + RN - Registered Nurse of California Required + Certified Case Manager (CCM) Preferred. **EXPERIENCE** ... case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of… more
    Sutter Health (09/30/25)
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  • Care Manager II, Acute ( RN )

    Sutter Health (Modesto, 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 (09/17/25)
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  • Telephonic Nurse Case Manager

    ICW Group (San Diego, CA)
    …Discharge Planning, or Home Health preferred. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational ... and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment… more
    ICW Group (09/17/25)
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  • RN Care Coordinator - Inpatient Specialty…

    Cedars-Sinai (Beverly Hills, CA)
    …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to...case manager assigned to the SNF's for continued review and follow up. + Authorizes all appropriate services… more
    Cedars-Sinai (09/28/25)
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  • RN Care Coordinator Weekends

    Dignity Health (Los Angeles, CA)
    …90 days of hire. + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability… more
    Dignity Health (09/28/25)
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  • RN Care Coordinator

    Dignity Health (Long Beach, CA)
    …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability… more
    Dignity Health (09/22/25)
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  • RN Care Coordinator

    Dignity Health (Glendale, CA)
    …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability… more
    Dignity Health (09/19/25)
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  • RN Care Coordinator

    Dignity Health (Long Beach, CA)
    …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability… more
    Dignity Health (09/16/25)
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