• Supervisor , Utilization

    LA Care Health Plan (Los Angeles, CA)
    Supervisor , Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (04/11/25)
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  • RN Supervisor UM Prior Auth

    Dignity Health (Rancho Cordova, CA)
    …Summary:** Under the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable ... Guidelines InterQual Health Plan Benefit Interpretation Guidelines and Medical Management Policies and DHMF Utilization Management...accredited school of nursing. - Clear and current CA Registered Nurse ( RN ) license. **Preferred… more
    Dignity Health (04/17/25)
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  • RN Supervisor UM Inpatient Clinical

    Dignity Health (Bakersfield, CA)
    …This role will require Admin on-call on weekends/holidays.** **Position Summary:** The Supervisor of Utilization Management Inpatient Clinical will oversee ... clinical inpatient UM staff, ensuring they effectively perform utilization management (UM) reviews for inpatient cases....required. - Graduate of an accredited school of nursing: Registered Nursing. - Clear and current CA RN more
    Dignity Health (05/21/25)
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  • Senior Registered Nurse - QAPI

    Ventura County (Ventura, CA)
    Senior Registered Nurse - QAPI Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4925952) Apply  Senior Registered Nurse - QAPI Salary ... with healthcare standards and regulations. Distinguishing Characteristics: The Senior Registered Nurse -Hospital is distinguished from other staff...Supervisor Pay - $4.00 per hour + Charge Nurse Premium Pay - $2.50 per hour + Float… more
    Ventura County (05/19/25)
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  • Azura - Registered Nurse Surgery…

    Fresenius Medical Center (Los Angeles, CA)
    …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
    Fresenius Medical Center (05/08/25)
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  • SCI Registered Nurse PACT Care…

    Veterans Affairs, Veterans Health Administration (San Diego, CA)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... and at the six Community Based Outpatient Clinics (CBOCs) Responsibilities RN PACT Care manager/Outpatient Coordinator Participates in PACT performance measure… more
    Veterans Affairs, Veterans Health Administration (05/31/25)
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  • Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I Print...An Utilization Review Nurse is an RN that has Case Management experience whose primary ... **In the County of Los Angeles, a Utilization Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that the care… more
    The County of Los Angeles (05/22/25)
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  • RN Oncology Supervisor - Ventana…

    Cedars-Sinai (Tarzana, CA)
    …assigned unit. + Responsible for administrative support activities involving facilities management , pharmacy, utilization management , quality management ... **What will you be doing in this role?** The Supervisor , Clinical Operations Oncology RN is responsible...expected to manage the overall unit, is for budget management , scheduling, payroll, overall safety of the unit, policies/procedures… more
    Cedars-Sinai (05/04/25)
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  • Manager, Care Coordination ( RN

    Stanford Health Care (Palo Alto, CA)
    …knowledge to create an effective plan to address them. **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact State ... on a rotating basis with other managers when on-call Supervisor is unavailable. + Develops and oversees relationships and...+ Knowledge of principles and best practices of case management , utilization review, social work, care coordination… more
    Stanford Health Care (04/16/25)
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  • RN Care Coordination

    Dignity Health (Red Bluff, CA)
    …Coordination. **Qualifications** **Minimum Qualifications:** **Required:** + CM certification preferred, Current Registered Nurse ( RN ) license + Minimum of ... can serve as a substitute for the experience requirement. + ASN degree and current Registered Nurse ( RN ) license. **Preferred:** + BSN degree or experience… more
    Dignity Health (05/15/25)
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