• Supervisor , Utilization…

    Centene Corporation (Sacramento, CA)
    …degree and 4+ years of related experience. Knowledge of utilization management principles preferred. Must have a CA RN License **License/Certification:** + ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks... RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
    Centene Corporation (09/20/25)
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  • Nurse Supervisor , Healthcare…

    Molina Healthcare (Los Angeles, CA)
    …and in good standing. **Preferred Qualifications** * LVN (Licensed vocational nurse ) or RN ( Registered Nurse ) . License must be current, active and ... services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term… more
    Molina Healthcare (09/25/25)
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  • Senior Registered Nurse - Hospital…

    Ventura County (Ventura, CA)
    Senior Registered Nurse - Hospital Management Utilization ...Supervisor Pay - $4.00 per hour + Charge Nurse Premium Pay - $1.50 per hour + Float ... Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply  Senior Registered Nurse - Hospital Management Utilization Salary… more
    Ventura County (09/21/25)
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  • Registered Nurse RN Surgery…

    Fresenius Medical Center (Bellflower, CA)
    …and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... This is a full time RN role for our surgery center in Bellflower,...adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other… more
    Fresenius Medical Center (09/17/25)
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  • Case Manager, Registered Nurse

    Sutter Health (San Francisco, CA)
    …in nursing, case management or related field. **CERTIFICATION & LICENSURE** + RN - Registered Nurse of California (required) + CCM-Certified Case Manager ... Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The … more
    Sutter Health (08/16/25)
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  • Registered Nurse - Clinical…

    Cedars-Sinai (Los Angeles, CA)
    …care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician ... of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required...for Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist -… more
    Cedars-Sinai (09/18/25)
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  • Case Manager, Registered Nurse…

    CVS Health (Sacramento, CA)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...Obstetrics experience . **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (08/15/25)
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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 (08/18/25)
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  • Administrative Liaison - House RN…

    Sharp HealthCare (Coronado, CA)
    …Certification (Advanced Cardiac Life Support) - American Heart Association; Bachelor's Degree; California Registered Nurse ( RN ) - CA Board of Registered ... as needed **What You Will Do** To provide effective management of operations for the hospital and administration during...Qualifications** + Three years recent clinical experience + California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (07/03/25)
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  • RN Case Manager, Home Health

    Sutter Health (Roseville, CA)
    …+ Other: Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... Care at Home - Valley **Position Overview:** An experienced RN who is responsible for the overall management...the established plan of patient care and ensuring effective management of visit utilization and control of… more
    Sutter Health (09/26/25)
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