• Case Manager I - Sharp Memorial Hospital - FT…

    Sharp HealthCare (San Diego, CA)
    …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge… more
    Sharp HealthCare (07/13/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Costa Mesa, CA)
    …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: Virtual: This role...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
    Elevance Health (08/29/25)
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  • Lead Advanced Practice Provider - Outpatient…

    Stanford Health Care (Palo Alto, CA)
    …their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or ... a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist). +… more
    Stanford Health Care (08/17/25)
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  • Mental Health Program Manager II / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …practice as a clinical social worker, marriage and family therapist, psychologist, or registered nurse issued by the appropriate State of California licensing ... practice as a clinical social worker, marriage and family therapist, psychologist, or registered nurse issued by the appropriate State of California licensing… more
    The County of Los Angeles (08/29/25)
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  • Clinical Nursing Director I

    The County of Los Angeles (Los Angeles, CA)
    …compete in this examination process, applicants must have a license to practice as a Registered Nurse issued by the California Board of Registered Nursing. ... and resolves problems involving grievance and discipline. + Advises nurse managers and other nursing staff on management...other than California must attach a copy of their registered nurse license from that state to… more
    The County of Los Angeles (08/28/25)
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  • Supv Regional Care Mgmt- Integrated Care Mgmt…

    Sharp HealthCare (San Diego, CA)
    …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... in-patient care management and the Director of Utilization Management . **Required Qualifications** + 3 Years...experience, preferably in a managed care setting + California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (07/09/25)
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  • Assistant Nursing Director, Administration

    The County of Los Angeles (Los Angeles, CA)
    …clinical nursing. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board or Registered ... in a state other than California must provide their Registered Nurse License Number from that state...vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used… more
    The County of Los Angeles (07/19/25)
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  • Director of Clinical Services, Faculty Practice…

    UCLA Health (Los Angeles, CA)
    …of multiple clinical programs and medical services with an emphasis on optimizing Utilization Management for the Faculty Practice Group (FPG) Management ... the delivery of program functionalities in all aspects of Utilization Management and its integration with other...Qualifications We're seeking an experienced leader with: + A Registered Nurse License, Advanced Practice Provider (… more
    UCLA Health (06/22/25)
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  • Enhanced Care Management Clinical…

    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. ... of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and Support (MLTSS),… more
    LA Care Health Plan (07/16/25)
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  • Medical Management Clinician Senior 100%…

    Elevance Health (CA)
    …on relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior clinicians. **How you will ... services in multiple states. **Preferred Skills, Capabilities, and Experiences:** + Utilization Management experience is strongly preferred. + Health insurance… more
    Elevance Health (08/28/25)
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