• Lead Case Manager RN - Inpatient Specialty Program…

    Cedars-Sinai (Beverly Hills, CA)
    …manager conducts case management on patients in the inpatient, and Skilled Nursing Facility settings. CSMNS has developed a case management program that is ... + For patients who are transitioning to the Skilled Nursing Facilities, refer to nurse practitioner and...required + 3 years of previous experience in case management , discharge planning, utilization review, and HMO… more
    Cedars-Sinai (09/28/25)
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  • RN Care Coordinator - Inpatient Specialty Program

    Cedars-Sinai (Beverly Hills, CA)
    …hospitalist as appropriate. + For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to ... TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of...**Qualifications** **Education:** + Graduation from an accredited school of nursing required + Bachelor of Science degree in … more
    Cedars-Sinai (10/12/25)
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  • RN Case Manager

    HCA Healthcare (Thousand Oaks, CA)
    …patient throughput while supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for both ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...management OR minimum 3 years experience in clinical nursing (preferably Med Surg, ICU, ED) required. + InterQual… more
    HCA Healthcare (10/13/25)
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  • Psychiatric Technician - IPU

    Ventura County (Ventura, CA)
    …+ Utilization review: + Uses professional skills in quality management activities such as utilization review, monitoring and evaluation procedures, ... + Benefits + Questions Description Are you a licensed Psychiatric Technician or Vocational Nurse in California looking to make a real difference in the lives of… more
    Ventura County (10/02/25)
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  • Director, Inpatient System Care Management

    Alameda Health System (Oakland, CA)
    …of financial analyses including cost of care to reimbursement, denials management , and non-reimbursed services, promoting effective resource utilization , ... Director, Inpatient System Care Management + Oakland, CA + Highland General Hospital...the collection, analysis and presentation data relevant to the utilization of healthcare resources, including but not limited to… more
    Alameda Health System (08/08/25)
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  • Coding Quality Auditor, HEDIS *Remote

    Providence (CA)
    …Practical Nurse (LPN). **Preferred Qualifications:** + Associate's Degree - Nursing or Healthcare related field, Health Information Management degree. + ... in a medical record. + 2 years - HEDIS, Quality management /quality improvement/ utilization review auditing experience, including experience in auditing… more
    Providence (10/15/25)
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  • SRS - Wound Care - RN - CWON - Frost Street - Per…

    Sharp HealthCare (San Diego, CA)
    …Certification (Advanced Cardiac Life Support) - American Heart Association; California Registered Nurse (RN) - CA Board of Registered Nursing **Hours** **:** ... experience in related clinical area. + 1 Year wound care experience. + California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED + AHA Basic… more
    Sharp HealthCare (09/24/25)
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  • RN Wound Care Coordinator

    Dignity Health (Camarillo, CA)
    …Registered Nurse license. + Current CPR certification. + Applies nursing and team processes. + Demonstrates a caring compassionate attitude toward others. ... Wound and Ostomy care. + Demonstrates effective problem-solving techniques including conflict management skills. + Knowledge and utilization of CQI and… more
    Dignity Health (10/18/25)
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  • RN Case Manager, Home Health

    Sutter Health (Novato, CA)
    …team to implement the established plan of patient care and ensuring effective management of visit utilization and control of expenses. May assist in ... An experienced RN who is responsible for the overall management of patients, including the provision of direct care...**EDUCATION:** + Other: Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** + RN-Registered Nurse … more
    Sutter Health (10/04/25)
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  • RN, Case Manager, Home Health

    Sutter Health (Santa Rosa, CA)
    …team to implement the established plan of patient care and ensuring effective management of visit utilization and control of expenses. May assist in ... **Job Description** : **EDUCATION:** Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** RN-Registered Nurse of California BLS-Basic… more
    Sutter Health (09/10/25)
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