- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, Managed ... communication with others, including but not limited to: hospital administration, nursing leadership or their designee, medical staff, physicians and transportation… more
- Elevance Health (Los Angeles, CA)
- …they will work evening shifts from 11:30 AM to 8:00 PM (local time) The ** Nurse Case Manager II** responsible for care management within the scope of licensure ... ** Nurse Case Manager II** Location(s): California, Colorado, Nevada,...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements**… more
- Elevance Health (Los Angeles, CA)
- …IT platforms. + Outstanding organizational skills. + Prior experience in case management and utilization management , particularly with complex psychiatric ... emphasis on Outpatient Providers. + Performs timely Behavioral Health utilization reviews. + Work with multidisciplinary teams to facilitate...a related behavioral health field or a degree in nursing , and minimum of 3 years of experience with… more
- Providence (Santa Monica, CA)
- …field (Acute, Ambulatory, Post-Acute, etc.) + 2 years - Experience in Case Management (Care Coordination or Utilization Management ) or successful completion ... **The position starts November 3, 2025** **Day shift available** Case Management is a collaborative practice including patients, caregivers, nurses, social workers,… more
- Providence (Tarzana, CA)
- …field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of Experience in Case Management (Care Coordination or Utilization Management ) or successful completion ... nurses choose to work at Providence by visiting our Nursing Institute page. Join our team at Providence Tarzana...basis at each ministry by the Director of Care Management in consultation with the Human Resources. + RNs… more
- Providence (Torrance, CA)
- …(Acute, Ambulatory, or Post-Acute). + 2 years - Experience in Acute Care Management (Care Coordination or Utilization Management ) or successful completion ... **Description** Case Management is a collaborative practice including patients, caregivers,...them. **Required Qualifications:** + Bachelor's Degree. + California Registered Nurse License upon hire. + 2 years - Experience… more
- WelbeHealth (North Hollywood, CA)
- …limited to, home care, home health, transportation, central call center support, and utilization management + Oversee the WelbeHealth program site, supplies and ... degree in a relevant field such as health admin, health care management , nursing administration, gerontology, social work, business administration; five (5)… more
- Providence (Fullerton, CA)
- …Case Management (CCM, ACM) upon hire. + 3 years - Experience in utilization management or case management . + Experience with Psychiatric chemical ... the ANCC Magnet Recognition Program. This prestigious designation recognizes excellence in nursing services. In April 2025, Providence St. Jude Medical Center is… more
- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Bachelor's Degree in Nursing ; Bachelor's Degree; Master's Degree; California Registered Nurse (RN) - CA ... + Bachelor's Degree in Healthcare Administration. + California Registered Nurse (RN) - CA Board of Registered Nursing...and Health Services to ensure timely submission of required Utilization , Case Management and Disease Management… more
- Dignity Health (Rancho Cordova, CA)
- …RN is responsible for providing telephonic clinical assessment, health education and utilization management services to a variety of patients. **Job ... triage nurse experience + Familiarity with an electronic practice management system **Where You'll Work** Dignity Health Medical Foundation, established in 1993,… more