• Per Diem Registered Nurse II/III…

    Ventura County (Ventura, CA)
    Per Diem Registered Nurse II/III - Utilization Management ... II + Six (6) months of experience in Utilization Management Per Diem RN III ... VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply  Per Diem Registered Nurse II/III - Utilization Management VCMC… more
    Ventura County (08/08/25)
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  • Director, Utilization Management

    Alameda Health System (Oakland, CA)
    Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
    Alameda Health System (08/08/25)
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  • System Utilization Management SUM…

    Alameda Health System (Oakland, CA)
    System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - ... 14, 2025 **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN ...IRR) Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California… more
    Alameda Health System (07/29/25)
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  • Supervisor, Utilization Management

    LA Care Health Plan (Los Angeles, CA)
    Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve 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 (07/08/25)
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  • Utilization Management Admissions…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (08/02/25)
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  • Utilization Management 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 ... from work._ **Required Qualifications** + 1 year of varied UM ( utilization management ) experience within an **outpatient** setting, concurrent review… more
    CVS Health (07/30/25)
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  • Utilization Management Coordinator

    Actalent (Santa Barbara, CA)
    …, medical management and health services team members in the implementation and management of Utilization Management , Case Management , Disease ... Prior authorization, Health care, Medicare, Managed care, Medical management , Case management , Utilization management , Claim Top Skills Details Data… more
    Actalent (08/01/25)
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  • Utilization Management Nurse

    Actalent (Santa Barbara, CA)
    Utilization Management Nurse ( RN ) - Santa Barbara, CA Hourly Rate: $50-$53/hr Location: On-site in Santa Barbara, CA Schedule: Full-time, Monday-Friday ... Registered Nurse to join a high-performing Utilization Management team supporting outpatient specialty care....specialty care. This role is ideal for an experienced RN who thrives in a collaborative environment and is… more
    Actalent (08/09/25)
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  • Sr Spec-Integrated Care Mgmt - Utilization

    Sharp HealthCare (San Diego, CA)
    …**Shift End Time** Master's Degree in Nursing; Bachelor's Degree in Nursing; Master's Degree; California Registered Nurse ( RN ) - CA Board of Registered ... or clinical experience in area of specialty. + California Registered Nurse ( RN ) - CA...and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for… more
    Sharp HealthCare (08/02/25)
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  • Utilization Management Nurse

    CenterWell (Sacramento, CA)
    RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous… more
    CenterWell (08/08/25)
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