• Care Coordinator RN

    Dignity Health (Bakersfield, CA)
    …emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the...hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year… more
    Dignity Health (12/18/25)
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  • RN Case Manager - Utilization Review

    Prime Healthcare (Lynwood, CA)
    …experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/ rn -case-manager utilization… more
    Prime Healthcare (12/19/25)
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  • Oncology Research Nursing Professional ( RN…

    Stanford Health Care (Palo Alto, CA)
    …system, analytics and metric management . **Licenses and Certifications** + California Registered Nurse ( RN ) license + American Heart Association Basic ... Overview** The Oncology Research Nursing Professional (ORNP) -is a Registered Nurse ( RN ) who works...directions. + Understand and respond to multiple personalities and work/ management styles. + Resource management / utilization … more
    Stanford Health Care (12/16/25)
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  • Payment Integrity Clinician

    Highmark Health (Sacramento, CA)
    …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
    Highmark Health (11/14/25)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    …SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that ... OPTION II: Two (2) years of experience as a registered nurse , of which one year must... Utilization Review Nurse is an RN that has Case Management experience whose… more
    The County of Los Angeles (12/25/25)
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  • Case Manager - Inpatient - Per Diem

    Select Medical (Los Angeles, CA)
    …allotted timeframe; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safeand ... Medical Century City / Los Angeles, CA Case Manager ( RN or MSW) - Per Diem **Rate $66.00 per...discharge planning process. The primary job functions in Case Management include: + Clinical Interventions/Discharge Planning + CarePlanning … more
    Select Medical (12/31/25)
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  • Home Health ICM Coordinator

    UCLA Health (Los Angeles, CA)
    …The Home Health ICM Coordinator plays a key role in supporting our Utilization Management team to ensure safe, high-quality, and cost-effective care for ... patients enrolled in UCLA Medicare Advantage and Intensive Case Management programs. Under the supervision of the RN Assistant Director, you will coordinate… more
    UCLA Health (11/15/25)
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  • Director, Surgical Services - La Jolla Memorial…

    Scripps Health (San Diego, CA)
    …overall administration, operation, direction, design, financial performance, human resource management , regulatory compliance, quality, utilization management ... in La Jolla. This is an exempt and salaried position eligible for the Management Incentive Compensation Plan (MICP) at the Director level.* *Why Scripps Memorial La… more
    Scripps Health (11/21/25)
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  • Newborn Screening Coordinator - Clinical Genetics

    UCLA Health (Los Angeles, CA)
    …clinicians, families and other state agencies for patient care. + Case management / utilization management , health education and/or discharge planning ... experience. + Current, valid California driver's license and a registered and insured vehicle for operation to and from...PowerPoint, Outlook, etc.) and experience in charting or case management . + Ability to fly/travel to and from GDSP… more
    UCLA Health (12/12/25)
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  • Case Manager RN - Patient and Family…

    University of Southern California (Glendale, CA)
    …of California, BSN preferred Minimum Experience/Knowledge: Recent experience in Utilization /Quality/Case Management in acute setting preferred Required ... License/Certification: Current BCLS certificate from the American Heart Association As part of Keck Medicine of USC, USC Verdugo Hills Hospital is the only community hospital in the Foothills area of Los Angeles backed by an academic medical center. With its… more
    University of Southern California (11/19/25)
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