• Care Coordination RN

    Dignity Health (Redding, CA)
    …Coordination. **Job Requirements** **Minimum Qualifications:** **Required:** + CM certification preferred, Current Registered Nurse ( RN ) license + Minimum of ... A Masters Degree in nursing with a concentration in Case Management can serve as a substitute...for the experience requirement. + ASN degree and current Registered Nurse ( RN ) license. **Preferred:**… more
    Dignity Health (10/05/25)
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  • Telephonic Nurse Case Manager

    ICW Group (San Diego, CA)
    …Discharge Planning, or Home Health preferred. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational ... + Interfaces with external agencies in relation to the utilization review process including, Third-Party Payers, Insurance Companies and...Nurse (LVN) required. Certification in case management , rehabilitation nursing or a related… more
    ICW Group (09/17/25)
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  • Care Manager RN - Days Full-Time

    Providence (Torrance, CA)
    **Description** Case Management is a collaborative practice including patients, caregivers, nurses, social workers, physicians, payers, support staff, other ... practitioners and the community. The Case Management process facilitates communication and care...empower them. **Required Qualifications:** + Bachelor's Degree. + California Registered Nurse License upon hire. + 2… more
    Providence (09/13/25)
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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. ... in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The… more
    LA Care Health Plan (07/16/25)
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  • RN Care Coordinator - Inpatient Specialty…

    Cedars-Sinai (Beverly Hills, CA)
    …to the TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of medical services within the ... are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to...Valid CA RN license required + Certified Case Management preferred or willing to obtain… more
    Cedars-Sinai (09/28/25)
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  • RN Care Manager *Full Time Variable

    Providence (Tarzana, CA)
    …Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of Experience in Case Management (Care Coordination or Utilization Management ) ... within 30 days of hire + Upon hire: California Registered Nurse License + 2 years of...or Healthcare related field. + Upon hire: Certification in Case Management (ACM or CCM). **Why Join… more
    Providence (09/23/25)
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  • Psychiatric Admissions RN - Nights

    Providence (San Pedro, CA)
    …Degree in Nursing, or Associates Degree and 5 years of experience. + California Registered Nurse License upon hire. + 3 years of Inpatient rehabilitation ... **Description** Psychiatric Admissions RN for our Inpatient Psychiatric Unit at Providence...experience. **Preferred Qualifications:** + 2 years of experience in Case Management . **Why Join Providence?** Our best-in-class… more
    Providence (08/26/25)
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  • Care Manager RN Part- time Days

    Providence (Mission Hills, CA)
    …we must empower them. **Required Qualifications:** + Bachelor's Degree + Upon hire: California Registered Nurse License + California Fire and Life Safety Card - ... field (Acute, Ambulatory, or Post-Acute). + 2 years experience in Acute Care Management (Care Coordination or Utilization Management ) or successful… more
    Providence (10/01/25)
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  • Health Plan Nurse Coordinator

    Actalent (Santa Barbara, CA)
    Remote Utilization Management RN Leading...and helpful team + Fully remote!! REQUIREMENTS: + California Registered Nurse ( RN ) and/or ... REMOTE + RN with experience in providing Case Management services to the Pediatric population....unit, such as Mental/Behavioral Health services. Skills: Care plans, Case Manager, Pediatrics, Utilization Management ,… more
    Actalent (10/04/25)
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  • UM Prior Authorization Review Nurse

    UCLA Health (Los Angeles, CA)
    Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. ... + Documents all review findings and decisions in the case management system and supports reporting initiatives....+ A minimum of three years of experience in utilization management , preferred + Team leading or… more
    UCLA Health (10/03/25)
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