• RN Case Manager - Utilization Review

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/rn-case- manager utilization ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one… more
    Prime Healthcare (11/27/25)
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  • Care Manager , Registered Nurse

    Sutter Health (Sacramento, CA)
    …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
    Sutter Health (12/12/25)
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  • Care Manager II, Acute

    Sutter Health (Modesto, CA)
    …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
    Sutter Health (11/28/25)
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  • Case Manager , Registered Nurse

    Sutter Health (San Francisco, CA)
    …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
    Sutter Health (11/13/25)
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  • RN Clinical Program Manager Full- time Day

    Providence (Orange, CA)
    …**Preferred Qualifications:** + Master's Degree Nursing. + 5 years Experience as a utilization /case manager in an acute care setting. + Experience in a ... Nursing. + Upon hire: California Registered Nurse License. + 3 years Experience in Utilization Management. + Experience working with InterQual and MCG guidelines.… more
    Providence (12/09/25)
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  • Manager , MN Clinical Operations…

    Cedars-Sinai (Pasadena, CA)
    …training new staff, implementing new functionality and providing ongoing direction for system utilization . + Assists the Senior Manager , MN Clinical Ops in ... **Job Description** The Manager , MN Clinical Operations supports the safe and...as needed. + Forecasts and plans for appropriate resource utilization **Qualifications** **Education:** High school diploma/GED required. Bachelor's degree… more
    Cedars-Sinai (12/12/25)
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  • Licensed Social Worker Case Manager / PRN

    Select Medical (San Diego, CA)
    …high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, discharge planning, ... **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** **Case Manager (PRN)** Licensed Social Workers Only **Pay: $52/hr** **_Previous… more
    Select Medical (12/09/25)
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  • Utilization Management Admissions Liaison…

    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 Position Type: ... the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for… more
    LA Care Health Plan (10/03/25)
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  • RN Utilization Review Part- time Day

    Providence (Mission Hills, CA)
    **Description** **RN Utilization Review - Remote. This position will work full- time in a 8-hr Day shift.** Provide prospective, retrospective, and concurrent ... utilization reviews for our LA ministries. Conduct clinical reviews...UR environment or working as an acute hospital case manager . **Preferred Qualifications:** + Bachelor's Degree in Nursing. +… more
    Providence (12/03/25)
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  • Sr Spec-Integrated Care Mgmt - Utilization

    Sharp HealthCare (San Diego, CA)
    …California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification; Accredited Case ... Nursing + Master's Degree in a healthcare related field. + Accredited Case Manager (ACM) - American Case Management Association (ACMA) -PREFERRED + Certified Case … more
    Sharp HealthCare (10/31/25)
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