• Supervisor, Utilization Management…

    LA Care Health Plan (Los Angeles, CA)
    …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Supervisor, Utilization Management RN Job Category: Clinical...Care's culturally diverse membership. The position supports the UM Manager /Director. This role also assists UM Educator/ Manager /Director… more
    LA Care Health Plan (07/08/25)
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  • Utilization Management Admissions Liaison…

    LA Care Health Plan (Los Angeles, CA)
    …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Admissions Liaison RN II...California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management Association (ACM) Required Training… more
    LA Care Health Plan (08/02/25)
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  • Utilization Review RN

    Dignity Health (Long Beach, CA)
    …field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification **Overview** ... field in lieu of 1 year experience. + California RN license. + AHA BLS + Ability to pass...+ Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Proficient in application of… more
    Dignity Health (08/10/25)
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  • Sr Spec-Integrated Care Mgmt - Utilization

    Sharp HealthCare (San Diego, CA)
    …Degree; California Registered Nurse ( RN ) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... or clinical experience in area of specialty. + California Registered Nurse ( RN ) - CA...Degree in a healthcare related field. + Accredited Case Manager (ACM) - American Case Management Association (ACMA) -PREFERRED… more
    Sharp HealthCare (08/02/25)
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  • Case Manager ( RN ) - Transitional…

    Stanford Health Care (Palo Alto, CA)
    …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure and/or Compact ... to support clients with the transition from the hospital back into the community. The RN Case Manager is an integral part of the interdisciplinary team which… more
    Stanford Health Care (08/08/25)
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  • RN Case Manager

    HCA Healthcare (Thousand Oaks, CA)
    …our RN Case Manager II opportunity. **Job Summary and Qualifications** The Registered Nurse ( RN ) Case Manager is responsible for promoting ... from any other healthcare provider. We are seeking an RN Case Manager II to join our...Diploma required. BSN preferred. + Currently licensed as a Registered Nurse in the state of California… more
    HCA Healthcare (08/08/25)
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  • RN Case Manager

    HCA Healthcare (Riverside, CA)
    …a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse ( RN ) with current California license required, Case ... the opportunity to make a real impact. As an RN Case Manager you can be a...location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential… more
    HCA Healthcare (08/02/25)
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  • Enhanced Care Management Clinical Specialist II

    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. ... Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light… more
    LA Care Health Plan (07/16/25)
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  • RN Case Manager

    HCA Healthcare (Riverside, CA)
    …a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse ( RN ) with current California license required, Case ... **Introduction** Do you have the career opportunities as an RN Case Manager you want in your...Management Certification or utilization review preferred + Associate's Degree minimum required +… more
    HCA Healthcare (08/02/25)
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  • Clinical Case Manager ( RN

    Sharp HealthCare (San Diego, CA)
    …BBS Licensed Marriage and Family Therapist (LMFT) - CA Board of Behavioral Sciences; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... (AHA BLS Healthcare) - American Heart Association + California Registered Nurse ( RN ) - CA...in use.Is knowledgeable of current laws and regulations regarding Utilization Review and Discharge Planning.Morning arrival time insures orderly… more
    Sharp HealthCare (08/08/25)
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