• Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply  UTILIZATION REVIEW NURSE ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're working in… more
    The County of Los Angeles (08/18/25)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center,...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
    The County of Los Angeles (06/28/25)
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  • Per Diem Registered Nurse II/III…

    Ventura County (Ventura, CA)
    Per Diem Registered Nurse II/III - Utilization Management VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply  Per Diem ... Registered Nurse II/III - Utilization Management VCMC Salary $109,727.64 - $184,627.89 Annually Location Ventura and Santa Paula, CA Job Type Per-Diem Job Number… more
    Ventura County (08/10/25)
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  • Utilization Management Nurse

    CVS Health (Sacramento, CA)
    …AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in a… more
    CVS Health (08/15/25)
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  • Utilization Management Nurse

    CVS Health (Sacramento, CA)
    …Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners or vendors to include initial and ongoing mentoring, ... meet quality and metric expectations. **Required Qualifications** + Registered Nurse (RN) - active license. + 3+ Years of...3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must… more
    CVS Health (08/15/25)
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  • Utilization Management Nurse

    CenterWell (Sacramento, CA)
    …Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid… more
    CenterWell (08/02/25)
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  • LVN - Quality Assurance/ Utilization Review…

    Emanate Health (Covina, CA)
    …States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity ... or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and level of care reviews for requested… more
    Emanate Health (07/23/25)
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  • Licensed Vocational Nurse , Licensed…

    Sutter Health (Sacramento, CA)
    …Health! **Organization:** SCP-Sutter Center for Psychiatry **Position Overview:** The Utilization Review/Discharge Planner (UR/DP) performs chart review to determine ... manner to insurance case management providers to assure continued and discharge utilization management appeals to patient care needs. *This is a hybrid position… more
    Sutter Health (08/27/25)
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  • RN Case Manager

    HCA Healthcare (Riverside, CA)
    …throughput while supporting a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse (RN) with current California license ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...required, Case Management Certification or utilization review preferred + Associate's Degree minimum required +… more
    HCA Healthcare (08/02/25)
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  • RN Case Manager

    HCA Healthcare (Riverside, CA)
    …throughput while supporting a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse (RN) with current California license ... required, Case Management Certification or utilization review preferred + Associate's Degree minimum required + Bachelor's Degree preferred + Three years of… more
    HCA Healthcare (08/02/25)
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