• Utilization Management Nurse…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates,...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service,… more
    LA Care Health Plan (12/20/25)
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  • RN Case Manager - Utilization Review

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

    Sharp HealthCare (San Diego, CA)
    …Degree in Nursing; Bachelor's Degree in Nursing; Master's Degree; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager ... (CCM) - Commission for Case Manager Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA) **Hours** **:** **Shift Start… more
    Sharp HealthCare (10/31/25)
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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...Qualifications:** + Associate's Degree in Nursing. + California Registered Nurse License upon hire. + 2 years of experience… more
    Providence (12/19/25)
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  • Utilization Management Representative I

    Elevance Health (Costa Mesa, CA)
    ** Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law. The ** Utilization Management Representative I** is responsible for coordinating cases for precertification… more
    Elevance Health (12/19/25)
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  • Nurse Shift Manager

    Dignity Health (Northridge, CA)
    …how to quickly get you the care you need. **Northridge Medical Center** **Emergency Services** ** Nurse Shift Manager - Nights 12hrs shift** As an ED Nurse ... **Job Summary and Responsibilities** As an ED Nurse Leader at Dignity Health- Northridge Hospital Medical Center, now part of CommonSpirit Health, the largest… more
    Dignity Health (12/28/25)
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  • Nurse Manager - Recovery Room (PACU)…

    University of Southern California (Los Angeles, CA)
    The Nurse Manager holds 24-hour accountability for the quality of patient care, efficiency of operations, and human resources management for area(s) assigned. ... experience in a cost-effective manner, while applying evidenced-based leadership and practice. The Nurse Manager is responsible for the provision of safe patient… more
    University of Southern California (11/19/25)
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  • LVN Care Coordinator - Utilization…

    Sharp HealthCare (San Diego, CA)
    …1 **Shift Start Time** **Shift End Time** Other; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** ... + Other : Graduate of an accredited Licensed Vocational Nurse (LVN) program. + California Licensed Vocational Nurse...health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers.… more
    Sharp HealthCare (12/14/25)
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  • Case Manager II, Registered Nurse

    Sutter Health (San Francisco, CA)
    …& LICENSURE:** + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time to acquire within 2 years of ... Center Davies **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted criteria for… more
    Sutter Health (12/05/25)
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  • Registered Nurse - Case Manager

    ERP International (Twentynine Palms, CA)
    …Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy of Certified ... **Overview** ERP International is seeking **Registered Nurse (RN) Case Managers** for full-time positions in...and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with… more
    ERP International (11/20/25)
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