- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN + San Leandro, CA + San...Degree preferred. Minimum Experience: Two years related in acute care facility and/or utilization review ... SLH Social Services + Part Time - Day + Care Management + $58.74 - $97.91 per hour +...Posted:August 12, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case management… more
- CVS Health (Sacramento, CA)
- …RN states. This role is a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or face ... heart, each and every day. **Position Summary:** This Case Manager RN position is with Aetna's National Medical Excellence...as an RN - 2+ years' experience in critical care - 6+ months Case Management or Utilization… more
- Sharp HealthCare (San Diego, CA)
- …new programs under the direction of the manager of in-patient care management and the Director of Utilization Management. **Required Qualifications** + ... Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for operational planning… more
- CVS Health (Sacramento, CA)
- …transferring patients to lower levels of care . + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + 1+ ... Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured… more
- Cedars-Sinai (Marina Del Rey, CA)
- …the established/communicated timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for ... You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization through discharge. Works with all… more
- Alameda Health System (Oakland, CA)
- …necessarily performed by each individual in the classification. + Coordinates all utilization review functions, including response to payor requests for ... and identifies cost-effective protocols. Care Management provides Care Coordination, Compliance, Transition Coordination, and Utilization ...experience in Case Management in an acute setting or utilization review at a medical group or… more
- Crane Aerospace & Electronics (Burbank, CA)
- **Crane Aerospace and Electronics** has an exciting opportunity for a **Program Manager ** at our **Burbank, CA** location. **About Crane:** Crane Aerospace & ... and non-recurring cost targets. **Essential Functions:** + **_Proposal Review_** + Review and evaluate technical and business aspects of customer requests for… more
- Burns & McDonnell (Brea, CA)
- **Description** The Project Manager oversees the day-to-day operations from pre-construction through project completion and warranty periods. This Project Manager ... plants or in the life science space. The Project Manager is responsible for managing the construction project safety,...contracts, subcontracts, and change orders. + Participate in risk review process. + Implement assigned sections of the Project… more
- The County of Los Angeles (Los Angeles, CA)
- …standards of care and establishes and modifies program monitoring and review methods as necessary. + Oversees audits and the implementation of audit ... MENTAL HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658522) Apply MENTAL… more
- Elevance Health (Costa Mesa, CA)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope ... **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates...claims or service issues. + Assists with development of utilization / care management policies and procedures. **Minimum Requirements:**… more