- Actalent (Redlands, CA)
- Job Title: Remote LVN Case Manager - Utilization Management Job Description Join our dynamic Utilization Management team as an LVN Case Manager ... with internal staff to ensure seamless care coordination. Essential Skills + Utilization review and management experience. + Familiarity with Medicare, MediCal,… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …nursing degree preferred. + Experience: A minimum of two years of clinical experience in Utilization Review or Case Management is preferred. + Per Diem ... experience and internal equity. Position Summary + Reports to the Director of Case Management + Plan, organize and deliver utilization management activities for… more
- HCA Healthcare (Riverside, CA)
- …. Requirements: + Registered Nurse (RN) with current California license required, Case Management Certification or utilization review preferred + ... Hospital have the opportunity to make a real impact. As an RN Case Manager you can be a part of change. **Benefits** Riverside Community Hospital offers… more
- System One (Sacramento, CA)
- …community-based non-profit organization leading the effort to eliminate homelessness is looking for a Case Manager . Summary: The Case Manager assists and ... and financially independent whether through employment or assistance with social services. The Case Manager may perform home visits, work a flexible schedule,… more
- HCA Healthcare (Riverside, CA)
- …. Requirements: + Registered Nurse (RN) with current California license required, Case Management Certification or utilization review preferred + ... Do you have the career opportunities as an RN Case Manager you want in your current...path, we encourage you to apply for our Coord Case Mgmt opening. We review all applications.… more
- Sharp HealthCare (San Diego, CA)
- …when not in use.Is knowledgeable of current laws and regulations regarding Utilization Review and Discharge Planning.Morning arrival time insures orderly ... + Data collectionParticipates in data and statistics collection as requested by Utilization Review , Service Line and Quality Improvement Committees. + Denial… more
- Sutter Health (Goleta, CA)
- …nursing **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time to ... A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- Cedars-Sinai (Marina Del Rey, CA)
- …America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic ...Current and valid California RN License (required). + Certified Case Manager (CCM) or Accredited Case… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN + San Leandro, CA + San Leandro Hospital + SLH Social Services + Part Time - Day + Care Management + $58.74 - $97.91 per hour + Req ... + Posted:August 6, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing...Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RNFeatured Job + San Leandro, CA + San Leandro Hospital + SLH Social Services + Services As Needed / Per Diem - Day + Care Management + $78.33 - ... + Posted:July 22, 2025 **Summary** **Job Summary:** The SLH Case Manager RN is responsible for providing...Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical… more