• Utilization Review Nurse…

    The County of Los Angeles (Los Angeles, CA)
    …REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse * or Medical Service Coordinator , CCS.** -OR- OPTION II: ... Two (2) years of experience as a registered nurse , of which one year must...involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN … more
    The County of Los Angeles (08/18/25)
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  • Case Manager (CM) - RN or LCSW - FT…

    Select Medical (Los Angeles, CA)
    …City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) **Pay Rate: $50 ... caseload. + Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator , etc., to assure… more
    Select Medical (08/23/25)
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  • Case Manager, Registered Nurse…

    CVS Health (Sacramento, CA)
    …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
    CVS Health (08/15/25)
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  • RN Care Coordinator Weekends

    Dignity Health (Los Angeles, CA)
    …90 days of hire. + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for...will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post… more
    Dignity Health (09/28/25)
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  • RN Care Coordinator

    Dignity Health (Long Beach, CA)
    …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for...will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post… more
    Dignity Health (09/22/25)
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  • RN Care Coordinator

    Dignity Health (Glendale, CA)
    …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for...will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post… more
    Dignity Health (09/19/25)
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  • RN Care Coordinator

    Dignity Health (Long Beach, CA)
    …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for...will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post… more
    Dignity Health (09/16/25)
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  • Utilization Review Nurse…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE SUPERVISOR II Salary $118,457.04 -… more
    The County of Los Angeles (09/27/25)
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  • Care Coordinator RN

    Dignity Health (Sacramento, CA)
    …striving to achieve high levels of patient satisfaction. The RN Care Coordinator consistently conducts the utilization review process and the discharge ... **Job Summary and Responsibilities** **Position Summary:** The RN Care Coordinator is responsible for assessing, planning, facilitating and advocating for… more
    Dignity Health (09/27/25)
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  • RN Care Coordinator - Inpatient…

    Cedars-Sinai (Beverly Hills, CA)
    …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... Los Angeles Fair Chance Initiative for Hiring. **Req ID** : 12511 **Working Title** : RN Care Coordinator - Inpatient Specialty Program - 8-Hour Days - $5,000… more
    Cedars-Sinai (09/28/25)
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