• Utilization Management LVN

    Actalent (Redlands, CA)
    Job Title: Remote LVN Case Manager - Utilization Management Job Description Join our dynamic Utilization Management team as an LVN Case Manager where you ... with internal staff to ensure seamless care coordination. Essential Skills + Utilization review and management experience. + Familiarity with Medicare, MediCal, and… more
    Actalent (08/08/25)
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  • Case Manager , RN - Utilization

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/219588/case- manager %2c-rn utilization ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one… more
    Prime Healthcare (08/08/25)
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  • Case Manager (RN) - Utilization

    Prime Healthcare (San Dimas, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/214914/case- manager -%28rn%29 utilization ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one… more
    Prime Healthcare (07/15/25)
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  • System Utilization Management SUM…

    Alameda Health System (Oakland, CA)
    …requirements. 16. Participate in orientation of fresh staff as requested by the Manager of Utilization Management. 17. Maintains knowledge of current trends and ... System Utilization Management SUM Utilization Review RN...in the State of California Preferred Licenses/Certifications: Certified Case Manager (CCM) or Accredited Case Manager (ACM)… more
    Alameda Health System (07/29/25)
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  • Utilization Management Nurse

    Veterans Affairs, Veterans Health Administration (Providence, RI)
    …programs/degrees are not creditable as related degrees. Preferred Experience: 1-3 years Utilization Management, Nurse Case Manager . 3-5 years of experience in ... Summary This Utilization Management Nurse position is located in Nursing...and/or critical care healthcare settings. Certification in Certified Case Manager or Certified Professional in Healthcare Quality preferred. Knowledge… more
    Veterans Affairs, Veterans Health Administration (08/09/25)
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  • RN Care Manager - Rex Case Management

    UNC Health Care (Raleigh, NC)
    …date (EDD). Complete follow-up from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the meeting to discuss updates and ... issues with complex patients and identify trends. Formulate potential solutions with Utilization Manager and Social Worker and continuously monitor cases/follow… more
    UNC Health Care (07/24/25)
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  • RN Care Manager - Rex Gyn/Oncology

    UNC Health Care (Raleigh, NC)
    …date (EDD). Complete follow-up from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the meeting to discuss updates and ... issues with complex patients and identify trends. Formulate potential solutions with Utilization Manager and Social Worker and continuously monitor cases/follow… more
    UNC Health Care (07/02/25)
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  • Case Manager II, Registered Nurse

    Sutter Health (Burlingame, CA)
    …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
    Sutter Health (08/10/25)
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  • Care Manager II RN, Acute Care Management

    Sutter Health (Modesto, CA)
    …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
    Sutter Health (08/08/25)
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  • Care Manager II, Acute (RN)

    Sutter Health (Modesto, CA)
    …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
    Sutter Health (06/28/25)
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