• Case Manager - Utilization

    Prime Healthcare (National City, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/205657/ case - manager utilization - management ... other Bachelor degree in a related field. At least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within… more
    Prime Healthcare (04/25/25)
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  • Case Manager , RN…

    Prime Healthcare (Lynwood, CA)
    …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/204105/ case - manager %2c-rn utilization ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
    Prime Healthcare (04/17/25)
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  • Manager , Care Coordination (RN)…

    Stanford Health Care (Palo Alto, CA)
    …- 5+ years of experience as an RN - 3+ years of experience in case management / utilization review Why work at Stanford Medicine | Stanford Health ... Knowledge, Skills and Abilities** + Knowledge of principles and best practices of case management , utilization review, social work, care coordination and… more
    Stanford Health Care (02/22/25)
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  • Utilization Management

    UCLA Health (Los Angeles, CA)
    …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... (BSN) degree required + Five or more years of utilization management required + Four or more...travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified… more
    UCLA Health (03/04/25)
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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 ... Required Experience: Minimum three (3) years of experience in Utilization Management or Case ...Nurse in the State of California Preferred Licenses/Certifications: Certified Case Manager (CCM) or Accredited Case more
    Alameda Health System (05/02/25)
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  • Supervisor, Utilization Management

    LA Care Health Plan (Los Angeles, CA)
    …of work/licensure. The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols, and ... of 7 years of acute/clinical care experience. Minimum of 2 years of experience in Case /Care/ Utilization Management in an acute care or health plan setting.… more
    LA Care Health Plan (04/11/25)
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  • Utilization Management Nurse…

    LA Care Health Plan (Los Angeles, CA)
    …of varied clinical experience in an acute hospital setting. At least 2 years of Utilization Management / Case Management experience in a hospital or HMO ... Utilization Management Nurse Specialist RN II...Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
    LA Care Health Plan (03/27/25)
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  • Case Manager I (Transition Planning)…

    Sharp HealthCare (La Mesa, CA)
    …Registered Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree ... Manager Certification -PREFERRED + Accredited Case Manager (ACM) - American Case Management...competency and individual development planning process.Maintain current knowledge of case management , utilization management more
    Sharp HealthCare (04/03/25)
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  • Medical Director, UM - Utilization

    Rady Children's Hospital San Diego (San Diego, CA)
    …and staff while furnishing guidance in areas of clinical quality, practice patterns, utilization management , case management , and patient satisfaction. ... nurses working with the Rady Children's Health Network. The Utilization Management Medical Director will collaborate closely...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
    Rady Children's Hospital San Diego (05/03/25)
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  • Discharge Planner - Utilization

    Prime Healthcare (Chino, CA)
    Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and… more
    Prime Healthcare (04/28/25)
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