• Registered Nurse -Utilization Review

    Cedars-Sinai (Los Angeles, CA)
    …Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent Denials supports post-discharge clinical reviews for Medicare Short Stay ... defensible clinical submissions, coordinate peer-to-peer reviews, and respond to concurrent denials. + This position requires strong regulatory knowledge, sound … more
    Cedars-Sinai (01/02/26)
    - Related Jobs
  • Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …and patient-centered care. Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review , case management, ... may include but are not limited to the following: + Performs utilization review with pre-certification, concurrent , retrospective, out of network and medical… more
    Ventura County (12/07/25)
    - Related Jobs
  • Utilization Management Nurse Specialist RN…

    LA Care Health Plan (Los Angeles, CA)
    …in any inpatient setting. Performs telephonic and/or onsite admission and concurrent review , and collaborates with onsite staff, physicians, providers, ... Utilization Management Nurse Specialist RN II Job Category: Clinical...productive workplace environment. Perform telephonic and/or onsite admission and concurrent review , and collaborates with onsite staff,… more
    LA Care Health Plan (12/20/25)
    - Related Jobs
  • Research Nurse 2

    Stanford University (Stanford, CA)
    …supervision. CERTIFICATIONS & LICENSES: * Current license as a California Registered Nurse . * Certified Research Administrator or Clinical Research Coordinator ... Research Nurse 2 **School of Medicine, Stanford, California, United...Post Date Dec 31, 2025 Requisition # 107827 The Clinical and Translational Research Unit (CTRU) is the leading… more
    Stanford University (12/20/25)
    - Related Jobs
  • Nurse Practitioner

    Sacramento County (Sacramento, CA)
    Nurse Practitioner Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/1780920) Apply  Nurse Practitioner Salary $132,483.60 - $161,026.56 ... 9/26/2025, 10/24/2025, 11/26/25, 12/26/25, 1/23/26, 2/27/26, 3/27/26, 4/24/26, 5/22/26, 6/26/26 Nurse Practitioners provide a range of health care services involving… more
    Sacramento County (10/21/25)
    - Related Jobs
  • Licensed Vocational Nurse D/CF

    Sacramento County (Sacramento, CA)
    Licensed Vocational Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448956) Apply  Licensed Vocational Nurse D/CF Salary ... 7/2/2026, 10/2/2026 In a detention/correctional facility, the Licensed Vocational Nurse D/CF performs a wide variety of vocational nursing...+ Use and care of medical equipment used in clinical and infirmary settings + Basic medical indications of… more
    Sacramento County (10/21/25)
    - Related Jobs
  • Registered Nurse D/CF (Level I/II)

    Sacramento County (Sacramento, CA)
    Registered Nurse D/CF (Level I/II) Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/454059) Apply  Registered Nurse D/CF (Level I/II) ... pm on: 9/4/2025, 11/6/2025, 1/2/2026, 3/5/2026, 5/7/2026, 7/2/2026, 9/3/2026, 11/5/2026 Registered Nurse D/CF Level I: $62.99 - $76.57 hourly Registered Nurse more
    Sacramento County (10/21/25)
    - Related Jobs
  • Registered Nurse Care Coordinator-…

    Cedars-Sinai (CA)
    …by assessing their needs, coordinating care, communicating with health plans, including concurrent review to determine the appropriateness of services rendered ... Milliman and Interqual guidelines as necessary. + Collaborates with clinical teams and practices to ensure synchronization of sub-areas'...of care and level of care. Use evidence based review guidelines to conduct utilization review as… more
    Cedars-Sinai (01/01/26)
    - Related Jobs
  • Registered Nurse (RN) - Case Manager

    Prime Healthcare (Anaheim, CA)
    …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum...of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
    Prime Healthcare (01/02/26)
    - Related Jobs
  • Registered Nurse (RN) - Case Manager

    Prime Healthcare (Huntington Beach, CA)
    …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum...of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
    Prime Healthcare (12/06/25)
    - Related Jobs