• RN - Quality Assurance…

    Emanate Health (Covina, CA)
    …States, and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity ... Requirement :** **Minimum Experience Requirement :** Minimum of three years of utilization management experience. Experience in quality - related job preferred.… more
    Emanate Health (09/06/25)
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  • Utilization Management Admissions Liaison…

    LA Care Health Plan (Los Angeles, CA)
    …verbal and written communication skills. Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or ... Utilization Management Admissions Liaison RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (10/03/25)
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  • Registered Nurse II - Hematology…

    Ventura County (Ventura, CA)
    Registered Nurse II - Hematology Oncology...care as indicated and required. + May participate in quality assurance / utilization review or other ... (Regular & Per Diem) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5011691) Apply  Registered Nurse II - Hematology Oncology (Regular &… more
    Ventura County (08/18/25)
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  • Medical Surgical and Telemetry Registered…

    Ventura County (Ventura, CA)
    …attends department in-services and staff development programs; + May participate in quality assurance / utilization review or other non-direct patient care ... Medical Surgical and Telemetry Registered Nurse II - Float Pool -Regular and Per Diem Print… more
    Ventura County (09/14/25)
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  • Registered Nurse II - Medical…

    Ventura County (Ventura, CA)
    …attends department in-services and staff development programs; + May participate in quality assurance / utilization review or other non-direct patient care ... Registered Nurse II - Medical Surgical and Detox Department (Regular & Per Diem) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4920936)… more
    Ventura County (08/13/25)
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  • Per Diem Registered Nurse III…

    Ventura County (Ventura, CA)
    …assistance and patient care as indicated and required. + May participate in quality assurance / utilization review or other non-direct patient care nursing ... Per Diem Registered Nurse III - Emergency Services...Per Diem Registered Nurse III - Emergency Services - Santa Paula...Nurse will be responsible for providing rapid and high- quality nursing care to patients and to the community… more
    Ventura County (10/04/25)
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  • Registered Nurse II…

    Ventura County (Ventura, CA)
    …assistance and patient care as indicated and required. + May participate in quality assurance / utilization review or other non-direct patient care nursing ... Registered Nurse II - ICU/DOU/Telemetry (Regular & Per Diem) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4887199) Apply  Registered … more
    Ventura County (09/12/25)
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  • Registered Nurse II - Pre-op/PACU

    Ventura County (Ventura, CA)
    …attends department in-services and staff development programs; + May participate in quality assurance / utilization review or other non-direct patient care ... Registered Nurse II - Pre-op/PACU Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5088990) Apply  Registered Nurse II - Pre-op/PACU… more
    Ventura County (09/24/25)
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  • RN Case Manager

    Amergis (Apple Valley, CA)
    …entitlements, resources, information, and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed ... Salary: $2750 / Week The RN Case Manager is responsible for coordinating continuum...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… more
    Amergis (10/28/25)
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  • Director, Utilization Management

    Centene Corporation (Sacramento, CA)
    …Expert knowledge of industry regulations, policies, and standards preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or ... and procedures to ensure compliance with corporate, state, and National Committee for Quality Assurance (NCQA) standards + Reviews, analyzes, and reports on … more
    Centene Corporation (10/30/25)
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