• Utilization Review Nurse

    Dignity Health (Carmichael, CA)
    **Responsibilities** **Day Per Diem Utilization Review Registered Nurse - Onsite Campus Position** The ** Utilization Review RN** is responsible ... + Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is warranted based on… more
    Dignity Health (07/25/25)
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  • Per Diem Registered Nurse II/III…

    Ventura County (Ventura, CA)
    Per Diem Registered Nurse II/III - Utilization Management VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply  Per Diem ... Registered Nurse II/III - Utilization ...Registered Nurse II/III - Utilization Management VCMC Salary...as needed to assist with patient care coordination and utilization review . The incumbent will be responsible… more
    Ventura County (07/28/25)
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  • Utilization Review Nurse…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I Print...-OR- OPTION II: Two (2) years of experience as a registered nurse , of which one year must be ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply  UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 -...+ A current, active license to practice as a Registered Nurse issued by the California Board… more
    The County of Los Angeles (05/22/25)
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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 (06/28/25)
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  • Utilization Management Nurse…

    LA Care Health Plan (Los Angeles, CA)
    …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California ... Utilization Management Nurse Specialist RN II...inpatient setting. Performs telephonic and/or onsite admission and concurrent review , and collaborates with onsite staff, physicians, providers, member/family… more
    LA Care Health Plan (07/08/25)
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  • Utilization Management Nurse…

    CVS Health (Sacramento, CA)
    …demonstrated ability to make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted license in their state ... UM ( utilization management) experience within an **outpatient** setting, concurrent review or prior authorization. + 5 years of a variety clinical experience… more
    CVS Health (07/30/25)
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  • System Utilization Management SUM…

    Alameda Health System (Oakland, CA)
    System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Evening + ... FTE:1 + Posted:July 14, 2025 **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review ...IRR) Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California… more
    Alameda Health System (07/29/25)
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  • Utilization Review RN

    Prime Healthcare (Ontario, CA)
    …Post Graduate of an accredited school of nursing and a current state Registered Nurse license. + Minimum 3 years RN Utilization Manager working for a Health ... Plan. + At least 3 years of experience in utilization review , referrals, authorizations, denials and appeals. + Current BCLS (AHA) certificate upon hire and… more
    Prime Healthcare (07/29/25)
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  • Registered Nurse II - Medical…

    Ventura County (Ventura, CA)
    Registered Nurse II - Medical Surgical and Detox Department (Regular & Per Diem) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4920936) ... Apply  Registered Nurse II - Medical Surgical and...and staff development programs; + May participate in quality assurance/ utilization review or other non-direct patient care… more
    Ventura County (05/15/25)
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  • Registered Nurse II - Emergency…

    Ventura County (Ventura, CA)
    Registered Nurse II - Emergency Department (Regular & Per Diem) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4797831) Apply  ... Registered Nurse II - Emergency Department (Regular...as indicated and required. + May participate in quality assurance/ utilization review or other non-direct patient care… more
    Ventura County (07/24/25)
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