- John Muir Health (Walnut Creek, CA)
- …back to the community and does this in coordination with the interdisciplinary health team.The RN Case Manager is expected to function within the full scope ... of appropriate utilization of resources. The inpatient case manager applies the process of assessment,...Case Management Preferred or Equivalent Work Experience Certifications/Licensures: RN Registered Nursing - California Board of… more
- Prime Healthcare (San Dimas, CA)
- …of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229285/ case - manager -%28rn%29 … more
- Sutter Health (San Francisco, CA)
- …management or related field. **CERTIFICATION & LICENSURE** + RN - Registered Nurse of California (required) + CCM-Certified Case Manager (preferred) ... Sutter Health! **Organization:** CPMC-California Pacific Med Center Van Ness **Position Overview:** The RN Case Manager is responsible for Care Coordination,… more
- Molina Healthcare (Los Angeles, CA)
- …and experience. * At least 1 year of health care management leadership experience. * Registered Nurse ( RN ). License must be active and unrestricted in state ... Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Health Care… more
- CVS Health (CA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management....reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year… more
- Sutter Health (Burlingame, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... : **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire CCM certification… more
- VNA Health (Santa Ynez, CA)
- …Compensation: $56 - 58/hr Job Description: VNA Health is looking for compassionate Registered Nurse Case Managers ( RN CM) to join our Home Health care ... of every patient on his/her caseload to include: appropriate utilization of services; ensuring continued skilled need; monitoring of...audio acuity. Apply today to be considered for our RN Case Manager role or… more
- Actalent (Santa Barbara, CA)
- …+ Very collaborative, supportive and helpful team + Fully remote!! REQUIREMENTS: + California Registered Nurse ( RN ) and/or Nurse Practitioner (NP) ... Remote Utilization Management RN Leading healthcare facility...unit, such as Mental/Behavioral Health services. Skills: Care plans, Case Manager , Pediatrics, Utilization Management,… more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case ...Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements… more
- Sutter Health (Roseville, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... school of nursing + Bachelor's in Nursing preferred. **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** +… more
- Sutter Health (Roseville, CA)
- …school of nursing + Bachelor's in Nursing preferred. **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** + ... SMCS-Valley Administration **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted criteria for… more
- Cedars-Sinai (Los Angeles, CA)
- …care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician ... of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required...for Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist -… more
- WelbeHealth (Los Angeles, CA)
- …(IDT). The Travel RN Specialist covers any nursing roles (eg, RN Case Manager , RN Clinic Nurse ) as needed in multiple markets. The Travel RN ... vulnerable seniors with better quality and compassion in a value-based model, and the Travel Registered Nurse ( RN ) Specialist directly guides this care as a… more
- 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 ... Utilization Management Admissions Liaison RN II...California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case … more
- Amergis (Orange, CA)
- … Case Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and ... Qualifications: + Current California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of clinical experience required;… more
- HCA Healthcare (Thousand Oaks, CA)
- …our RN Case Manager opportunity. **Job Summary and Qualifications** The Registered Nurse ( RN ) Case Manager is responsible for promoting ... from any other healthcare provider. We are seeking an RN Case Manager to join...Diploma required. BSN preferred. + Currently licensed as a Registered Nurse in the state of California… more
- Sharp HealthCare (La Mesa, CA)
- … Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing **Hours** **:** ... experience or case management experience. + California Registered Nurse ( RN ) - CA...**Preferred Qualifications** + Bachelor's Degree in Nursing + Certified Case Manager (CCM) - Commission for … more
- Cedars-Sinai (CA)
- …has named us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for identified...like family. **Req ID** : 10481 **Working Title** : RN Case Manager - … more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN +...Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. ... + Req #:42605-31625 + FTE:0.7 + Posted:August 6, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case … more
- Sutter Health (San Francisco, CA)
- …an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + CCM - Certified Case Manager (certification may ... Med Center - Mission Bernal **Position Overview:** Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and… more
