• Supervisor , Utilization

    LA Care Health Plan (Los Angeles, CA)
    Supervisor , Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (04/11/25)
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  • RN Supervisor UM Prior Auth

    Dignity Health (Rancho Cordova, CA)
    …Summary:** Under the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable ... Guidelines InterQual Health Plan Benefit Interpretation Guidelines and Medical Management Policies and DHMF Utilization Management...accredited school of nursing. - Clear and current CA Registered Nurse ( RN ) license. **Preferred… more
    Dignity Health (04/17/25)
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  • Registered Nurse RN Surgery…

    Fresenius Medical Center (Bellflower, CA)
    …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... FT RN role in our outpatient surgery center The...adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other… more
    Fresenius Medical Center (04/26/25)
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  • Senior Registered Nurse - QAPI

    Ventura County (Ventura, CA)
    Senior Registered Nurse - QAPI Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4925952) Apply  Senior Registered Nurse - QAPI Salary ... with healthcare standards and regulations. Distinguishing Characteristics: The Senior Registered Nurse -Hospital is distinguished from other staff...Supervisor Pay - $4.00 per hour + Charge Nurse Premium Pay - $2.50 per hour + Float… more
    Ventura County (05/08/25)
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  • Case Manager, Registered Nurse

    CVS Health (Sacramento, CA)
    …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... is URAC accredited in Case Management , Disease Management and Utilization Management . AHH...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
    CVS Health (05/09/25)
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  • Case Manager, registered Nurse

    CVS Health (Sacramento, CA)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (04/30/25)
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  • Manager, Care Coordination ( RN )…

    Stanford Health Care (Palo Alto, CA)
    …to create an effective plan to address them. **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State ... RN - 3+ years of experience in case management / utilization review Why work at Stanford Medicine...on a rotating basis with other managers when on-call Supervisor is unavailable. + Develops and oversees relationships and… more
    Stanford Health Care (02/22/25)
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  • RN Supervisor , Case…

    Cedars-Sinai (Beverly Hills, CA)
    …environment that fuels innovation. **A Little More About What You Will be Doing** The RN Supervisor Case Management will assist in the daily operations of ... Red Cross required. + Certified Case Manager (CCM) for Registered Nurse preferred. **Experience:** + Two (2)...care preferred. **Req ID** : 8879 **Working Title** : RN Supervisor , Case Management -… more
    Cedars-Sinai (04/25/25)
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  • Administrative Liaison RN (House…

    Sharp HealthCare (San Diego, CA)
    …Association; ACLS Certification (Advanced Cardiac Life Support) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... Per Diem **What You Will Do** To provide effective management of operations for the hospital and administration during...Qualifications** + 3 Years recent clinical experience. + California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (05/04/25)
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  • RN Oncology Supervisor - Ventana…

    Cedars-Sinai (Tarzana, CA)
    …assigned unit. + Responsible for administrative support activities involving facilities management , pharmacy, utilization management , quality management ... **What will you be doing in this role?** The Supervisor , Clinical Operations Oncology RN is responsible...expected to manage the overall unit, is for budget management , scheduling, payroll, overall safety of the unit, policies/procedures… more
    Cedars-Sinai (05/04/25)
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  • Manager, Care Coordination ( RN

    Stanford Health Care (Palo Alto, CA)
    …knowledge to create an effective plan to address them. **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact State ... on a rotating basis with other managers when on-call Supervisor is unavailable. + Develops and oversees relationships and...+ Knowledge of principles and best practices of case management , utilization review, social work, care coordination… more
    Stanford Health Care (04/16/25)
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  • Clinical Educator RN Continuing Care

    Dignity Health (Rancho Cordova, CA)
    …home.** **Position Summary:** Under the direction of the Director for Continuing Care, the Registered Nurse ( RN ) is responsible for planning and conducting ... training and assessments for orientation of new staff in Utilization Management (UM)/Continuing Care (CC). Additionally, conducts,...Nursing (BSN) or equivalent experience required. - Valid California Registered Nurse ( RN ) License is… more
    Dignity Health (04/26/25)
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  • RN Case Manager, Home Health

    Sutter Health (San Mateo, CA)
    …+ Other: Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... Mateo County: Burlingame, San Carlos and surrounding. An experienced RN who is responsible for the overall management...the established plan of patient care and ensuring effective management of visit utilization and control of… more
    Sutter Health (05/06/25)
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  • RN , Case Manager, Home Health

    Sutter Health (Santa Rosa, CA)
    …**EDUCATION:** Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California BLS-Basic Life Support Healthcare ... at Home - Outer Bay **Position Overview:** An experienced RN who is responsible for the overall management...the established plan of patient care and ensuring effective management of visit utilization and control of… more
    Sutter Health (03/28/25)
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  • Supervisor Nursing - Women's Surgery…

    Sharp HealthCare (San Diego, CA)
    …Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... supervisory experience in the defined clinical area. + California Registered Nurse ( RN ) - CA...knowledge and ability to report any progress concerns to supervisor , nurse manager and clinical nurse more
    Sharp HealthCare (04/13/25)
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  • Nursing Supervisor - Rapid Response Team…

    Sharp HealthCare (San Diego, CA)
    …**Job Status** Regular **Shift** Variable **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered ... deemed necessary for related field. + 2 Years Recent pertinent clinical experience + California Registered Nurse ( RN ) - CA Board of Registered Nursing… more
    Sharp HealthCare (05/01/25)
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  • Supervisor , Home Health Nursing

    Sutter Health (Auburn, CA)
    …: **EDUCATION:** Graduate from an accreditation nursing program. **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California BLS-Basic Life Support ... relations; continuing education for skilled and non-skilled staff, budget development and utilization management . Maintains clear communication to foster a team… more
    Sutter Health (05/07/25)
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  • Mental Health Program Manager II / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …practice as a clinical social worker, marriage and family therapist, psychologist, or registered nurse issued by the appropriate State of California licensing ... clinical social worker, marriage and family therapist, psychologist, or registered nurse issued by the appropriate State...a multi-disciplinary team at the level of Mental Health Supervisor , Senior Mental Health Counselor, RN , or… more
    The County of Los Angeles (05/06/25)
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  • Clinical Nurse IV, Assistant Nurse

    Alameda Health System (San Leandro, CA)
    …of the required experience.) Required License/Certifications:CCRN - Critical Care Registered Nurse is desirable. Required Licenses/Certifications:ACLS - Advanced ... Services As Needed / Per Diem - Varies + Management + $76.03 - $106.89/HR + Req #:42086-31199 +...Emergency department). Required Licenses/Certifications:Valid license to practice as a Registered Nurse in the State of California… more
    Alameda Health System (05/08/25)
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  • Mental Health Program Manager I/Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …mental health team. Option III : A valid, current license to practice as a registered nurse issued by the appropriate State of California licensing agency -AND- ... practice. + Participates in the development, negotiation, implementation, and management of the budget for the program support service...have a valid, current license to practice as a registered nurse issued by the appropriate State… more
    The County of Los Angeles (05/06/25)
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