• ERP International (Vandenberg AFB, CA)
    **Overview** ERP International is seeking a full-time **Registered Nurse (RN) Utilization Management ** for a temporary contract position in support of ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
    DirectEmployers Association (09/13/25)
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  • Battelle Memorial Institute (Oceanside, CA)
    …as a case manager by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center + At least two ... Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support of our government customer,… more
    DirectEmployers Association (11/05/25)
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  • Alameda Health System (Oakland, CA)
    Clinical Nurse V + Oakland, CA + Highland General Hospital...MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + FTE:1 + ... nursing unit for which responsible. Promotes effective and economic utilization of personnel and supplies. Monitors utilization ...Three years full time continuous experience as a Clinical Nurse III with AHS. (2) Two years of full-time… more
    DirectEmployers Association (09/22/25)
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  • Alameda Health System (Oakland, CA)
    Clinical Nurse IV + Oakland, CA + Highland General Hospital + Emergency + Full Time - Night + Management + TBD + Req #:43134-32050 + FTE:1 + Posted:November 4, ... the organizational structure of a unit which promotes effective and economic utilization of personnel and supplies; assures availability and operability of supplies… more
    DirectEmployers Association (10/18/25)
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  • Children's Hospital Los Angeles (Los Angeles, CA)
    …years nursing experience with advanced level pediatric clinical experience and utilization management and/or discharge planning experience. Thorough knowledge of ... **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning for patients...managed care, utilization management , discharges planning, and continuous quality… more
    DirectEmployers Association (10/17/25)
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  • ERP International (Camp Pendleton, CA)
    **Overview** ERP International, LLC is seeking a **Licensed Vocational / Practical Nurse ** for a full-time position supporting the **Branch Health Clinics** at ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
    DirectEmployers Association (11/05/25)
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  • ERP International (San Diego, CA)
    **Overview** ERP International is seeking a full-time **Registered Nurse (RN) Health Educator** supporting **Naval Medical Center San Diego, CA ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
    DirectEmployers Association (10/18/25)
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  • Rady Children's Hospital San Diego (San Diego, CA)
    …30th 2027** We are seeking a highly organized and motivated registered nurse to help support the implementation and coordination of diabetes antibody screening ... to patients, in-clinic medication administration and procedures, and the utilization of standing orders for prescription refills and diagnostic/laboratory testing.… more
    DirectEmployers Association (11/02/25)
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  • Stanford Health Care (Palo Alto, CA)
    …include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness ... of services as well as appropriate utilization of services; and ensuring optimum use of resources,...delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure… more
    DirectEmployers Association (11/11/25)
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  • Stanford Health Care (Palo Alto, CA)
    …include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness ... of services as well as appropriate utilization of services; and ensuring optimum use of resources,...delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure… more
    DirectEmployers Association (11/11/25)
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  • Stanford Health Care (Palo Alto, CA)
    …States of America) The Lead Advanced Practice Provider provides supervision and management of advanced practice providers (APPs) in a distinct clincial service line. ... development of their APPs. The Lead APP also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse more
    DirectEmployers Association (11/13/25)
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  • Stanford Health Care (Palo Alto, CA)
    …is a Stanford Health Care job.** **A Brief Overview** Provides supervision and management of advanced practice providers (APPs) in a distinct clinical service line. ... development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS),...of the service line Medical Director and unit nursing management team. + Conduct regularly scheduled meetings with the… more
    DirectEmployers Association (11/04/25)
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  • Stanford Health Care (Palo Alto, CA)
    …in clinical research, research, ICU, other intensive care setting, pediatrics, case management or nurse navigation preferred + Human subjects' protection and ... with minimal directions. + Understand and respond to multiple personalities and work/ management styles. + Resource management / utilization knowledge in… more
    DirectEmployers Association (10/24/25)
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  • Alameda Health System (Oakland, CA)
    …+ Highland General Hospital + FQ MCH/OB Clinic (K6) + Full Time - Day + Management + $85.55 - $142.40/ Hour + Req #:42908-31868 + FTE:1 + Posted:October 15, 2025 ... of the designated service line including business development, personnel management , fiscal management , strategic planning, physician recruitment plan,… more
    DirectEmployers Association (10/16/25)
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  • Utilization Management Nurse

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (11/13/25)
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  • Utilization Management Nurse

    Humana (Sacramento, CA)
    …Work hours will be an 8.5-hour shift between 7:00am - 5:00pm CST. The Utilization Management Nurse 2 uses knowledge, communication, and independent critical ... Qualifications** + Associate's Degree or higher + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary...a team **Preferred Qualifications** + BSN + Knowledge of Utilization Management + Previous Medicare and Medicaid… more
    Humana (11/12/25)
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  • Utilization Management Appeals…

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (11/12/25)
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  • Utilization Management Nurse

    CenterWell (Sacramento, CA)
    …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
    CenterWell (11/13/25)
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  • Clinical UM Nurse

    CenterWell (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...volume and fast paced environment + Previous experience in utilization management + Education: BSN or bachelor's… more
    CenterWell (11/12/25)
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  • Senior Registered Nurse - Hospital…

    Ventura County (Ventura, CA)
    Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply  Senior ... Registered Nurse - Hospital Management Utilization Salary $118,668.43 - $141,888.74 Annually Location Ventura and Santa Paula, CA Job Type Full-Time Regular… more
    Ventura County (09/21/25)
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