- CVS Health (Sacramento, CA)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in PST zones **Education**… more
- CVS Health (Sacramento, CA)
- …experience working within the mental health system. + Previous experience with utilization management . + Ability to collaborate with various internal ... clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for...external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Responsible… more
- University of Southern California (Los Angeles, CA)
- …patient populations. The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and ... needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in...+ Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within the… more
- Dignity Health (Bakersfield, CA)
- …act as an expert clinical and education resource; staff and leadership development consultant ; and Utilization Management content expert for staff, leaders, ... physicians and customers across the ePH Utilization Management . This position will assist with...Nursing, Social Work or equivalent experience - Active Registered Nurse (RN) or Social Worker (SW) license in good… more
- University of Southern California (Alhambra, CA)
- …of specific patient populations. The role integrates the functions of complex case management , utilization management , quality management , discharge ... status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning...years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the… more
- Stanford Health Care (Palo Alto, CA)
- …transfers into or outside the system, and discharges while maximizing resource utilization and patient safety. The Patient Flow Nurse collaborates with ... Health Care job.** **A Brief Overview** The Patient Flow Nurse plays a vital role in optimizing the movement...not responsible for care coordination as delineated in case management 's role, such as discharging patients to skilled nursing… more
- Dignity Health (Camarillo, CA)
- …Wound and Ostomy care. + Demonstrates effective problem-solving techniques including conflict management skills. + Knowledge and utilization of CQI and ... preferred. **Special Skills:** + Demonstrates effective problem-solving techniques including conflict management skills. + Knowledge and utilization of CQI and… more
- Deloitte (Los Angeles, CA)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... for this role ends on Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare Practice, you will have the opportunity to… more
- Sharp HealthCare (San Diego, CA)
- …and Family Therapist (LMFT) - CA Board of Behavioral Sciences; California Registered Nurse (RN) - CA Board of Registered Nursing **Hours** **:** **Shift Start ... care practitioners involved in Admission & Triage, Discharge planning, and case management of chemical dependency patients. + AHA Basic Life Support for Healthcare… more