• Case Manager , RN

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/212260/ case - manager %2c- rn ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
    Prime Healthcare (06/24/25)
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  • Case Manager ( RN )…

    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/214914/ case - manager -%28rn%29 … more
    Prime Healthcare (07/15/25)
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  • Enhanced Care Management Clinical Specialist II

    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
    LA Care Health Plan (07/16/25)
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  • Traveling Registered Nurse

    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
    WelbeHealth (07/19/25)
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  • Registered Nurse - Clinical…

    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
    Cedars-Sinai (06/19/25)
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  • Supervisor, Utilization Management…

    LA Care Health Plan (Los Angeles, CA)
    …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Supervisor, Utilization Management RN Job Category: Clinical...The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols,… more
    LA Care Health Plan (07/08/25)
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  • Utilization Management Admissions Liaison…

    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
    LA Care Health Plan (07/12/25)
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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 ... Utilization Management Nurse Specialist RN...California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
    LA Care Health Plan (07/08/25)
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  • LCSW/LMFT - Orange County

    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
    Amergis (05/15/25)
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  • RN Case Manager

    UCLA Health (Los Angeles, CA)
    …staff) + CA RN License and BLS certification + Recent experience in case management, utilization management and discharge planning + Minimum of three years ... safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital care.… more
    UCLA Health (07/15/25)
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  • RN Case Manager - Full Time…

    Emanate Health (West Covina, CA)
    …nurses new to the US healthcare system must satisfactorily complete the Emanate Health RN Residency Program within the first 6 months of employment. Two years recent ... acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal and time management… more
    Emanate Health (07/09/25)
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  • Hospice Oversight Care Manager ( RN

    Molina Healthcare (Long Beach, CA)
    **HOSPICE OVERSIGHT CASE MANAGER ( REGISTERED NURSE )** California residents preferred** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services ... to address concerns. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (05/16/25)
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  • Care Manager RN *Full- time Day

    Providence (Fullerton, CA)
    **Description** **Care Manager RN at Providence St. Jude Medical Center in Fullerton, CA. This position is full-time and will work 8-hour Day shifts.** Care ... + Associate's Degree, Or + Bachelor's Degree. + California Registered Nurse License upon hire. + 3...Wound Care upon hire. + 3 years Experience in utilization management or case management. **Why Join… more
    Providence (07/02/25)
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  • Telephonic Nurse Case Manager

    ICW Group (Woodland Hills, CA)
    …assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate ... Discharge Planning, or Home Health preferred. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational … more
    ICW Group (06/18/25)
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  • RN Care Manager *Full-Time Days

    Providence (Torrance, CA)
    …people, we must empower them. **Required Qualifications:** + Bachelor's Degree. + California Registered Nurse License upon hire. + 2 years experience in ... **Description** ** RN Care Manager in Providence Little...only 1% of US hospitals are four times designated. Case Management is a collaborative practice including patients, caregivers,… more
    Providence (06/04/25)
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  • Care Manager RN - High Risk Care…

    Providence (Hawthorne, CA)
    …**Required qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience in ... through effective resource coordination. The goal of the Care Manager is to advocate for and assist the patient...Wound Care upon hire. + 3 years Experience in utilization management or case management. **Why Join… more
    Providence (07/19/25)
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  • RN Care Coordinator

    Dignity Health (Long Beach, CA)
    …(5) years of nursing experience. + Certified Case Manager (CCM) Accredited Case Manager (ACM- RN ) or UM Certification preferred + Knowledge of managed ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate.… more
    Dignity Health (07/18/25)
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  • RN Care Coordinator

    Dignity Health (Long Beach, CA)
    …years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Knowledge of managed ... with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability… more
    Dignity Health (07/06/25)
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  • RN Care Coordinator

    Dignity Health (Los Angeles, CA)
    …years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Knowledge of managed ... with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability… more
    Dignity Health (06/07/25)
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  • LTSS Service Coordinator- RN Clinician

    Elevance Health (Cerritos, CA)
    case within the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case in accordance with applicable ... **LTSS Service Coordinator - RN Clinician** **Location:** Candidate should reside in California...co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and… more
    Elevance Health (06/28/25)
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