• Blue Shield of California (Long Beach, CA)
    Job Description Work Schedule M-Th 10:30-7:00 F 9:30-6:00 Your Role The Behavioral Health Registered Nurse Case Manager will report to the FEP Department ... needs. The Federal Employee Program (FEP) team performs integrated case management ( CM ) and disease management (DM)...and Experience Requires a current CA RN License Certified Case Manager (CCM) Certification or is in… more
    Upward (07/14/25)
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  • Contract Workers Compensation Field Case

    Rising Medical Solutions (Los Angeles, CA)
    Join Our Team as an Experienced Workers Compensation Case Manager Advance Your Career with Rising Medical Solutions Are you an experienced workers' compensation ... nurse case manager eager to bring your expertise...assurance + Familiarity with regional physicians + CCM, and COHN-S/ CM are optional but highly valued + Ability to… more
    Rising Medical Solutions (07/04/25)
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  • RN Care Manager *Full Time

    Providence (Tarzana, CA)
    **Description** RN Care Manager with our Care Management Team at Providence Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This is a full-time position that ... clinical excellence and unwavering commitment to patient care and safety. Case Management is a collaborative practice including patients, caregivers, nurses, social… more
    Providence (07/12/25)
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  • Nurse Manager Care Coordination

    Dignity Health (Los Angeles, CA)
    …required. + Minimum of three (3) years experience in Care Coordination or Case Management required. **Required Licensure:** + Current Registered Nurse (RN) ... **Responsibilities** **Position Summary:** As our Nurse Manager of Care Coordination at California Hospital Medical Center, you'll report to our Director of Care… more
    Dignity Health (06/27/25)
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  • Utilization Management Nurse Specialist RN II

    LA Care Health Plan (Los Angeles, CA)
    …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews...Services(CMS) requirements for health plan compliance with UM or CM . Licenses/Certifications Required Registered Nurse (RN) -… more
    LA Care Health Plan (07/08/25)
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  • Utilization Management Admissions Liaison RN II

    LA Care Health Plan (Los Angeles, CA)
    …- Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management Association ... facility, outpatient needs (home health, physical therapy, infusion), and case management referrals (5%) Performs prospective, concurrent, post-service, and… more
    LA Care Health Plan (07/12/25)
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  • Supervisor, Utilization Management RN

    LA Care Health Plan (Los Angeles, CA)
    …day-to-day operations of the UM department, and monitoring the Care Management ( CM ) staff's responsibilities and activities. This includes, but not limited to, ... The Supervisor is a subject matter expert (SME) in Care/ Case /Utilization Management and supporting regulations, policies, protocols, and procedures. This… more
    LA Care Health Plan (07/08/25)
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  • Enhanced Care Management Clinical Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light ... Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range… more
    LA Care Health Plan (07/16/25)
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