- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- …Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services ... Date 09/08/2025 End Date 12/08/2025 Duration 13 Week(s) Job Description About the Position Specialty: RN Case Manager Experience: 1+ year of recent case … more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …Center - San Pedro Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531206 Job Title Registered Nurse - Case ... End Date 12/08/2025 Duration 13 Week(s) Job Description Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration:… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228577/ rn - case - manager ... 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
- Providence (Fullerton, CA)
- …**Preferred Qualifications:** + Master's Degree in Nursing. + 5 years in experience as a utilization / case manager in an acute care setting. + Experience in a ... **Description** **Clinical Program Manager RN at Providence St. Jude...Bachelor's Degree in Nursing. Or + Upon hire: California Registered Nurse License + 3 years of… more
- Providence (Orange, CA)
- …Degree Nursing. + Bachelor's Degree Nursing. + Upon hire: California Registered Nurse License. + 3 years Experience in Utilization Management. + Experience ... **Description** **Clinical Program RN at Providence St. Joseph Hospital Orange in...Master's Degree Nursing. + 5 years Experience as a utilization / case manager in an acute… more
- 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
- 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
- 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
- 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 (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
- Cedars-Sinai (Marina Del Rey, CA)
- …has named us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for identified...like family. **Req ID** : 12213 **Working Title** : RN Case Manager - … more
- Elevance Health (Costa Mesa, CA)
- RN Utilization Management Nurse (NICU / Peds) - California (JR169694) **Virtual:** This role enables associates to work virtually full-time, with the ... shift within 8am - 6pm PST. Rotating Weekends and holidays. The **Medical Management Nurse ** is responsible for review of the most complex or challenging cases that… more
- Dignity Health (Long Beach, CA)
- …years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification **Where You'll Work** CommonSpirit ... field in lieu of 1 year experience. + California RN license. + AHA BLS + Ability to pass...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate.… more
- Cedars-Sinai (Beverly Hills, CA)
- …acute inpatient or outpatient settings preferred **Req ID** : 12522 **Working Title** : Lead Case Manager RN - Inpatient Specialty Program - 8-Hour Days ... are transitioning to the Skilled Nursing Facilities, refer to nurse practitioner and case manager ...Valid CA RN license required + Certified Case Manager certification preferred **Experience:** + 3… more
- 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
- Providence (Santa Monica, CA)
- …Nursing, but obtaining the degree will not be a condition of employment. + California Registered Nurse License upon hire. + 2 years - Experience in Healthcare ... Providence is calling for applications for our **November 2025 RN Care Manager Fellowship at** **Providence Saint...Ambulatory, Post-Acute, etc.) + 2 years - Experience in Case Management (Care Coordination or Utilization Management)… more
- Providence (Anaheim, CA)
- …**Required qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience in ... or Wound Care upon hire. + 3 years Experience in utilization management or case management. **Why Join Providence?** Our best-in-class benefits are uniquely… more
- UCLA Health (Los Angeles, CA)
- …and coordinator discharge planning. Under the direction of the Assistant Director, the ICM Nurse Case Manager - Oncology performs complex care coordination ... for high-risk MA cancer patients. The Nurse Case Manager uses the...aims to foster continuity of care and reduce unnecessary utilization of healthcare services by coordinating and providing health… more
- Cedars-Sinai (Beverly Hills, CA)
- …appropriate. + For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for ... Little More About What You Will be Doing** The RN Care Coordinator is responsible for the case...with appropriate health care providers. + Refers to Ambulatory Case Manager patients identified that will need… more
- Elevance Health (Costa Mesa, CA)
- **Telephonic Nurse Case Manager II** **Sign on Bonus: $2000.** **Location: Virtual: This role enables associates to work virtually full-time, with the ... members in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management… more