• Case Manager - Utilization

    Prime Healthcare (Anaheim, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218947/ case - manager ... related field or at least one year experience in case management , discharge planning or nursing ...Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM) certification preferred.3. At least… more
    Prime Healthcare (08/08/25)
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  • Case Manager (RN)…

    Prime Healthcare (San Dimas, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229285/ case - manager -%28rn%29 ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
    Prime Healthcare (10/10/25)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: ... current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager more
    LA Care Health Plan (07/16/25)
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  • Utilization Management Admissions…

    LA Care Health Plan (Los Angeles, CA)
    …in an acute hospital setting. Previous experience to have a strong understanding of Utilization Management / Case Management practices including, but not ... Utilization Management Admissions Liaison RN II...unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management more
    LA Care Health Plan (10/03/25)
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  • Nurse Supervisor, Healthcare Services…

    Molina Healthcare (Los Angeles, CA)
    …and unrestricted in the state of California. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified ... professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term services and… more
    Molina Healthcare (09/25/25)
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  • RN Case Manager - Case

    Cedars-Sinai (Marina Del Rey, CA)
    …staff member feels like family. **Req ID** : 12213 **Working Title** : RN Case Manager - Case Management (ED) - Per Diem (12-hour night shifts) - Marina ... You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of...care. + Assumes responsibility for timely completion of required case management reports for regulatory bodies, health… more
    Cedars-Sinai (09/18/25)
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  • Lead Case Manager RN - Inpatient…

    Cedars-Sinai (Beverly Hills, CA)
    …the daily functions of the inpatient case managers. The inpatient case manager conducts case management on patients in the inpatient, and Skilled ... More About What You Will be Doing** The Lead Case Manager will assist in the daily...experience required + 3 years of previous experience in case management , discharge planning, utilization more
    Cedars-Sinai (09/28/25)
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  • Telephonic Nurse Case Manager

    ICW Group (Woodland Hills, CA)
    …evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and ... to ensure quality and appropriate service delivery of the case management process. + Performs initial and...reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial,… more
    ICW Group (09/17/25)
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  • Nurse Case Manager II

    Elevance Health (Los Angeles, CA)
    …evening shifts from 11:30 AM to 8:00 PM (local time) The **Nurse Case Manager II** responsible for care management within the scope of licensure for members ... **Nurse Case Manager II** Location(s): California, Colorado,...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements**… more
    Elevance Health (10/11/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Los Angeles, CA)
    …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**...Management experience is preferred. + Certification as a Case Manager is preferred. + Minimum 2… more
    Elevance Health (08/29/25)
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  • RN Case Manager , Per Diem…

    UCLA Health (Los Angeles, CA)
    …Health Nursing staff) + CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + ... 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 (10/04/25)
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  • Contract Workers Compensation Field Case

    Rising Medical Solutions (Los Angeles, CA)
    …best practices in workers compensation management . We are searching for a case manager with a proven background in workers compensation-someone who is ... the following specialties: industrial rehabilitation nursing, medical case management , occupational health, orthopedics, home health care, utilization more
    Rising Medical Solutions (10/03/25)
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  • RN - Case Manager - Per Diem - Days…

    Emanate Health (Covina, CA)
    …Two years recent acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal ... in quality improvement activities as they relate to the management of patient care. **Job Requirements** **Minimum Education Requirement:**...and time management skills. Ability to work independently as well as… more
    Emanate Health (08/02/25)
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  • RN Manager - Care Management

    Providence (Tarzana, CA)
    …and directing activities of assigned departments/areas of responsibility which include Case Management Department. The position reports to the Assistant ... **Description** RN Manager of our Care Management team... of the patient along the continuum of care, utilization activities, disease management appropriateness, discharge planning,… more
    Providence (09/23/25)
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  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    …of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management , Disease ... Technical Applications Manager II Job Category: Information Technology Department: IT...Altruista, Thrasys) required. Functional knowledge of Utilization Management , Care Management , Clinical Case more
    LA Care Health Plan (09/16/25)
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  • Manager , Healthcare Services (RN)…

    Molina Healthcare (Los Angeles, CA)
    …software program(s) proficiency. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term… more
    Molina Healthcare (09/25/25)
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  • Account Manager /Specialty Account…

    Amgen (Los Angeles, CA)
    …playing a key role in establishing product demand and delivering comprehensive account management within a designated territory. You will serve a central point of ... to support optimal patient care. As a SAM, you will drive product utilization while identifying and addressing the unique needs of each account. This includes… more
    Amgen (10/05/25)
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  • Mental Health Program Manager I/Emergency…

    The County of Los Angeles (Los Angeles, CA)
    MENTAL HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658522) Apply  MENTAL ... HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Salary $122,088.00 - $164,533.20 Annually...practice. + Participates in the development, negotiation, implementation, and management of the budget for the program support service… more
    The County of Los Angeles (10/03/25)
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  • RN Care Manager *Full Time Variable

    Providence (Tarzana, CA)
    …Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of Experience in Case Management (Care Coordination or Utilization Management ) ... of the Transitions in Practice (TIP) program for Care Manager . TIP candidates must have experience in same type...or Healthcare related field. + Upon hire: Certification in Case Management (ACM or CCM). **Why Join… more
    Providence (09/23/25)
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  • Care Manager MSW - Days Per Diem

    Providence (Fullerton, CA)
    …Certification in Case Management (CCM, ACM) + 3 years Experience in utilization management or case management . + Experience with Psychiatric ... **Description** **Care Manager MSW at Providence St. Jude Medical Center,...excellence in surgical and clinical care by Healthgrades. Care Management is a collaborative practice model including the patients,… more
    Providence (10/11/25)
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