• Utilization / Case Manager

    Mountains Community Hospital (Lake Arrowhead, CA)
    Full Time - Exempt position SUMMARY The Case Manager is responsible for utilization management and case management of patient admissions at MCH by ... working knowledge of state and federal regulations. EDUCATION/EXPERIENCE Current California Registered Nurse License Five years nursing experience required… more
    Mountains Community Hospital (03/27/24)
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  • Lead Case Manager ( RN )…

    Prime Healthcare (Chino, CA)
    …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/160166/lead- case - manager -%28rn%29 utilization ... Case Management is responsible for providing supervision to the case managers, social workers, coordinators/discharge planners, utilization review… more
    Prime Healthcare (04/26/24)
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  • Case Manager ( RN )…

    Prime Healthcare (Montclair, 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 ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/153574/ case - manager -%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair… more
    Prime Healthcare (04/05/24)
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  • Case Manager ( RN ) Riverside…

    Molina Healthcare (San Bernardino, CA)
    ** CASE MANAGER REGISTERED NURSE for our...Management or Disease Management (not utilization management).** ** Case Manager RN will work in ... This role will allow you to work as a case manager to ensure our members have...health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (05/04/24)
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  • Clinical Document Specialist Case

    Dignity Health (San Bernardino, CA)
    …agency requirements specific to Utilization Review and Discharge Planning. The Case Manager partners with the medical staff, utilizes scientific evidence for ... and excellence). Primary elements of the case manager role include: Care Coordination, Utilization Review...as a substitute for the experience requirement. 2. Current ** Registered Nurse ( RN ) License** to… more
    Dignity Health (04/24/24)
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  • RN Case Manager

    Actalent (Riverside, CA)
    …of recent (in the last 1-3 years) Case Management experience for Riverside. Registered Nurse - RN Experience Level: Entry Level About Actalent Actalent ... management *Certificates required: RN license The RN Case Manager Assistant is...complies with the scope of services defined by the Registered Nurse RN state licensure… more
    Actalent (04/26/24)
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  • Registered Nurse ( Nurse

    Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
    …>House supervisor experience >Charge Nurse Experience > 2 years > Utilization Management experience (1-2 years) > Case Management/Discharge planning experience ... by other staff. 3.6. Ensures the physician and/or the nurse manager / immediate supervisor/coordinator are notified of...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (05/04/24)
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  • Kaiser Rn Case Manager

    Actalent (Riverside, CA)
    …care,discharge planning Additional Skills & Qualifications: 1 full year of acute case management experience needed recently RN license required BLS from ... Must come from a hospital setting. Home health, hospice or health plan case management will not be considered Inpatient: 8:30-5PM M-F, rotating weekends (could be… more
    Actalent (04/23/24)
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  • Case Manager ( RN /LIC) - Per…

    Universal Health Services (Wildomar, CA)
    …experience. Two (2) years' experience clinical Case Management or Utilization Review preferred Completion of an accredited Registered Nursing program. ... REQUIRED LICENSURE / CERTIFICATIONS Current California Registered Nurse license CCM and/or CPUR certification preferred more
    Universal Health Services (03/29/24)
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  • Care Manager RN - *Per Diem/Days

    Providence (Mission Viejo, CA)
    **Description** Care Manager RN is a Per Diem...Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 ... or Wound Care upon hire. + 3 years Experience in utilization management or case management. + Managed care experience. **Why Join Providence?** Our best-in-class… more
    Providence (04/04/24)
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  • Case Manager (MSW)

    Universal Health Services (Chino, CA)
    Responsibilities Canyon Ridge Hospital is currently seeking a compassionate and talented Case Manager (MSW) to join our team. At Canyon Ridge Hospital we ... UHS and its subsidiaries Qualifications + Minimum Master's degree in Social Work.or Registered Nurse with current California license + 2 years of experience… more
    Universal Health Services (04/18/24)
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  • Coordinator - Case Management

    HCA Healthcare (Riverside, CA)
    …care and appropriate resource utilization **What qualifications you will need:** + Registered Nurse ( RN ) with current California license required, ... what makes us great and apply today! + The RN Case Manager facilitates the...Case Management Certification or utilization review preferred + Associate's Degree minimum required +… more
    HCA Healthcare (03/23/24)
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  • Care Manager RN - Care Management…

    Providence (Brea, CA)
    …**Required Qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years of Clinical experience ... Wound Care upon hire. + 3 years of experience in utilization management or case management. **Why Join Providence?** Our best-in-class benefits are uniquely… more
    Providence (04/17/24)
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  • Behavioral Health Care Manager II

    Elevance Health (Woodland Hills, CA)
    …states or territory of the United States required. + Previous experience in case management/ utilization management with a broad range of experience with complex ... **Sign-on Bonus:** $3,000 The **Behavioral Care Manager ** **II** is responsible for completing clinical assessments,...and contract. + Outreaches to providers as necessary for Utilization Management functions. + Collaborating with other BH Care… more
    Elevance Health (05/03/24)
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