• Children's Hospital Los Angeles (Los Angeles, CA)
    …Master's degree in Nursing, Health Care Administration, or related field preferred. Current Registered Nurse licensure in the State of California and AHA CPR/BLS ... rewarding. **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning for… more
    DirectEmployers Association (10/17/25)
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  • RN Case Manager

    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
    Prime Healthcare (10/16/25)
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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 (10/14/25)
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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 (09/18/25)
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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 (10/18/25)
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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 (10/14/25)
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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 (10/03/25)
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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 (08/14/25)
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  • RN Case Manager - General…

    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 (10/15/25)
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  • RN - Case Manager - Per Diem…

    Emanate Health (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 (08/02/25)
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  • Care Manager RN - Days Full-Time

    Providence (Torrance, CA)
    …best people, we must empower them. **Required Qualifications:** + Bachelor's Degree. + California Registered Nurse License upon hire. + 2 years - Experience in ... **Description** Case Management is a collaborative practice including patients,...in Practice (TIP) program for Care Managers. + California Registered Nurse License upon hire. **Preferred Qualifications:**… more
    Providence (09/13/25)
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  • Intensive Case Management - Oncology…

    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
    UCLA Health (10/15/25)
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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 ... **Job Summary and 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 (10/01/25)
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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 ... **Job Summary and 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 (09/22/25)
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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 (10/18/25)
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  • Telephonic Nurse Case Manager

    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
    Elevance Health (08/29/25)
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  • Mental Health Program Manager I/Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …mental health team. Option III : A valid, current license to practice as a registered nurse issued by the appropriate State of California licensing agency -AND- ... identified needs. + Yes, I have a valid, current license to practice as a registered nurse issued by the appropriate State of California licensing agency - AND… more
    The County of Los Angeles (10/20/25)
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  • Nurse Case Mgr Sr (CA)-1

    Elevance Health (Costa Mesa, CA)
    **Telephonic Nurse Case Manager Sr** **Sign on Bonus: $5000.** **Location: Virtual: This role enables associates to work virtually full-time, with the ... service members in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Sr** . is responsible for care… more
    Elevance Health (10/18/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Los Angeles, CA)
    …IT platforms. + Outstanding organizational skills. + Prior experience in case management and utilization management, particularly with complex psychiatric ... **Behavioral Health Care Manager II** Responsible for managing psychiatric and substance...emphasis on Outpatient Providers. + Performs timely Behavioral Health utilization reviews. + Work with multidisciplinary teams to facilitate… more
    Elevance Health (10/16/25)
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  • Behavioral Health Care Manager I

    Elevance Health (Cerritos, CA)
    …analytics to improve the delivery of care. **Title:** Behavioral Health Care Manager I **Locations:** CA - Cerritos, Walnut Creek, Woodland Hills **Virtual:** This ... an accommodation is granted as required by law. The **Behavioral Health Care Manager I** is responsible for managing psychiatric and substance abuse or substance… more
    Elevance Health (10/04/25)
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