• 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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  • RN Clinical Program Manager Full-…

    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
    Providence (11/20/25)
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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 (11/05/25)
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  • RN Case Manager - Value Based…

    University of Southern California (Alhambra, CA)
    …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an… more
    University of Southern California (11/19/25)
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  • RN Case Manager - Care…

    University of Southern California (Arcadia, CA)
    …and maintain BLS certification. Preferred (Not required) Professional certification as a case manager preferred. Pay Transparency The hourly rate range for ... the compilation of physician profile data regarding LOS, resource utilization , denied days, cost, case mix index,.... Licenses and Certifications Minimum (Required) * A current RN licensure in the State of California is required.… more
    University of Southern California (11/19/25)
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  • RN Fellow - Care Manager - PLCMT Dec

    Providence (Torrance, CA)
    …the degree will not be a condition of employment. + Upon hire: California Registered Nurse License. + 2 years Experience in Healthcare related field (Acute, ... Ambulatory, Post-Acute, etc.). + 2 years Experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions… more
    Providence (11/19/25)
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  • Care Manager RN

    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
    Providence (10/22/25)
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  • Appeals RN - Care Management Per Diem…

    Providence (Torrance, CA)
    …them. **Required Qualifications:** + Associate's Degree Nursing. + Upon hire: California Registered Nurse License. + 2 years Direct patient care experience ... **Description** **Appeals RN - Care Manager Remote. This...of acute care). + 2 years Experience as a case manager in an acute care setting.… more
    Providence (11/19/25)
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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 (11/20/25)
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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 (11/15/25)
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  • LVN UM Delegation Oversight Nurse Remote in

    Molina Healthcare (Long Beach, CA)
    …skills. * Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Registered Nurse ( RN ). License must be active and ... * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or… more
    Molina Healthcare (11/19/25)
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