• WORKCARE INC (Anaheim, CA)
    …Bachelor of Science in Nursing is highly preferred. Minimum of 3 years' experience as a case manager in health care setting. Must have a compact RN license. ... Summary We are looking for a Remote Telephonic Triage RN to help support our 24/7 Injury Care and...Responsibilities: 1) Provide initial injury intake, follow up and case closures in accordance with Policy Procedure. Provide initial… more
    Upward (07/31/25)
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  • Clever Care Health Plan (Huntington Beach, CA)
    …and Experience Licensures and Certifications *Possession of an active, unrestricted, and unencumbered Registered Nurse ( RN ) or Licesnsed Vocational Nurse ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...by the California BRN required. *Certified Case Manager (CCM) preferred *Certified Managed Care Nurse more
    Upward (07/31/25)
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  • RN Case Manager

    Aveanna Healthcare (Orange, CA)
    RN Case Manager - Clinical ...scheduling. This is a fantastic opportunity for a talented nurse looking to expand their footprint in the healthcare ... Nursing Salary: $80,000.00 - $90,000.00 per year Position Details RN Case Manager - Clinical Supervisor Aveanna Healthcare is one of the nation's… more
    Aveanna Healthcare (09/10/25)
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  • Telephonic Nurse Case Manager

    ICW Group (Woodland Hills, CA)
    …assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate ... reports on interventions to determine the outcome of the case manager 's involvement to include clinical...or Home Health preferred. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed… more
    ICW Group (09/17/25)
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  • RN Clinical Supervisor - Sign-On…

    Aveanna Healthcare (Sherman Oaks, CA)
    …in the United States and is continuing to grow! We are adding a RN Case Manager to our clinical team inSherman Oaks. This position provides the ... RN Clinical Supervisor - Sign-On Bonus...Nursing Salary: $80,000.00 - $85,000.00 per year Position Details RN Case Manager -Nursing Supervisor Needed… more
    Aveanna Healthcare (08/28/25)
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  • Registered Nurse ( RN )…

    Prime Healthcare (Huntington Beach, CA)
    …an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228171/ registered - nurse -%28rn%29 … more
    Prime Healthcare (10/07/25)
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  • Care Manager ( RN ) ( Southern…

    Molina Healthcare (Long Beach, CA)
    …local travel required + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (09/24/25)
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  • Behavioral Health Case Manager I

    Elevance Health (Costa Mesa, CA)
    **Behavioral Health Case Manager I** Schedule: Monday-Friday, 8:00am-5:00pm CST _*Ideal candidate must reside and be licensed in_ **_California._** **_Virtual: ... Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a...to improve the delivery of care. The **Behavioral Health Case Manager I** responsible for performing … more
    Elevance Health (10/07/25)
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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 ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is...health related field and minimum of 5 years of clinical experience; or any combination of education and experience,… more
    Elevance Health (08/29/25)
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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...Requirements** + Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case 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...Requirements** + Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case more
    Dignity Health (09/22/25)
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  • Transition of Care Coach ( RN )

    Molina Healthcare (Long Beach, CA)
    …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (08/13/25)
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  • Clinical Specialist, CPT - Inland Empire

    Abbott (Ontario, CA)
    …and establishes strong rapport with customers. + Proficient in complex programming, case support. + Works seamlessly with Territory Manager (s) allowing them ... generic medicines. Our 114,000 colleagues serve people in more than 160 countries. ** Clinical Specialist I, CPT** **PLEASE NOTE: This is not an active open… more
    Abbott (09/27/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Costa Mesa, CA)
    …an accommodation is granted as required by law. The **Behavioral Health Care Manager II** is responsible for performing case management telephonically and/or by ... **Behavioral Health Care Manager II - Autism** **Location:** Virtual: This role...with behavioral health needs. Subject matter expert in targeted clinical areas of expertise such Autism Spectrum Disorders (ASD).… more
    Elevance Health (10/04/25)
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  • Behavioral Health Care Manager I

    Elevance Health (Cerritos, CA)
    …Capabilities, and Experiences:** + California licensure with LCSW, LMFT, LPC, Psych RN , or Clinical Psychologist preferred. + Proficient in Microsoft Office ... companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive… more
    Elevance Health (10/04/25)
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  • *CDS Supervisor - Data Quality

    Prime Healthcare (Chino, CA)
    …qualifications: + Bachelor's degree in Medicine/ Surgery or license as a physician assistant or registered nurse . + A minimum of two years' experience as a ... CDS Supervisor is responsible for the implementation and improvement of the clinical documentation improvement program at the facility and supervises clinical more
    Prime Healthcare (10/08/25)
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  • Medical Claim Review LVN/LPN (CA LVN Required)

    Molina Healthcare (Long Beach, CA)
    Clinical Coder, Certified Medical Audit Specialists (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... Education** Licensed Vocational Nurse / Licensed Practical Nurse . **Required Experience** Minimum three years clinical ...Nurse (LVN) license in good standing. **Preferred Education** Registered Nurse . Bachelor's Degree in Nursing or… more
    Molina Healthcare (09/17/25)
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  • LCSW/LMFT - Orange County

    Amergis (Orange, CA)
    …/ Week Amergis Healthcare is seeking a highly motivated an experienced LMFT/LCSW Medical Case Manager to help support a health insurance agency! The Medical ... Case Manager (BHI Utilization Management) will be...and notification of behavioral health services from health professionals, clinical facilities and ancillary providers. The incumbent will be… more
    Amergis (08/14/25)
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  • Licensed Vocational Nurse /Licensed…

    WelbeHealth (North Hollywood, CA)
    …answering any questions within scope of practice, and escalating questions or concerns to the RN Case manager or PCP as needed + Exercise flexibility in ... better quality and compassion in a value-based model, and the Licensed Vocational Nurse /Licensed Practical Nurse (LVN/LPN) plays a vital role by caring directly… more
    WelbeHealth (09/05/25)
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