• Case Manager - Utilization

    Prime Healthcare (Sherman Oaks, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/239073/ case - manager - utilization ... other Bachelor degree in a related field. At least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within… more
    Prime Healthcare (12/30/25)
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  • RN Case Manager - Utilization

    Prime Healthcare (Lynwood, CA)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/rn- case - manager ... 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 (12/19/25)
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  • Utilization Management

    UCLA Health (Los Angeles, CA)
    …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... (BSN) degree required + Five or more years of utilization management required + Four or more...travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified… more
    UCLA Health (12/30/25)
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  • Utilization Management Nurse…

    LA Care Health Plan (Los Angeles, CA)
    …of varied RN clinical experience in an acute hospital setting. At least 2 years of Utilization Management / Case Management experience in a hospital or HMO ... Utilization Management Nurse Specialist RN II...Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
    LA Care Health Plan (12/20/25)
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  • RN Case Manager - Case

    Cedars-Sinai (Marina Del Rey, CA)
    …(preferred). \#LI-On-site \#Jobs-Indeed **Req ID** : 14043 **Working Title** : RN Case Manager - Case Management - Full-Time (8:00AM to 4:30PM) - 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 (12/17/25)
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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 (12/17/25)
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  • RN Case Manager - Value Based…

    University of Southern California (Los Angeles, CA)
    … of specific patient populations. The role integrates the functions of complex case management , utilization management , quality management ... management . Some of the major duties of a Case Manager include: Documenting patients' case...5 years Clinical experience + Req 2 years Ambulatory case management or utilization review… more
    University of Southern California (12/30/25)
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  • Case Manager - Inpatient - Per Diem

    Select Medical (Los Angeles, CA)
    …A Joint Venture with Cedars, UCLA and Select Medical Century City / Los Angeles, CA Case Manager (RN or MSW) - Per Diem **Rate $66.00 per hour** **Why Join ... employee assistance program to part time employees. **Responsibilities** **Position Summary** The Case Manager is responsible for the coordination of health care… more
    Select Medical (12/31/25)
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  • RN Case Manager , Per Diem

    UCLA Health (Santa Monica, 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 (12/10/25)
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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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  • Case Manager RN - Patient and Family…

    University of Southern California (Glendale, CA)
    …State of California, BSN preferred Minimum Experience/Knowledge: Recent experience in Utilization /Quality/ Case Management in acute setting preferred Required ... License/Certification: Current BCLS certificate from the American Heart Association As part of Keck Medicine of USC, USC Verdugo Hills Hospital is the only community hospital in the Foothills area of Los Angeles backed by an academic medical center. With its… more
    University of Southern California (11/19/25)
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  • Care Manager RN Per Diem Day

    Providence (Santa Monica, CA)
    …a part of our distinguished team dedicated to excellence in patient care. Case Management is a collaborative practice including patients, caregivers, nurses, ... payers, support staff, other practitioners and the community. The Case Management process facilitates communication and care...Post-Acute). + 2 years of experience in Acute Care Management (Care Coordination or Utilization Management more
    Providence (12/30/25)
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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 (12/15/25)
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  • Nurse Care Manager / Center for Global…

    Children's Hospital Los Angeles (Los Angeles, CA)
    …patient/family by collaborating with the multidisciplinary team to develop and implement a case management plan to ensure quality patient outcomes, and customer ... years nursing experience with advanced level pediatric clinical experience and utilization management and/or discharge planning experience. Thorough knowledge of… more
    Children's Hospital Los Angeles (10/17/25)
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  • Manager of Planning and Scheduling, AM

    Maersk (Los Angeles, CA)
    Manager of Planning and Scheduling, AM **Opportunity** APM Terminals **Who We Are @ APM Terminals** **,** a global leader in port and terminal operations, we enable ... to make an impact. We are hiring for a ** Manager of Planning and Scheduling, Asset Maintenance** in our...Planning and Scheduling, Asset Maintenance** is responsible for the management of all aspects of the maintenance task planning… more
    Maersk (11/08/25)
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  • Care Manager RN Full- time Day

    Providence (Santa Monica, CA)
    …quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Case Management is a collaborative practice including patients, caregivers, nurses, ... payers, support staff, other practitioners and the community. The Case Management process facilitates communication and care...Post-Acute). + 2 years of experience in Acute Care Management (Care Coordination or Utilization Management more
    Providence (11/15/25)
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  • Project Manager - Heart Institute - Makkar…

    Cedars-Sinai (Los Angeles, CA)
    …study start-up to study implementation and coordination to study closeout. The project manager will oversee the planning, execution, and management of clinical ... guidance, including aiding in resolving any conflicting project decisions. Discusses business case scenarios, presents to senior management and guides team(s) on… more
    Cedars-Sinai (12/31/25)
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  • Territory Manager - LA Coastal

    ZOLL Medical Corporation (Los Angeles, CA)
    …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more
    ZOLL Medical Corporation (12/19/25)
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  • Behavioral Health - Care Manager II

    Elevance Health (Los Angeles, CA)
    …(ABA) services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of ... **Behavioral Health - Care Manager II** **Location:** _Virtual:_ This role enables associate...appropriate. + Performs psychiatric and autism assessment coordination implementation case planning monitoring and evaluating to promote quality member… more
    Elevance Health (12/22/25)
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  • Project Manager , Denials Mitigation

    Cedars-Sinai (Los Angeles, CA)
    …guidance, including aiding in resolving any conflicting project decisions. Discusses business case scenarios, presents to senior management and guides team(s) on ... responsible for managing budget, costing, timing and other resources including vendor management , staffing and/or deliverables to ensure utilization within the… more
    Cedars-Sinai (12/18/25)
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