• RN Case Manager

    UCLA Health (Los Angeles, CA)
    …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site at our ... accepted for current UCLA Health Nursing staff) + CA RN License and BLS certification + Recent experience in... License and BLS certification + Recent experience in case management, utilization management and discharge planning… more
    UCLA Health (01/31/25)
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  • Case Manager , RN

    Prime Healthcare (Lynwood, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200415/ case - manager %2c- rn utilization ... 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 (03/15/25)
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  • Case Manager (CM)…

    Select Medical (Los Angeles, CA)
    …and Select Medical Century City / Los Angeles, CA Case Manager (CM) - Registered Nurse ( RN ) or Social Worker (LCSW) - Per Diem **Pay Rate $66.00** ... protected under applicable law_ _._ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/320081/ case - manager -%28cm%29 registered - nurse -%28rn%29-or-lcsw per-diem/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814)… more
    Select Medical (03/04/25)
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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 (12/30/24)
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  • Utilization Management Nurse

    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 Nurse Specialist RN...California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
    LA Care Health Plan (02/24/25)
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  • Utilization Management Manager

    UCLA Health (Los Angeles, CA)
    …regulations + Ability to travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager ... all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll...a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,… more
    UCLA Health (03/04/25)
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  • Case Manager (CM) - RN

    Select Medical (Los Angeles, CA)
    …CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) **Schedule: Sun - Thu ... protected under applicable law_ _._ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/320789/ case - manager -%28cm%29 rn --or-lcsw ft %245k-sign-on/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share… more
    Select Medical (03/04/25)
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  • RN Case Manager , Inpatient…

    Cedars-Sinai (Marina Del Rey, CA)
    …+ Current CA Registered Nurse Licensure, Required + Certified Case Manager CCM or ACM, Preferred **Experience** : + Minimum of two ... and support our community with the highest quality healthcare! **Position Summary:** As an RN Case Manager (Inpatient Services), you will be responsible for… more
    Cedars-Sinai (03/04/25)
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  • RN Case Manager , Emergency…

    Cedars-Sinai (Marina Del Rey, CA)
    …+ Current CA Registered Nurse Licensure, Required + Certified Case Manager CCM or ACM, Preferred **Experience** : + Minimum of two ... with the highest quality healthcare! **Position Summary:** As an RN Case Manager (ED Services),...Responsibilities:** + Participates in a multi-disciplinary care team + Utilization review. + Reviews care and treatment for appropriateness… more
    Cedars-Sinai (01/01/25)
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  • Hospice Oversight Case Manager

    Molina Healthcare (Compton, CA)
    **HOSPICE OVERSIGHT CASE MANAGER ( REGISTERED NURSE )** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers ... to address concerns. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (02/24/25)
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  • RN Case Manager - Santa…

    UCLA Health (Santa Monica, CA)
    …the most loved workplaces. Join us and find out for yourself. This is an outpatient case manager role that will be based in the Emergency Department. Our Next ... accepted for current UCLA Health Nursing staff) + CA RN License and BLS certification + Recent experience in... License and BLS certification + Recent experience in case management, utilization management and discharge planning… more
    UCLA Health (02/21/25)
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  • RN Inpatient Review Case

    Molina Healthcare (Los Angeles, CA)
    …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... RN licensure must be valid for California. California...in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge… more
    Molina Healthcare (03/04/25)
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  • RN Case Manager - Per Diem…

    Emanate Health (West 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 (02/01/25)
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  • RN Care Manager *F/T Variable

    Providence (Santa Monica, CA)
    **Description** RN Care Manager on our Care...be a condition of employment. + Upon hire: California Registered Nurse License + 2 years Experience ... related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years Experience in Case Management (Care Coordination or Utilization Management) or successful… more
    Providence (03/04/25)
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  • Care Manager RN *Per Diem

    Providence (Burbank, CA)
    **Description** RN Care Manager at Providence St...be a condition of employment. + Upon hire: California Registered Nurse License + 2 years of ... field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management) or successful completion… more
    Providence (02/22/25)
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  • Manager of Case Management (5 yrs…

    Prime Healthcare (Lynwood, CA)
    …accredited school of nursing with minimum Bachelors Science in Nursing (BSN) and Licensed Registered Nurse ( RN ) credential OR Grandfathered prior to April 1, ... Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The working Manager of Case Management is responsible… more
    Prime Healthcare (03/05/25)
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  • Care Manager RN - High Risk…

    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 (03/06/25)
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  • Supervisor, Appeals and Grievances Clinical…

    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 ... Required: Knowledge of state, federal and regulatory requirements in Appeals/Care/ Case / Utilization Management/Quality. Strong verbal and written communication… more
    LA Care Health Plan (12/20/24)
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  • Manager , Care/ Case Management

    CenterWell (Los Angeles, CA)
    **Become a part of our caring community and help us put health first** The Manager Care/ Case Management is responsible for managing a team of nurses, community ... and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with...an impact** **Required Qualifications** + A current unrestricted state RN license or Social Work degree / license +… more
    CenterWell (02/25/25)
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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 (02/05/25)
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