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Registered Nurse/Utilization Review Nurse
L.A. County Fire Fighers Health Plan -

El Monte, CA


Two year’s experience in Utilization Management. We are currently seeking to fill a full-time RN position with a Registered Nurse who is proficient in…

Posted 1 day ago

Complex Care Management - Nurse (Registered Nurse)
Blue Shield of California -

Monterey Park, CA


Registered Nurse with a Bachelor’s Degree; The CCM provides appropriate member self management education on their specific healthcare needs.

Posted 20 hours ago

UTILIZATION MANAGEMENT NURSE - INPATIENT UTILIZATION - HOAG CLINIC
Hoag Memorial Hospital Presbyterian -

Irvine, CA


Registered Nurse (RN) in the State of California. The Utilization Management (UM) Nurse – Inpatient Review is responsible to determine medical necessity of…

Posted 3 days ago

Care Management Manager
Adventist Health Glendale -

Glendale, CA


Registered Nurse (RN) licensure in the state of practice: Adventist Health is more than an award-winning health system.

Posted 1 day ago

Registered Nurse (RN)
Arroyo Vista Family Health Center -

Los Angeles, CA


Under the direct supervision of the Registered Nurse Supervisor, the Registered Nurse/Charge Nurse (RN Charge) is in charge of clinic nursing services, to…

Posted 26 days ago

Registered Nurse (RN), Care Manager, Full Time Day Shift, Care Management
Adventist Health Glendale -

Glendale, CA


Registered Nurse (RN) licensure in state of practice: Adventist Health is more than an award-winning health system. Experience in a care management role:

Posted 1 day ago

Workers' Compensation Case Manager Registered Nurse (RN)
AETNA -

Chatsworth, CA


Registered Nurse (RN) with active state license in good standing for California is required. Monitors, evaluates, and documents case management activities and…

Posted 30+ days ago

Registered Nurse
Arroyo Vista Family Health Center -

Los Angeles, CA


Under the direct supervision of the Registered Nurse Supervisor, the Registered Nurse/Charge Nurse (RN Charge) is in charge of clinic nursing services, to…

Posted 6 months ago

Case Manager - Utilization Care Management Office
Providence Health & Services -

Torrance, CA


California State Registered Nurse License. Knowledge of principles and practices of Utilization and Quality Management. In this position you will:

Posted 15 days ago

Home Health Registered Nurse
Charity Home Health Services -

Torrance, CA


Acute Care, Outpatient, Hospice, Home Health or Nursing Home: Prefer 6 month Home Health or Hospice Experience.

Posted 30+ days ago

Registered Nurse
Saddleback Memorial Medical Center -

Laguna Hills, CA


Home Health, Oncology, and/or Hospice experience preferred. Registered Nurse, Clinical II (RN) Hospice - Outpatient - PD/Days (Weekends & After Hours) - …

Posted 27 days ago

Registered Nurse (RN)
Saddleback Memorial Medical Center -

Laguna Hills, CA


Registered Nurse (RN), Hospice Liaison (OC/North LA County) - FT/Days - (SAD002917). Promotes continuity of care between medical facility, physician and home.

Posted 20 days ago

Case Manager, Case Management, Per Diem Day 8am to 5pm
The Methodist Hospital of Southern California -

Arcadia, CA


Completes utilization management for assigned patients. Initiates and facilitates referrals to the Home Health Liaison for home health care, hospice, and…

Posted 30+ days ago

Training & Engagement Coordinator
Home Instead Senior Care -

Pasadena, CA


8+ years of CNA experience with a current State certification, or 4+ years as an licensed vocational nurse or registered nurse (active nursing license not…

Posted 30+ days ago

Complex Care/Integrated Pain Nurse Practitioner
Inland Empire Health Plans -

Rancho Cucamonga, CA


Refers appropriately to and maximizes use of community services, support programs, internal/external resources available to Members including Embedded Case…

Posted 17 days ago

Registered Nurse (RN), Care Manager (PD), Per Diem, Day Shift, Care Management
Adventist Health Glendale -

Glendale, CA


Registered Nurse (RN) licensure in state of practice: Adventist Health is more than an award-winning health system. Experience in a care management role:

Posted 1 day ago

Case Manager (Inpatient) - Registered Nurse (RN) or LCSW
California Rehabilitation Institute -

Los Angeles, CA


Case Manager (RN, Registered Nurse or LCSW). If RN - Current state licensure as a Registered Nurse required. Health, Dental, and Vision Insurance.

Posted 6 days ago

Utilization Review Nurse Case Manager
Providence Health & Services -

Mission Hills, CA


Current California Registered Nurse License. Maintain confidentiality of all patient and Utilization Management information.

Posted 6 days ago

Family Nurse Practitioner
Right Choice Home Health Inc -

Van Nuys, CA


Fiscal planning, budgeting, and management of home health clinical operations. Oversight of clinical team Registered Nurse, LVN, Social Workers, Physical…

Posted 5 months ago

Medical Case Manager (Ambulatory-Health Homes Program)
CalOptima -

Orange, CA


Guidelines and regulations relevant to case management and utilization management. Develop a Health Action Plan (HAP) that addresses member’s physical,…

Posted 30+ days ago

Registered Nurse Case Manager
Antelope Valley Hospital -

Lancaster, CA


Case Management, Discharge Planning, and/or Home Health experience, preferred. Assesses for Home Health, Home Infusion and DME needs, makes referrals to the…

Posted 15 days ago

Utilization Review Nurse Case Manager
Providence Health & Services -

Torrance, CA


Current California Registered Nurse License. Maintain confidentiality of all patient and Utilization Management information. About the location you will serve:

Posted 30+ days ago

Home Health RN - Intermittent HealthView
Oxford HealthCare -

Costa Mesa, CA


The Registered Nurse assumes responsibility for notifying the attending physician of any adverse circumstances, which could prevent safe independent management…

Posted 30+ days ago

Home Health RN - Intermittent HealthView
Oxford HealthCare -

Newport Beach, CA


The Registered Nurse assumes responsibility for notifying the attending physician of any adverse circumstances, which could prevent safe independent management…

Posted 30+ days ago

Program Manager - Stroke
Providence Health & Services -

San Pedro, CA


Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services…

Posted 15 days ago

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