RN Care Manager II - Utilization & Transitions
Sutter Health
Sutter Health in California is seeking a Registered Nurse to facilitate utilization management, ensuring the right care at the right time. The role conducts concurrent reviews, collaborates with care teams, and provides clinical information for payer reimbursement within an acute hospital setting. Ideal candidates are graduates of accredited nursing programs with California RN licensure, plus 2 years of relevant experience. #J-18808-Ljbffr Sutter Health
$82.48 - $115.46 per hour
...Overview This position facilitates utilization management (UM) processes to support that the right care is provided at the right place... ...and readiness for care transition; assures timely movement of patients... ...nursing Certification & Licensure RN-Registered Nurse of California...SuggestedFull timeWork at officeMonday to FridayShift work$27.02 - $48.55 per hour
Position Purpose: Performs care management duties to assess, plan and coordinate aspects of medical and... ...and coordination teams to identify transition support services. Key Details: Candidates must possess an active RN license in the state of California. Preference...SuggestedRemote jobHourly payFull timePart timeWork at officeFlexible hours- Highmark Inc. is seeking a full-time remote care manager in California to support utilization management across weekends and weekdays.The role reviews care appropriateness, applies criteria to optimize resource use, coordinates with Health Coaching and case management,...SuggestedRemote jobFull timeWeekend workWeekday work
$41.2 - $62.17 per hour
Job Description The RN Hospital Care Manager I delivers comprehensive care management services to... ...: Leads initiatives to enhance care transitions and policy adherence. Advanced Care... ...Demonstrated experience in case management, utilization review, value-based care, and/or...SuggestedHourly payReliefRemote work$30 - $34 per hour
...Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions... ...hospital and throughout the hospital stay, discharge instructions, transition preparedness, follow-up appointments within 7 days of...SuggestedHourly payWork at officeImmediate start$37.12 per hour
...alternative application process. LVN Case Manager II - Every Woman Counts FAMILY PLANNING Full... ...works within a multi-disciplinary health care team in the delivery of comprehensive... ...compliance with corporate CPR policy. Ability to utilize the electronic medical record and...Hourly payFull timeTemporary workLocal areaFlexible hours- WelbeHealth, LLC. in California is seeking an experienced Utilization Management RN Supervisor to lead day-to-day UM operations and guide staff... ...while ensuring timely, quality, compliant, and cost-effective care for our senior participants. A strong nursing background...
$40.02 - $65.5 per hour
...Title:Telephonic Nurse Case Manager II, California Job Description:Telephonic... ...II is responsible for care management within the scope... ...Assists with development of utilization/care management policies and... ...background. Current, unrestricted RN license in California is...Hourly payFull timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayAfternoon shift1 day per week$41.84 - $65.5 per hour
About This Role The Nurse Case Manager II will be responsible for care management for members with complex and... ...issues. Assist with the development of utilization/care management policies and... ...Certifications Current, unrestricted RN license in applicable state(s) required...Full timeAfternoon shift- ...Zones Health seeks a Licensed Vocational Nurse (LVN) for Utilization Management & Inpatient Case Management in a fully remote role based... ...services, perform concurrent reviews, and coordinate transitions of care while collaborating with hospital teams and health plans...Remote job
- Cedars-Sinai is seeking a dedicated Case Manager Care Coordinator to oversee patient care from... ...services to ensure a safe, timely transition to the next level of care. The role emphasizes... ...candidates hold a nursing degree with RN licensure, BLS certification, and experience...
- ...Case ManagerThe Case Manager plays a crucial role in the coordination... ...and management of patient care. This position involves working... ...plans for patients.Perform utilization reviews and ensure compliance... ...planning to facilitate smooth transitions for patients.Engage with a...Full timeShift workRotating shift
- We are seeking an experienced Project Manager to support an active portfolio of engineering projects for a major utility client in the Orange County area. This role is embedded... ..., training, and experience. 5+ years (PM II) or 7+ years (PM III) of project management experience...Contract workFor contractorsFor subcontractorWork at officeRemote work
- Highmark Health is seeking a RN Case Manager for a full-time remote role requiring weekend availability (Saturday and Sunday) and three weekdays. The position focuses on utilization management strategies, care coordination, and identifying opportunities for Health Coaching...Remote jobFull timeWeekend workWeekday work
$68.4k - $105.9k
...three weekdays. This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure... ...Experience in a clinical settingPreferred~3 years RN experience~ RN Case Management, Care...Remote jobFull timeFor contractorsWork at officeLocal areaWeekend workWeekday work- Director of Services & Care Transitions (RN) Lead with Purpose. Transform Lives. Build Healthier... ...overseeing Recuperative Care and Enhanced Care Management (ECM) programs while partnering across... ...outcomes, and service delivery Utilize data and performance metrics to...
- Healthcare facility seeks a Director of Case Management to lead care-management, utilization management, discharge planning, social work, and psychosocial interventions. Role focuses on safe, effective transitions of care, patient outcomes, satisfaction, throughput, and...
- ...Description The Population Health RN Inpatient Case Manager (PHRNICM) is responsible... ...as the coordination of care and services for members... ...These services are provided utilizing available resources across... ...This will include navigating transitions of care - generally from hospital...
- Intermountain Health seeks an RN Hospital Care Manager I to deliver comprehensive care management across inpatient and outpatient settings, developing... ...educate teams and patients, and drive performance improvements in transitions and #J-18808-Ljbffr Intermountain Healthcare Inc.Relief
- ...a day. The Registered Nurse II - MC/CHC is the journey level... ...an appropriate supervisory or manager level position. Incumbents perform... ...and skills in providing care and service to patients with more... ...through the hospitalization process utilizing physicians, primary care...Hourly payDaily paidFull timeTemporary workInterim roleWork at officeLocal areaRemote workFree visaMonday to FridayNight shiftAfternoon shift
- The Registered Nurse II provides professional nursing care by utilizing the nursing process to care for patients within an assigned unit. Coordinates care provided throughout the hospital. Cooperates with other members of the health care team in meeting total needs of...
- The Registered Nurse II provides professional nursing care by utilizing the nursing process to care for patients within an assigned unit. Coordinates care provided throughout the hospital. Cooperates with other members of the health care team in meeting total needs of...Work experience placementSeasonal work
$3,063 - $3,158 per week
...Registered Nurse (RN) | Utilization Review Location: Carmichael, CA Agency: GQR Healthcare... ...the Position Contract - W2 Case Management/Utilization Review Registered Nurse (RN... ...Nurse (RN) Facility: Short Term Acute Care Estimated Pay: $3063.2 - $3158.2 Duration...Hourly payWeekly payFull timeContract workTemporary workImmediate startShift work$3,086 - $3,181 per week
...Registered Nurse (RN) | Utilization Review Location: Carmichael, CA Agency: GQR Healthcare... ..., 95608! Contract - W2 Case Management/Utilization Review Registered Nurse (RN... ...Nurse (RN) Facility: Short Term Acute Care Estimated Pay: $3086.24 - $3181.24...Hourly payWeekly payFull timeContract workTemporary workImmediate startShift work- Elevance Health in Woodland Hills, CA seeks a Nurse Case Manager II to oversee care management for members with complex and chronic health needs, developing... ...field, 5+ years of clinical experience, and an active RN license (multi-state licensure preferred). This full-time...Full timeAfternoon shift
- ...Health is seeking a Telephonic Nurse Case Manager II in California. This remote role supports... ...complex health needs through telephonic care coordination, with periodic in-person training... ...candidates must hold a California RN license, have a health-related BA/BS, and...Remote job
$46.92k
...campus student homes and provide care, guidance, supervision, and... ...and mentorship * Managing household routines and student... ...Flex Houseparents eventually transition into a Placed Houseparent role... ...housing, meals while on duty, utilities, and more) * Comprehensive benefits...Full timeWork from homeRelocationRelocation packageFlexible hoursWeekday work- ...California. This position requires California RN Licensure. Candidates must have... ...or all of the following functions: utilization management, care management, behavioral health and... ...management, utilization management, care transitions, long-term supports and services (...Contract workWork at officeLocal areaRemote work
$3,228.56 - $3,323.56 per month
...Contract – W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Carmichael, California Start Date: September 15, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care Estimated Pay: $3228.56 – $3323.56 Duration: 17 weeks Specialty...Hourly payWeekly payContract workTemporary workShift workDay shift$3,094 per week
...Registered Nurse (RN) | Case Manager Location: Carmichael, CA Agency: Coast Medical Service Pay: $3,094 per week Shift Information... ...Core Mandatory Part I Exam Core Mandatory Part II (Nursing) Exam Core Mandatory Part III Exam FL Education...Full timeContract workShift work
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