RN Case Manager - Utilization Review
Loma Linda University Health
Loma Linda University Health seeks a Case Manager-1-BMC responsible for utilization review duties, ensuring maximum quality of patient care. This role requires an RN license and offers an engaging opportunity for professionals to contribute actively in a healthcare environment. The successful candidate will work with team members, supporting compliance with healthcare standards and directly impacting patient outcomes. Candidates are expected to embrace the organization's values of compassion and teamwork. #J-18808-Ljbffr Loma Linda University Health
$2,609.52 - $2,704.52 per month
GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Redlands, California. Job Description & Requirements... ...Employment Type: Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Redlands, California...SuggestedHourly payWeekly payContract workShift workNight shift$2,850 - $3,034 per week
...Acute Hospital: Admission Criteria, Care coordination, Concurrent Review, Determine Medical Necessity per Evidence‑Based Guidelines, Discharge Planning, Needs Assessment / Order DME, Plan of Care, Utilize InterQual Criteria, CMS: Centers for Medicare and Medicaid...SuggestedRelocationShift workNight shiftWeekend work- ...Deserves More Than a Routine. Are you an RN who loves bedside nursing and making a... ...behind the scenes? We’re hiring an RN Case Manager in Greenwood to join our amazing team at... ...setting; previous case management/utilization review experience preferred. •OASIS experience...SuggestedDaily paidFull timePart timeInterim roleReliefRelocation packageFlexible hoursWeekend work
$70 per hour
...Care Manager (Case Management) - FS II Hourly FS II flat rate: $70.00 This position reports to the Director, Case Management the... ...accurate information to payers. The role integrates and coordinates utilization management, care facilitation and discharge planning...SuggestedHourly payPrice workFlexible hoursShift work- ...Description Job Title: Registered Nurse – Utilization Review Location: Apple Valley, CA Type:... ...Collaborate with physicians, case managers, social workers, and interdisciplinary... ...Active California Registered Nurse (RN) License required Pending California...SuggestedContract workLocal area
$3,081 - $3,258 per week
...55 Apply Now Registered Nurse - Case Manager - Travel Location: Redlands, CA... ...coordination Admission Criteria Concurrent Review Medical Necessity per Evidence-Based... .../ Order DME Plan of Care Utilize InterQual Criteria CMS guidelines (Centers...Contract workShift workAfternoon shift$62 - $68 per hour
...HIRING FOR A REGISTERED NURSE CASE MANAGER TRAVEL ASSIGNMENT FOR A... ...Travel Assignment Specialty: RN Case Manager Location: Redlands... ...coordination; Concurrent Review; Determine Medical Necessity... ...Assessment/ Order DME; Plan of Care; Utilize InterQual Criteria; Admission...Hourly payContract workCurrently hiringLocal areaShift workNight shift$50 - $60 per hour
...characteristic protected by law. Job Description Summary The RN Case Manager is responsible for ensuring that patient care is coordinated... ...Essential Job Functions / Responsibilities Receives case referrals. Reviews available patient information related to case, including...Hourly payImmediate startWeekend work- ..., and enrollment processes. Reviews patient charts and ensure completion... ...Registered Nurse (RN) or related degree (BSc in Pharmacy... ...of Quebec). Previous Case Manager experience is an asset. Minimum... ...depends on the full and effective utilization of qualified individuals....Remote jobFull timeWork at officeLocal areaHome office
- ...needs. Job Summary: The Case Manager serves as a key member of the... ...a fast-paced environment and utilized clinical expertise, discretion... ...case management, utilization review, or discharge planning experience... ...California Registered Nurse (RN) license required. Current...Work at office
- ...Redlands, CA RN Case Manager (Travel) Job Description & Information We have Travel jobs available for RN's with 2+ years of Acute Care Case Manager experience in Redlands, California. Travel jobs are the perfect solution for the person...Weekly payDaily paidImmediate start
- ...Description Job Title: Registered Nurse (RN) – Utilization Review Location: Apple Valley, CA... ...Registered Nurse (RN) to support care management and utilization review functions within... ...decisions. Collaborate with physicians, case managers, and interdisciplinary...Contract workImmediate startShift workWeekend workDay shift
- Job Summary The Case Manager-1-BMC is responsible for a variety of utilization review duties, thus assuring proper utilization providing maximum quality of patient care... ...Certifications Active and unrestricted California (RN) license required. Certified Professional in...Temporary workWork at office
$37.5 - $40 per hour
...made and immediately reports to appropriate manager. Participates in "service recovery"... ...care educational needs. Receives and reviews physician's orders; documents completion.... ...between $37.50 - $40.00 (LVN) per hour or for RN $45 - $50 per hour, however, base pay...Hourly payFull timeCasual workImmediate startRelocation packageFlexible hours- ...behavior in group participation and counseling, provide crisis management and counseling services, facilitate group education, and... ...situations. Cooperates with health insurance clinical utilization reviews and ASAM assessments. Participates in the agency’s Quality...
- Loma Linda University Health in Loma Linda, California is seeking a Case Manager to serve as a key member of the patient care delivery team. The ideal candidate will exhibit nursing excellence and manage patient care plans in a collaborative environment. This role requires...Full timeWeekend work
$2,867 per week
Case Manager RN Redlands, CA Weekly Gross Compensation: $2,867 Start Date: 6/16/2026 Shift: 10-hour nights (5:00 PM - 3:30 AM) Length: 13 weeks Weekly Hours: 40 Facility Type: Short Term Acute Care Hospital Bed Capacity: 180 Requirements At least 2+ years of experience...Temporary workShift workNight shift- Triage Staffing is seeking a Case Manager RN to work in Redlands, CA, on a 13-week assignment. The role requires a minimum of 2 years of nursing experience and a valid California registered nurse license. The position involves working 10-hour night shifts with a focus on...Contract workTemporary workNight shift
$25 - $35 per hour
...programs are implemented as designed Review client data regularly and communicate... ...Collaborate with families, caregivers, case managers, and interdisciplinary teams Participate... ...in a team of competent individuals utilizing effective, evidence-based practices, and...Hourly pay$55.29 - $68.05 per hour
...community-based services. We serve the most vulnerable seniors with better quality and compassion in a value-based model. The Case Manager, RN directly guides participant care as a crucial voice on the interdisciplinary team (IDT). Reporting to clinical leadership, the...Temporary workMonday to Friday$50 - $60 per hour
Millennium Healthcare Services, Inc. is seeking an RN Case Manager in Redlands, California. The role involves coordinating patient care, supervising clinical personnel, and ensuring quality service delivery. Applicants should possess current licensure as a registered nurse...Hourly pay- Westways Staffing Services is hiring Registered Nurses (RN) for travel jobs in Redlands, California. Candidates should have at least 2 years of Acute Care Case Manager experience. This role offers the opportunity for adventure while allowing for a great work-life balance...
$3,132 per week
Case Manager Registered Nurse (RN) Travel Location: Redlands, CA Arise CareStaff is looking to hire an experienced Case Manager Registered Nurse (RN) to work for our client healthcare facility in Redlands, CA. Position Details Start Date: 06/09/2026 Shift: Night (4x...Weekly payShift workNight shift$3,098 per week
Coast Medical Service is seeking a travel nurse RN Case Management for a travel nursing job in Redlands, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 06/09/2026 Duration: 13 weeks 40 hours per week Shift: 10 hours...Zero hours contractShift workNight shift- ...certification, and preferred charge nurse experience. Benefits include premium health insurance, paid company housing, and 401(k) matching. The nurse will manage patient admissions and care coordination leveraging Meditech for charting. #J-18808-Ljbffr Aya Healthcare, Inc.Shift workNight shift
$35 - $38 per hour
...Description JOB SUMMARY The Post-Acute Case Manager (LVN) performs concurrent and retrospective utilization review, care coordination, transition of care, and discharge... ...) requirements. Under the direction of an RN, Medical Director, or other licensed clinical...Hourly payFull timeWork at officeLocal area- Arise CareStaff is seeking an experienced Case Manager Registered Nurse (RN) to provide services in Redlands, CA. This travel assignment involves night shifts from 17:30 to 03:30, for a duration of 13 weeks. Candidates must possess a current California RN License and at...Night shift
$90k
...or in their community. Behavioral Health Case Managers are integral to our mission of providing... ...Interventions and Clinical Support Utilize brief behavioral health therapeutic interventions... ...platform; support the RNCM in review of health assessments and other care team...Full timeLocal areaRemote workWork from homeHome officeFlexible hoursShift work$2,820 per month
...Name Adventist Health Glendale Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 35480566 Weekly Pay $2820.0 Shift Details Shift 8H Days Scheduled...Weekly payShift work- Job Summary : The Case Manager serves as a key member of the patient care delivery team in a... ...efficiently in a fast-paced environment, utilizing clinical expertise, discretion, and independent... ...and Certifications : Active California RN license and BLS certification from the...
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