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
$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- ...The purpose of the Case Manager position supports the physician... ...in facilitating patient care, with the underlying... ...the functions of utilization management, care progression and care transition. The Case Manager is accountable... ...knowledge of RN scope of practice, current...SuggestedLocal area
- ...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,...SuggestedFull timeRemote workWeekend workWeekday 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$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...Hourly payWork at officeImmediate start$40.02 - $65.5 per hour
...Title:Telephonic Nurse Case Manager II, California Job Description... ...Manager 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$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...
$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- ...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...Full timeRemote workWeekend workWeekday work
- ...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...
- ...Health, the Population Health RN Inpatient Case Manager (PHRNICM) is responsible... ...defined as the coordination of care and services for members... ...services are provided utilizing available resources across... ...This will include navigating transitions of care, generally from hospital...Full time
- 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
- ...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...
$68 per hour
...Registered Nurse II, Oncology (Per Diem) - The Angeles... ...who delivers direct care to assigned Oncology patients... ...and procedures. Utilizing appropriate decision making... ...independently and safely manage routine patient assignment... ...: Valid CA RN license required. Valid...Daily paidFull timeShift work- ...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...Night shift
$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- ...Case Manager The Case Manager plays a crucial role in the coordination... ...and management of patient care. This position involves... ...plans for patients. Perform utilization reviews and ensure compliance... ...planning to facilitate smooth transitions for patients. Engage with...Full timeShift workRotating shift
- 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...
- ...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 work
- 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
$27.4 - $35.62 per hour
...Job Description Job Description Case Manager II (2 Positions) Department: Flexible... ...through high quality comprehensive care. Our focus has always been to offer... ...largest Community Health System, WellSpace utilizes a Confluence Model to integrate an internal...Full timeWork at officeLocal areaFlexible hours- ...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...Work experience placementSeasonal work
$3,063 - $3,158 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: $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... ...the Position 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
- ...seeking an experienced Registered Nurse to collaborate with healthcare providers and physicians to solve problems, prioritize patient care objectives, and coordinate staff education within the assigned area. The role includes discharge patient education and follow-up,...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Care Manager II - Utilization & Transitions. Be the first to apply!
- hospice registered nurse Sacramento, CA
- intensive care unit rn Sacramento, CA
- travel or rn Sacramento, CA
- med surg rn travel contract Sacramento, CA
- cath lab registered nurse Sacramento, CA
- emergency room rn Sacramento, CA
- private duty rn Sacramento, CA
- wound care rn Sacramento, CA
- endoscopy rn Sacramento, CA
- private rn Sacramento, CA



