- LA Care Health Plan (Los Angeles, CA)
- …to support the safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management ( UM ) RN is responsible for executing the ... of productivity and accuracy to achieve the department's overall performance metrics. The Supervisor ensures all functions of the UM department are operating in… more
- LA Care Health Plan (Los Angeles, CA)
- …Utilization Management ( UM ) functions on behalf of LA Care (LAC) is in compliance with all UM regulatory requirements and new legislation through the ... requirements/new legislation. Works collaboratively with Regulatory Affairs & Compliance . Stay abreast of new UM legislation, regulations, or other… more
- LA Care Health Plan (Los Angeles, CA)
- …created by the ECM Provider. Identify any gaps in the Care Plan services or regulatory compliance and provide coaching and feedback to the Provider to improve. ... LA Care's ECM network. The position reports to the Supervisor of ECM and receives clinical supervision as needed...to support effective delivery of ECM services and ensure compliance with local, State, and Federal regulations, statues and… more