- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II ...and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will...in the department's continuous quality improvement activities. Communicates to UM Manager and supervising RN, barriers to… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II ...and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- Sharp HealthCare (Santee, CA)
- …within two months of discharge.Follows policies and procedures for all Utilization Management ( UM ), discharges, Standardized Outcome Measures, Durable Medical ... Equipment (DME) forms and patient status reports.Anticipates and completes documentation needs (ie UM , Plan of Care (POC), patient status reports) prior to their due… more
- LA Care Health Plan (Los Angeles, CA)
- …member care with internal LA Care departments such as Care Management (CM), Utilization Management ( UM ), Managed Long Term Services and Support (MLTSS), Social ... and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required… more
- LA Care Health Plan (Los Angeles, CA)
- …health care auditing and monitoring (preferably in Appeals, Grievances, Quality Improvement, Utilization Management ( UM ) and so forth) and developing audit ... Compliance Advisor II Job Category: Administrative, HR, Business Professionals Department:...Compliance unit, the Advisor also advises and supports the Manager , Director, and Chief Compliance Officer on other duties… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …and adherence to accreditation and regulatory standards. Directly reports to the Nurse Manager of CNSO & UM and/or designee. Performs other duties as ... Works closely with the Admission Clerk/Administrative Officer of the Day(AOD)/ Utilization Management group to assure that admission criteria are met,… more
- Dignity Health (Los Angeles, CA)
- …years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care and ... Los Angeles. The hospital offers a full complement of services including a Level II trauma center the Los Angeles Center for Womens Health obstetrics and pediatric… more