- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN...quality improvement activities. Communicates to UM Manager and supervising RN , barriers to completing assignments or daily work in… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management to a team of UM ... a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,...(BSN) degree required + Five or more years of utilization management required + Four or more… more
- WelbeHealth (Los Angeles, CA)
- …compliant, and cost-effective care to our participants. By guiding this team, the Utilization Management RN Supervisor drives the continuous improvement of ... a critical role in our participant's journey and our Utilization Management team ensures we can provide...external), clinical staff, and others to timely resolve any utilization management issues **Job Requirements:** + Minimum… more
- Dignity Health (Northridge, CA)
- …in an acute hospital setting required. + Current CA Registered Nurse ( RN ) license + Prior Utilization Management experience in a clinical or ... more than 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible… more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and Support (MLTSS),… more
- UCLA Health (Los Angeles, CA)
- Description Under the direction of the RN Asst. Director for Utilization Review, Intensive Case Management , you will support and perform duties to provide ... patient and decreasing fragmentation and duplication of care, the Nurse Case Manager/Clinical Advisor is able to enhance the...BSN Degree + Minimum of 2 years' experience in utilization management , Inpatient CM or clinical Experience… more
- The County of Los Angeles (Los Angeles, CA)
- …clinical nursing. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board or Registered ... in a state other than California must provide their Registered Nurse License Number from that state...vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply REGISTERED NURSE II - NORTH ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...experience* at the level of Los Angeles County classification Registered Nurse I**. -AND- 2. A license… more
- Molina Healthcare (Los Angeles, CA)
- …will move to a 3 day/12 hour shift from then on._** **_Previous experience with Utilization Management / Utilization Review is very essential to this role. ... Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina… more
- Amergis (Los Angeles, CA)
- …BE ASSIGNED TO MEET BUSINESS NEEDS. REQUIREMENTS: Training and Experience: A valid California Registered Nurse ( RN ) license issued by theCalifornia Board of ... LifeSupport (BCLS) and Cardiopulmonary Resuscitation (CPR) certification. Clinicalexperience as a registered nurse in an ambulatory health care clinic,preferably… more
- UCLA Health (Los Angeles, CA)
- …+ CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + Minimum of three years ... safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital care.… more
- UCLA Health (Los Angeles, CA)
- …+ CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + Minimum of three years ... safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital care.… more
- Insight Global (Los Angeles, CA)
- …2+ years in a lead or supervisor role EMR system experience valid California Registered Nurse ( RN ) license Current Basic Cardiac Life Support (BLS/CPR) ... Job Description Insight Global is seeking a skilled Registered Nurse Supervisor for a community...preferred. Experience in chronic disease management , case management , utilization management and quality… more
- LA Care Health Plan (Los Angeles, CA)
- …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Required: Knowledge of state, federal and regulatory requirements in Appeals/Care/Case/ Utilization Management /Quality. Strong verbal and written communication… more
- Providence (Burbank, CA)
- …but obtaining the degree will not be a condition of employment. + California Registered Nurse License upon hire. + 2 years experience in Healthcare related ... field (Acute, Ambulatory, Post-Acute, etc.). + 2 years experience in Case Management (Care Coordination or Utilization Management ) or successful completion… more
- Cedars-Sinai (Tarzana, CA)
- …assigned unit. + Responsible for administrative support activities involving facilities management , pharmacy, utilization management , quality management ... **Job Description** The Supervisor, Clinical Operations Oncology RN is responsible for supervising the clinical staff and clinical operations of the Oncology… more
- Emanate Health (West Covina, CA)
- …Two years recent acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal ... Participates in quality improvement activities as they relate to the management of patient care. **Job Requirements** **Minimum Education Requirement:** Bachelor… more
- Prime Healthcare (Lynwood, CA)
- …experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 ... experience, education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163839/ rn -case-manager utilization -review/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Francis Medical Center… more