- Cedars-Sinai (Los Angeles, CA)
- …annually thereafter as a condition of continued employment. **Req ID** : 4300 **Working Title** : Utilization Management Case Manager - 8 Hour Days Per ... Hospitals! **What You Will Do in This Role:** The Utilization Review Case Manager validates...required. **Experience:** + Minimum of 2 years experience in Case Management preferred + Minimum of 3… more
- LA Care Health Plan (Los Angeles, CA)
- …in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: ... current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager … more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/171837/ case - manager %2c-rn utilization ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- UCLA Health (Los Angeles, CA)
- …You can do all this and more at UCLA Health. Under the direction of the Utilization Management , Assistant Manager , you will play a key role in processing ... a vital role within a leading health organization. Help ensure smooth and efficient case management processes to support quality care. Take your expertise to the… more
- Prime Healthcare (Lynwood, CA)
- …accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. ... At least one year experience in case management , discharge planning or nursing management , preferred.4. Current BCLS (AHA) certificate, preferred.5.… more
- UCLA Health (Los Angeles, CA)
- …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... (BSN) degree required + Five or more years of utilization management required + Four or more...travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified… more
- LA Care Health Plan (Los Angeles, CA)
- …of work/licensure. The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols, and ... of 7 years of acute/clinical care experience. Minimum of 2 years of experience in Case /Care/ Utilization Management in an acute care or health plan setting.… more
- LA Care Health Plan (Los Angeles, CA)
- …appeals and grievances, delegation oversight, and/or CNA experience. At least 2 years of Utilization Management / Case Management experience in a hospital ... Utilization Management Nurse Specialist LVN II... Utilization Management Nurse Specialist LVN II Job Category: Clinical...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews… more
- LA Care Health Plan (Los Angeles, CA)
- …years of varied clinical experience in an acute hospital setting. At least 2 years Utilization Management / Case Management experience in a hospital or HMO ... Utilization Management Nurse Specialist RN II...Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
- Prime Healthcare (Inglewood, CA)
- …Responsibilities The working Manager of Case ... Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators… more
- Dignity Health (Northridge, CA)
- …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs ... care centers. Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager (Care Coordinator) Case … more
- Pipeline Health System, LLC (Huntington Park, CA)
- The RN Case Manager (CM) performs a wide...and wise utilization of resources. + Documents case management activities in the patient record ... prepared a plus. + Minimum of 2-3 years in Case Management Acute Care setting Licensure/Certifications: +...Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified Case… more
- Pipeline Health System, LLC (Gardena, CA)
- RN Case Manager Full Time 8-Hour Day Shift...and wise utilization of resources. + Documents case management activities in the patient record and ... The RN Case Manager (CM) performs a wide variety of tasks and...utilization review, discharge planning, care coordination and variance management to assure the delivery of necessary services, efficient… more
- Elevance Health (Los Angeles, CA)
- **Clinical Operations Associate Medical Director** **Carelon Health** **Genetics Testing Utilization Review** **Location** : The ideal candidate will live within 50 ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- Providence (Anaheim, CA)
- …in Oncology, Rehab, Pediatrics, Transplant, or Wound Care. + 3 years Experience in utilization management or case management . **Why Join Providence?** ... Master's Degree Related field. + upon hire: Certification in Case Management (CCM, ACM). + upon hire:...time **Job Shift:** Day **Career Track:** Nursing **Department:** 7520 CASE MANAGEMENT CA HERITAGE SERVICES **Address:** CA… more
- Cedars-Sinai (Marina Del Rey, CA)
- …+ ED Case Management experience, Strongly preferred **Working Title:** RN Case Manager , Emergency Dept - Per Diem, 12-hour Night Shift - Marina del ... the highest quality healthcare! **Position Summary:** As an RN Case Manager (ED Services), you will be...will be responsible for the coordination and implementation of case management strategies pursuant to the … more
- Amergis (Orange, CA)
- The LPN/LVN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... for psychosocial needs + Participates in Quality Assurance and Utilization Reviewactivities, as directed + Empowers patients in decision-making...in state practicing + At least one year of Case Management experience preferred + Complies with… more
- Molina Healthcare (Long Beach, CA)
- …to a 3 day/12 hour shift from then on._** **_Previous experience with Emergency Room Utilization Management / Utilization Review is required for this role. ... Experience with Case Management is a plus._** **_This is...or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current… more
- UCLA Health (Los Angeles, CA)
- …Health Nursing staff) + CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + ... 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
- Emanate Health (Covina, CA)
- …Two years recent acute clinical experience. Experience with discharge. Planning, utilization management and critical pathways preferred. Effective written, ... **Minimum License Requirement:** Current California LVN License. BLS. Other certification in Case Management preferred. Must be available to work every other… more