- Prime Healthcare (National City, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/205657/ case - manager utilization - management ... other Bachelor degree in a related field. At least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within… more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/204105/ 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
- Stanford Health Care (Palo Alto, CA)
- …- 5+ years of experience as an RN - 3+ years of experience in case management / utilization review Why work at Stanford Medicine | Stanford Health ... Knowledge, Skills and Abilities** + Knowledge of principles and best practices of case management , utilization review, social work, care coordination and… 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
- Alameda Health System (Oakland, CA)
- …requirements. 16. Participate in orientation of fresh staff as requested by the Manager of Utilization Management . 17. Maintains knowledge of current ... Required Experience: Minimum three (3) years of experience in Utilization Management or Case ...Nurse in the State of California Preferred Licenses/Certifications: Certified Case Manager (CCM) or Accredited Case… 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)
- …of varied clinical experience in an acute hospital setting. At least 2 years of 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
- Rady Children's Hospital San Diego (San Diego, CA)
- …and staff while furnishing guidance in areas of clinical quality, practice patterns, utilization management , case management , and patient satisfaction. ... nurses working with the Rady Children's Health Network. The Utilization Management Medical Director will collaborate closely...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- Prime Healthcare (Chino, CA)
- … Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and… more
- Sharp HealthCare (San Diego, CA)
- …and cost effective care for patients throughout the continuum. The Clinical Case Manager facilitates and coordinates services with health care professionals ... the achievement of quality and cost outcomes. The Clinical Case Manager is responsible for accurately completing...care degree. + 3 Years recent clinical nursing or case management experience. + California Registered Nurse… more
- Sharp HealthCare (San Diego, CA)
- …acute patient care, SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience ... hospital stay beginning with the admission review of the case manager and reviews with the ...rounds, as required, to discuss high risk patients requiring case management follow up.Attends clinical in-services or… more
- Sharp HealthCare (San Diego, CA)
- …5 Years Acute care or clinical experience in area of specialty. + 2 Years Utilization / Case Management experience, preferably in a Managed Care setting. + ... Professional (AHA BLS Healthcare) - American Heart Association; Certified Case Manager (CCM) - Commission for ...area of expertise. + Proficient knowledge and understanding of utilization management , case management… more
- Providence (Santa Rosa, CA)
- **Description** Care Manager RN in the Case Management Unit of Santa Rosa Memorial Hospital. This is Per Diem, Day Shift position. Providence Santa Rosa ... + Coursework/Training: Environmental Orientation due within 30 days of hire. + Coursework/Training: Case Management Competency due within 90 days of hire. +… more
- Sutter Health (Goleta, CA)
- …Health System Office - Santa Barbara **Position Overview:** Coordinates the utilization management , resource management , discharge planning, post-acute ... level for corrective action plans and trending. * Directs and oversees the Case Management Assistants to interview patient/family and determine preferences for… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …discharge needs, quality of care, and implementing the utilization management process for acute inpatients. Case Managers perform concurrent review ... length of stay, and avoidable delays in discharge. The Case Manager collaborates with the family, the...years nursing in an acute hospital or 2 years Case Management , Utilization Review, or… more
- Stanford Health Care (Palo Alto, CA)
- …Knowledge, Skills and Abilities** + Knowledge of principles and best practices of case management , utilization review, social work, care coordination and ... employee evaluations, and program development for the Department of Social Work and Case Management . Additionally, this position serves as a resource for problem… more
- Dignity Health (Santa Maria, CA)
- …Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience **Required ... effectively with multiple stakeholders * Professional communication skills * Understand how utilization management and management programs integrate. *… more
- Select Medical (Los Angeles, CA)
- …partnership between Cedars-Sinai, UCLA Health and Select Medical Century City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered ... at Cal Rehab have a high discharge to home rate. **Benefits of working as a Case Manager with us:** + Excellent Orientation Program + Paid Time Off (PTO) +… more
- Alameda Health System (San Leandro, CA)
- …SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and social ... SLH Case Manager RN, Part Time, Benefited,...Management issues; other issues including concerns involving under/over utilization , avoidable days and quality issues. Coordinate daily with… more
- Sharp HealthCare (La Mesa, CA)
- …performance planning, competency and individual development planning process.Maintain current knowledge of case management , utilization management , and ... Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for ...Allscripts.Identify opportunities for cost reduction and participate in appropriate utilization management venues.Escalate and refers cases for… more