- 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 ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and… 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 ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and… more
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... Resource Management issues, other issues including concerns involving under/over utilization , avoidable days and quality issues. 13. Responsible for all incoming… more
- LA Care Health Plan (Los Angeles, CA)
- …the coordination of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and ... Enhanced Care Management Clinical Specialist II Job Category:... Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer:… more
- Alameda Health System (Oakland, CA)
- Care Management Specialist + Oakland, CA + Highland...in a health care field or one year in Utilization Management at a Medical Group or Health ... in-patient and post discharge services. 5. Per the direction of the Care Management social worker and/or nurse , facilitates, identifies and documents all… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... support the safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential… more
- The Arora Group (Twentynine Palms, CA)
- …(WII) under the Psychological Health Transition to Care Initiative in the Case Management / Utilization Management Division at Naval Hospital 29 Palms . ... process, including assessment, planning, implementation, coordination, and monitoring. + Integrate case management (CM) with utilization management (UM) and… more
- Highland General Hospital (Oakland, CA)
- …Required Experience: Three years in a health care field or one year in Utilization Management at a Medical Group or Health plan experience; electronic Health ... in-patient and post discharge services. 5. Per the direction of the Care Management social worker and/or nurse , facilitates, identifies and documents all… more
- Sharp HealthCare (San Diego, CA)
- …Quality (CPHQ) - National Association for Healthcare Quality; California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours** ... with the hospice and palliative care quality/safety plan. The Senior Specialist Performance Improvement participates in the development and implementation of Sharp… more
- Sharp HealthCare (La Mesa, CA)
- …Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; Clinical Nurse Specialist (CNS) - CA Board of Registered Nursing; AHA Basic Life ... business practices. **What You Will Do** Masters or doctoral prepared with Clinical Nurse Specialist Certificate who plans, directs and executes all Magnet… more
- Stanford Health Care (Palo Alto, CA)
- …professional growth and development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified ... (1) year of experience as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered … more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …Life Services and in accordance with the medical orders of referring physicians, nurse practitioners, or other medical staff, this position is a Certified Child Life ... Specialist and a facility dog handler with the responsibility...ethical treatment, safety and security of physical environments, emergency management , teamwork, respect for others, participation in ongoing education… more
- The Arora Group (Coronado, CA)
- …algorithms, CM software, and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case management with ... Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) + Association of Rehabilitation Nurses:… more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** To provide comprehensive utilization management and coordination of care for members who are ... **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing &...plan requirements for documentation of concurrent SNF review and utilization management activities performed in a manner… more
- Vyaire Medical (Eureka, CA)
- Medical Device Clinical Specialist - Ventilation **Help the World Breathe Easier by Collaborating with Innovative Vyaire Employees Around the World** As a global ... Impact You'll Make in this Role** As a(n) Clinical Specialist , you will have the opportunity to tap into...and across functional groups. Communicate information related to quality management system efficiency. + Directly support the timely and… more
- Universal Health Services (Palmdale, CA)
- …. Job Summary: The Southwest Healthcare is seeking a Registered Nurse Clinical Documentation Improvement Specialist for our Palmdale, CA ... concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services. Duties include but not limited… 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 COUNTY ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...practice setting. + Serves as a preceptor: expert or specialist who gives practical experience and training to new… more
- Children's Hospital & Research Center Oakland (Oakland, CA)
- …in California. **Experience** : 2 years pediatric nursing experience. One year nurse practitioner experience. Clinical nurse specialist with pediatric ... **Job Summary:** The Pediatric Nurse Practitioner (PNP) is a nurse ...to work independently, problem solve, and prioritize demands Case management experience Utilization management or… more
- UCLA Health (Los Angeles, CA)
- …of clinical hospital experience; or equivalent of education and experience in case management , utilization management or prior clinical documentation review ... assisting with appropriate documentation strategies. Partnering with Medical Coding, Case Management and the Quality team, you will gather/analyze information to… more
- Stanford Health Care (Palo Alto, CA)
- …and development of their APPs. The Lead APP also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered ... 1 year of experience as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered … more