- Prime Healthcare (Lynwood, CA)
- …Full Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/209331/ case - manager %2c- rn utilization ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
- Cedars-Sinai (Los Angeles, CA)
- …care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician ... of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required...for Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist -… 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 ... Supervisor, Utilization Management RN Job Category: Clinical...The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols,… more
- Amergis (Orange, CA)
- … Case Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and ... Qualifications: + Current California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of clinical experience required;… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Nurse Specialist RN...California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
- UCLA Health (Los Angeles, CA)
- …staff) + 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
- Molina Healthcare (Carson, CA)
- **HOSPICE OVERSIGHT CASE MANAGER ( REGISTERED NURSE )** California residents preferred** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services ... to address concerns. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- Providence (Santa Monica, CA)
- **Description** RN Care Manager for our Care...within 3 years of hire. + Upon hire: California Registered Nurse License + 2 years experience ... related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years experience in Case Management (Care Coordination or Utilization Management) or successful… more
- ICW Group (Woodland Hills, CA)
- …assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate ... providing direct clinical care required. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational … more
- Providence (Torrance, CA)
- …people, we must empower them. **Required Qualifications:** + Bachelor's Degree. + California Registered Nurse License upon hire. + 2 years experience in ... **Description** ** RN Care Manager in Providence Little...only 1% of US hospitals are four times designated. Case Management is a collaborative practice including patients, caregivers,… more
- Providence (Santa Monica, CA)
- **Description** **Care Manager RN at Providence Saint John's Health Center in Santa Monica, CA. Position available Per Diem and will work 8-hour Day shifts. Join ... must empower them. **Required qualifications:** + Bachelor's Degree. + upon hire: California Registered Nurse License + 2 years Experience in healthcare related… more
- Providence (Orange, CA)
- **Description** **Care Manager RN to join our Care Management Team at Providence St. Joseph Hospital in Orange, CA. Position available is Per Diem and will work ... an accredited school of nursing. + Upon hire: California Registered Nurse License. + 3 years Clinical...Transplant, or Wound Care. + 3 years Experience in utilization management or case management. **Why Join… more
- Providence (Hawthorne, CA)
- …**Required qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience in ... through effective resource coordination. The goal of the Care Manager is to advocate for and assist the patient...Wound Care upon hire. + 3 years Experience in utilization management or case management. **Why Join… more
- LA Care Health Plan (Los Angeles, CA)
- …Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and ... Managed Long Term Services and Supports Nurse Specialist RN II Job Category:...unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
- Dignity Health (Long Beach, CA)
- …(5) years of nursing experience. + Certified Case Manager (CCM) Accredited Case Manager (ACM- RN ) or UM Certification preferred + Knowledge of managed ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate.… more
- Dignity Health (Long Beach, CA)
- …years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Knowledge of managed ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate.… 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 ... with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability… more
- The County of Los Angeles (Los Angeles, CA)
- …mental health team. Option III : A valid, current license to practice as a registered nurse issued by the appropriate State of California licensing agency -AND- ... identified needs. + Yes, I have a valid, current license to practice as a registered nurse issued by the appropriate State of California licensing agency - AND… more
- Elevance Health (Cerritos, CA)
- …services only, and there is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with ... analytics to improve the delivery of care. **Title:** Behavioral Health Care Manager II **Location:** Woodland Hills, CA - 21215 Burbank Blvd. Virtual: This… more
- LA Care Health Plan (Los Angeles, CA)
- …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... Worker; current and unrestricted California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light… more