- Endo International (Glendale, CA)
- …maintain call objectives for geography with minimal consultation with Regional Sales Manager (RSM) to assure proper portfolio balance and planned actions. + Develop ... maintain performance guidelines for the following metrics: call activity, appropriate utilization of samples, Quarterly Business Plan update. + Incorporate and… more
- Prime Healthcare (Anaheim, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218947/ case - manager ... related field or at least one year experience in case management , discharge planning or nursing ...Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM) certification preferred.3. At least… 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
- Amergis (Orange, CA)
- …Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and ... as those listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228577/rn- case - manager ... 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
- 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)
- …in an acute hospital setting. Previous experience to have a strong understanding of Utilization Management / Case Management practices including, but not ... Utilization Management Admissions Liaison RN II...unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management … more
- Cedars-Sinai (Marina Del Rey, CA)
- …staff member feels like family. **Req ID** : 12213 **Working Title** : RN Case Manager - Case Management (ED) - Per Diem (12-hour night shifts) - Marina ... You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of...care. + Assumes responsibility for timely completion of required case management reports for regulatory bodies, health… more
- UCLA Health (Los Angeles, CA)
- …discharge planning. Under the direction of the Assistant Director, the ICM Nurse Case Manager - Oncology performs complex care coordination for high-risk MA ... cancer patients. The Nurse Case Manager uses the nursing process to...RN + Preferably minimum of 2 years' experience in utilization management , Inpatient CM or clinical Experience… more
- Cedars-Sinai (Beverly Hills, CA)
- …the daily functions of the inpatient case managers. The inpatient case manager conducts case management on patients in the inpatient, and Skilled ... More About What You Will be Doing** The Lead Case Manager will assist in the daily...experience required + 3 years of previous experience in case management , discharge planning, utilization … more
- Elevance Health (Los Angeles, CA)
- …evening shifts from 11:30 AM to 8:00 PM (local time) The **Nurse Case Manager II** responsible for care management within the scope of licensure for members ... **Nurse Case Manager II** Location(s): California, Colorado,...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements**… more
- Elevance Health (Los Angeles, CA)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**...Management experience is preferred. + Certification as a Case Manager is preferred. + Minimum 2… 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
- Rising Medical Solutions (Los Angeles, CA)
- …best practices in workers compensation management . We are searching for a case manager with a proven background in workers compensation-someone who is ... the following specialties: industrial rehabilitation nursing, medical case management , occupational health, orthopedics, home health care, utilization … more
- Providence (Santa Monica, CA)
- …Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years - Experience in Case Management (Care Coordination or Utilization Management ) or ... is for you. **The position starts November 3, 2025** **Day shift available** Case Management is a collaborative practice including patients, caregivers, nurses,… more
- LA Care Health Plan (Los Angeles, CA)
- …of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management , Disease ... Technical Applications Manager II Job Category: Information Technology Department: IT...Altruista, Thrasys) required. Functional knowledge of Utilization Management , Care Management , Clinical Case … more
- Molina Healthcare (Los Angeles, CA)
- …software program(s) proficiency. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term… more
- Amgen (Los Angeles, CA)
- …playing a key role in establishing product demand and delivering comprehensive account management within a designated territory. You will serve a central point of ... to support optimal patient care. As a SAM, you will drive product utilization while identifying and addressing the unique needs of each account. This includes… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …patient/family by collaborating with the multidisciplinary team to develop and implement a case management plan to ensure quality patient outcomes, and customer ... years nursing experience with advanced level pediatric clinical experience and utilization management and/or discharge planning experience. Thorough knowledge of… more
- Elevance Health (Los Angeles, CA)
- …navigating multiple IT platforms. + Outstanding organizational skills. + Prior experience in case management and utilization management , particularly ... **Behavioral Health Care Manager II** Responsible for managing psychiatric and substance...emphasis on Outpatient Providers. + Performs timely Behavioral Health utilization reviews. + Work with multidisciplinary teams to facilitate… more
