- Prime Healthcare (Lynwood, CA)
- …Full Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/212260/ 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
- 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)
- …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
- 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
- Emanate Health (West Covina, CA)
- …nurses new to the US healthcare system must satisfactorily complete the Emanate Health RN Residency Program within the first 6 months of employment. Two years recent ... acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal and time management… more
- Molina Healthcare (Long Beach, 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
- 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 (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 (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 (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
- Pomona Valley Hospital Medical Center (Pomona, CA)
- …with Associates degree. Three years acute hospital experience; one year experience in Utilization Review or Case Management; discharge planning and/or case ... management. Knowledge of common disease processes and health care delivery systems; able to manage competing priorities and effectively prioritizes work; demonstrates effective communication, time management and problem solving skills; is adaptable, flexible… 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
- Molina Healthcare (Los Angeles, CA)
- …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in Nursing. ... Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM)… more