- UCLA Health (Los Angeles, CA)
- …the direction of the RN Asst. Director for Utilization Review, Intensive Case Management , you will support and perform duties to provide discharge planning/ ... admitted in Non Domestic Hospital. You will use the nursing process to identify and advocate for patient issues....patient and decreasing fragmentation and duplication of care, the Nurse Case Manager/Clinical Advisor is able to… more
- The County of Los Angeles (Los Angeles, CA)
- …in clinical nursing . + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION: *In order to receive credit ... ASSISTANT NURSING DIRECTOR , ADMINISTRATION Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2924513) Apply...appropriateness of the level of care. For this examination, Case Management is a collaborative process that… 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 Position Type: ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate,...an acute hospital setting. At least 2 years Utilization Management / Case Management experience in a… more
- 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 Position Type: ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate,...and/or CNA experience. At least 2 years of Utilization Management / Case Management experience in a… more
- Cedars-Sinai (Marina Del Rey, CA)
- …of the Marina del Rey Hospital (MDRH) Intensive Care Unit (ICU) Medical Director , the Nurse Practitioner provides preliminary assessment/evaluation in the ICU. + ... further! Cedars-Sinai, a world-class healthcare organization, is seeking a Nurse Practitioner (NP) to join our team in the...Responsible to the medical director and the chief nursing officer (CNO)… more
- Cedars-Sinai (Los Angeles, CA)
- …collaborates with other CSMN providers of Population Health services, the Medical Director of Pain Management , and Population Health leadership, including ... **Job Description** The Medical Director of Mental Health is a psychiatrist who...and teaching of medical students, residents, fellows, social workers, case managers, pharmacists, nurse practitioners, nurses, and… more
- WelbeHealth (Carson, CA)
- …are provided. The Clinical Nurse Manager is well-versed in people development, management , and RN level nursing care. The Clinical RN Manager maintains ... clinic operations. Under the direction of the Clinical Services Director (CSD), the WelbeHealth Clinical Nurse Manager...clearly understood and followed by all clinic and RN Case Manager team members. **Essential Job Duties:** + Operate… more
- Pipeline Health System, LLC (Gardena, CA)
- …to ensure coordination of patient care and wise utilization of resources. + Documents case management activities in the patient record and in the required ... prepared a plus. + Minimum of 2-3 years in Case Management Acute Care setting Licensure/Certifications: +... Nursing + Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified… more
- Elevance Health (Woodland Hills, CA)
- **Clinical Operations Medical Director ** **Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management ** **$20,000 Sign On Bonus** ... medical decisions to members and providers. **Job Summary:** + Perform physician-level case review, following initial nurse review, of Medical Oncology regimens… more
- Amergis (Los Angeles, CA)
- …+ Current RN licensure in state practicing + At least one year of Case Management experience preferred + Complies with all relevant professional standards ... The RN Case Manager is responsible for coordinatingcontinuum of care...pertinent to patient's needs/goals + Partners with the Program Director in development and reviewof the patient's individualized coordination… more
- Elevance Health (Cerritos, CA)
- …require Medical Director review or policy interpretation. + Perform physician-level case review, following initial nurse review, of sleep studies, durable ... **Clinical Operations Associate Medical Director ** **Sleep Medicine** **Carelon Medical Benefits Management...make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes… more
- Travelers Insurance Company (Diamond Bar, CA)
- …liability and damages analysis and has an understanding of the litigation process, relevant case and statutory law and litigation management skills for line of ... business. Leadership responsibilities including the selection, training, development, performance management and compensation recommendations and communication of staff. This… more
- LA Care Health Plan (Los Angeles, CA)
- …remediation for experienced staff. The position must be a subject matter expert in case management processes and standards of practice including, but not limited ... resources to ensure training materials are compliant with professional case management standards of practice, quality, evidenced...progress reports and recommendations on learning plans to the Director of Care Management who determines the… more
- LA Care Health Plan (Los Angeles, CA)
- …work/licensure. The Supervisor is a subject matter expert (SME) in Care/ Case /Utilization Management and supporting regulations, policies, protocols, and ... 5-7 years of acute/clinical care experience. Minimum of 2 years experience in Case /Care/Utilization Management in an acute care or health plan setting. Minimum… more
- Providence (Burbank, CA)
- …be considered on a case -by- case basis at each ministry by the Director of Care Management in consultation with the Human Resources. + RNs employed prior ... **Description** Case Management is a collaborative practice...Function:** Clinical Care **Job Schedule:** **Job Shift:** **Career Track:** Nursing **Department:** 7001 PSJMC CASE MGMT **Address:**… more
- LA Care Health Plan (Los Angeles, CA)
- …Supervisor of ECM and receives clinical supervision as needed from the Medical Director of Care Management . The position is responsible for providing oversight, ... Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range… more
- Amergis (Los Angeles, CA)
- Pay Rate $55-60 + POSITION SUMMARY: Under the supervision of the Nursing Director , the NursingSupervisor will provide culturally competent medical, services to ... the Nursing Supervisor willwork closely with the Nursing Director to design, implement and monitorworkflow...work environment and achievement of goals. Experience in chronicdisease management , case management , utilization … more
- LA Care Health Plan (Los Angeles, CA)
- …the safety net required to achieve that purpose. Job Summary Reporting to the Director of Enhanced Care Management (ECM), the ECM Manager will be responsible ... Manager, Enhanced Care Management (RN or LCSW) Job Category: Clinical Department:...Master's degree in Social Work OR Associates Degree in Nursing In lieu of degree, equivalent education and/or experience… more
- Elevance Health (Cerritos, CA)
- …Responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM) or a combination of both functions (integrated ... and/or outpatient psychiatric and chemical dependency treatment and extensive experience in case management and telephonic coaching with members with a broad… more
- City of Long Beach (Long Beach, CA)
- …preventing the spread of TB through treatment, including Latent TB Infection, case management and contact investigation; + Support development and implementation ... from grant funding. The Department is overseen by the Director of Health and Human Services and has more...of clinical, diagnostic, & case management systems, tools and protocols for… more