- Enterprise Solutions Inc (San Pedro, CA)
- Enterprise Solutions Inc is seeking a travel nurse RN Case Management for a travel nursing job in San Pedro, California.Job Description & ... years of Acute Care experience (can consider 1.5 years)Experience with Utilization Review and Discharge PlanningExperience with InterQualEnterprise Solutions Inc Job… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… 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 ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN...quality improvement activities. Communicates to UM Manager and supervising RN , barriers to completing assignments or daily work in… 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 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Cedars-Sinai (Los Angeles, CA)
- …Motions, Eye/Hand/Foot Coordination **Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen ... of an accredited nursing program Bachelor's Degree Nursing **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3...429 1.00 **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical Utilization Management (UM) provides comprehensive ... A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management with a...with a large Health Plan + An active CA Registered Nurse license + Current BCLS (AHA)… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management to a team of UM ... a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,...(BSN) degree required + Five or more years of utilization management required + Four or more… more
- UCLA Health (Los Angeles, CA)
- …this and more at UCLA Health. Under the direction and supervision of the RN Assistant Director, the Case Management Coordinator is responsible for patient high ... referral and authorization procedures as established by the medical group utilization department. Responsible for prepping and processing referrals according to… more
- Dignity Health (Northridge, CA)
- …in an acute hospital setting required. + Current CA Registered Nurse ( RN ) license + Prior Utilization Management experience in a clinical or ... more than 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible… more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and Support (MLTSS),… more
- UCLA Health (Los Angeles, CA)
- Description Under the direction of the RN Asst. Director for Utilization Review, Intensive Case Management , you will support and perform duties to provide ... patient and decreasing fragmentation and duplication of care, the Nurse Case Manager/Clinical Advisor is able to enhance the...BSN Degree + Minimum of 2 years' experience in utilization management , Inpatient CM or clinical Experience… more
- Actalent (Ontario, CA)
- …of recent (in the last 1-3 years) Case Management experience for Riverside. Registered Nurse - RN Experience Level: Entry Level About Actalent Actalent ... complies with the scope of services defined by the Registered Nurse RN state licensure...for case management scope of services including: Utilization Management supporting medical necessity and denial… more
- Providence (Burbank, CA)
- …but obtaining the degree will not be a condition of employment. + California Registered Nurse License upon hire. + 2 years experience in Healthcare related ... Providence is calling for applications for our **September 2024 RN Case Management Unit Fellowship** at **Providence...Ambulatory, Post-Acute, etc.) + 2 years experience in Case Management (Care Coordination or Utilization Management… more
- LA Care Health Plan (Los Angeles, CA)
- …Computer ease & literacy with Word, Excel, PowerPoint Skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Executive Services...is responsible for ensuring that delegates contracted to perform Utilization Management (UM) functions on behalf of… more
- Providence (Anaheim, CA)
- …**Required Qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience in ... Transplant, or Wound Care upon hire. + 3 years experience in utilization management or case management . **Why Join Providence?** Our best-in-class benefits… more
- Fresenius Medical Center (Garden Grove, CA)
- …and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... **POSITION FEATURES:** This is a full time RN role for our surgery center in Garden...adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other… more
- Providence (Tarzana, CA)
- …communication and care coordination along a continuum through effective transitional care management and utilization management . Recognizing the patient's ... within 30 days of hire + Upon hire: California Registered Nurse License + 2 years of...Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management… more
- The County of Los Angeles (Los Angeles, CA)
- …clinical nursing. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board or Registered ... in a state other than California must provide their Registered Nurse License Number from that state...vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used… more
- Elevance Health (Cerritos, CA)
- …otherwise required by managers. **Shift:** **M-F; 8:30am-5:00pm** Responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case ... with facility-based and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience, which includes a minimum of 2… more
- Molina Healthcare (Long Beach, CA)
- …REVIEW : REGISTERED NURSE ** **For this position we are seeking a ( RN ) Registered Nurse with previous experience in Acute Care, Concurrent Review/ ... Utilization Review / Utilization Management ...care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
