- Prime Healthcare (Montclair, CA)
- …of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/208989/ case - manager -%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair… 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
- 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 (Irvine, 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 (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
- 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 (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
- Elevance Health (Costa Mesa, CA)
- **Telephonic Nurse Case Manager I** **Location: Virtual:** **This role enables associates to work virtually full-time, with the exception of required ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager I** is...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… 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
- Molina Healthcare (Long Beach, 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