- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …is seeking to hire experienced Registered Nurses to work in our Utilization Management (UM) Program. Incumbents are expected to perform assessing, planning, ... following: Demonstrates ability to perform a wide range of Utilization Management /Quality Management /Performance Improvement (UM/QM/PI)...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- The County of Los Angeles (Los Angeles, CA)
- …ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management experience whose primary charge ... OPTION II: Two (2) years of experience as a registered nurse , of which one year must...County of Los Angeles, a Utilization Review Nurse is an RN that has Case Management… 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 ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply REGISTERED NURSE II - NORTH ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...experience* at the level of Los Angeles County classification Registered Nurse I**. -AND- 2. A license… 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: Full ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
- Prime Healthcare (Inglewood, CA)
- …Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patiens ... Status Full Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/209416/director-of-case- management utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityCentinela Hospital… 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
- Cedars-Sinai (Los Angeles, CA)
- …thereafter as a condition of continued employment. **Req ID** : 8846 **Working Title** : Registered Nurse III - Cancer Center Exams - 8 Hour Days **Department** ... honest, encouraging, supportive and conscientious manner. As a Clinical Nurse III, you will deliver direct care to assigned...competently provide care to patients + Utilizes effective time management to complete all assignments in a timely manner… more
- Fresenius Medical Center (Los Angeles, 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 ... acting on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other FVC administrative and… more
- Fresenius Medical Center (Los Angeles, CA)
- …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Prime Healthcare (Lynwood, CA)
- …experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to… more
- The County of Los Angeles (Los Angeles, CA)
- …calendar days from application submission. LICENSE(S) REQUIRED: + A license to practice as a Registered Nurse and a certificate to practice as a Nurse ... Administration + Nursing Education + Health Science + Healthcare Management + Healthcare Education + Healthcare Administration + Public...Do you have a license to practice as a Registered Nurse issued by the California Board… more
- The County of Los Angeles (Los Angeles, CA)
- …an accredited college or university. LICENSE(S) REQUIRED: + A license to practice as a Registered Nurse and a certificate to practice as a Nurse Practitioner ... health resources for treatment but retains responsibility for clinical management as well as any subsequent modification. Incumbents may...Do you have a license to practice as a Registered Nurse issued by the California Board… more
- The County of Los Angeles (Los Angeles, CA)
- …accredited college or university . LICENSE(S) REQUIRED: + A license to practice as a Registered Nurse and a certificate to practice as a Nurse Practitioner ... Administration + Nursing Education + Health Science + Healthcare Management + Healthcare Education + Healthcare Administration + Public...Do you have a license to practice as a Registered Nurse issued by the California Board… more
- LA Care Health Plan (Los Angeles, CA)
- …includes care coordination functions and must adhere to regulatory mandates that apply to Utilization Management (UM) and Care Management (CM). This position ... Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted… more
- LA Care Health Plan (Los Angeles, CA)
- …the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter ... can include inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management , Medical Directors, and other internal teams to… more
- Cedars-Sinai (Los Angeles, CA)
- …approved by the California Board of Registered + Current State of California Registered Nurse and Nurse Practitioner License + National Certification as ... in the inpatient and/or ambulatory setting. + Works with Inpatient Case Management and Inpatient Nursing to support and coordinate hospital discharge by working… more
- Molina Healthcare (Los Angeles, CA)
- … Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a bachelor's degree in Nursing. **Preferred ... contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM… more
- ICW Group (Woodland Hills, CA)
- …Current unrestricted Registered Nurse (RN) or Licensed Vocational Nurse (LVN) required. Certification in case management , rehabilitation nursing or a ... and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and… more
- The County of Los Angeles (Los Angeles, CA)
- …programs, or educational programs -AND- a current active license to practice as a Registered Nurse issued by the California Board of Registered Nursing. ... for the shared decision-making process and provides leadership for utilization of best practice evidence in nurse ...applicants must have a license to practice as a Registered Nurse issued by the California Board… more