- 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)
- …condition of continued employment. **Req ID** : 5044 **Working Title** : Registered Nurse - Utilization Management 8 Hour Days Per Diem **Department** : ... fro an accredited nursing program required. Bachelors Degree in Nurse preferred. California RN License required. **Experience:**... Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category**… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, ... achieve that purpose. Job Summary The Utilization Management Clinical Quality Nurse Reviewer RN...ability to lead successful performance improvement projects. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… 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
- Amergis (Los Angeles, CA)
- …or service + Performs other duties as assigned/necessary Minimum Requirements: + Registered Nurse or Licensed Practical Nursing license required + Certified ... + Audits medical records and monitors performance measures for health care risk management , sentinel events and trends + Oversees and monitors the development and… 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
- Pipeline Health System, LLC (Gardena, CA)
- Case Manager Registered Nurse RN - Per Diem 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety of tasks and functions. These include ... utilization review, discharge planning, care coordination and variance management to assure the delivery of necessary services, efficient patient progression, and… more
- Dignity Health (Northridge, CA)
- …time management skills. + Performs other duties as assigned. **Qualifications** + CA Registered Nurse ( RN ) License required. + Minimum two (2) years of ... emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post… 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: Audit Services...is responsible for ensuring that delegates contracted to perform Utilization Management (UM) functions on behalf of… more
- LA Care Health Plan (Los Angeles, CA)
- …all Health Insurance Portability and Accountability Act (HIPAA) requirements. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and ... unrestricted California License Licenses/Certifications Preferred Required Training Required: Registered Nurse ( RN ) Physical Requirements Light Additional… more
- Providence (Mission Hills, 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
- 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 ... unrestricted California License Licenses/Certifications Preferred Required Training Required: Registered Nurse ( RN ) Physical Requirements Light Additional… more
- Pipeline Health System, LLC (Gardena, CA)
- … utilization review, discharge planning, care coordination and variance management to assure the delivery of necessary services, efficient patient progression, ... RN Case Manager Full Time 8-Hour Day Shift...team to ensure coordination of patient care and wise utilization of resources. + Documents case management … more
- LA Care Health Plan (Los Angeles, CA)
- …Master of Social Worker (LMSW) - Active, current and unrestricted California License Registered Nurse ( RN ) - Active, current and unrestricted California ... health care resource utilization . Assures appropriate staff support of Utilization Management and other relevant committees. Supports the maintenance of… more
- Fresenius Medical Center (Bellflower, 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 ... This is a per diem RN position for Saturdays in our Bellflower, CA...adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other… 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
- Dignity Health (Los Angeles, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. +… 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