- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …Job Title Registered Nurse - Case Manager @ Providence Little Company of Mary Medical Center San Pedro - Case Management Weekly Pay $2440.0 Shift Details ... Details Client Name Providence Little Company of Mary Medical Center - San Pedro Job Type Travel...Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day 5x8-Hour Hours per… more
- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- …ensure timely, efficient, and effective discharge planning and transitions. Supports utilization management and ensures compliance with payer guidelines. ... Details Client Name Providence Little Company of Mary Medical Center San Pedro- Case Management ...BLS - AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates… more
- EV Realty (Los Angeles, CA)
- …multiple fleets onto shared, private infrastructure, we reduce costs, improve truck utilization , and deliver services that critical commercial fleets require to keep ... codes and standards. Site operations includes property and building management such as security, cameras, lighting, janitorial, site-access, internet, traffic… more
- Clever Care Health Plan (Huntington Beach, CA)
- …and implementation of various Stars and Risk adjustment programs tied to medical records retrieval strategies, collecting and tracking medical records from ... outreach to patients HIPAA compliant outreaches to patients for Medication adherence/ utilization and other risk/quality gaps closure support including but not… more
- Amphenol CIT (Cerritos, CA)
- …world's leading designers and manufacturers of high-performance wire, cable, and medical devices. We provide complete interconnect solutions to industries like ... Aerospace, Military & Defense Electronics, Space, Medical , Test & Measurement, and Industrial. Our talented team of employees worldwide helps bring movies to your… more
- Organon & Co. (Los Angeles, CA)
- …District Business Manager and be responsible for driving product awareness and utilization . The Territory Business Manager will work towards achieving and exceeding ... healthcare office and to deliver outstanding customer service through total account management . + Develop relationships and maintain an active presence in the… more
- Southland Industries (Garden Grove, CA)
- …with an emphasis on **program cost analysis, compliance, and vendor management ** . This role requires experience with **self-insured program administration** and ... tools. **Reporting & Collaboration** + Provide reporting and analysis on benefits utilization and cost trends to HR and Finance leadership. + Support benefits… more
- Elevance Health (Los Angeles, CA)
- Utilization Management / Medical Management Nurse - CA (JR169412) **Virtual:** This role enables associates to work virtually full-time, with the ... 8am - 6pm PST. Rotating Weekends and holidays. The ** Medical Management Nurse** is responsible for review...Med/Surg, Critical Care, ER, Telemetry, etc. strongly preferred. + Utilization management /review within managed care or hospital… more
- Molina Healthcare (Los Angeles, CA)
- …Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review, and/or other utilization management ... clinical and non-clinical team activities to facilitate integrated, proactive utilization management , ensuring compliance with regulatory and accrediting… more
- LA Care Health Plan (Los Angeles, CA)
- …observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests where determination ... Utilization Management Admissions Liaison RN II...acute care facilities. Acts as a department resource for medical service requests/referral management and processes. Actively… 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...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… 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 patients ... Overview AtCentinela Hospital Medical Center, our dedicated team of professionals are...and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and… more
- The County of Los Angeles (Los Angeles, CA)
- …staff training is needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review Committee meetings to ... I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator,... Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that… more
- Prime Healthcare (Lynwood, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/228577/rn-case-manager utilization -review/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. ... Overview St. Francis Medical Center is one of the leading comprehensive...and service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- The County of Los Angeles (Los Angeles, CA)
- …DIRECTOR, ADMINISTRATION (Director, Workforce Management and Operations) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3110377) Apply ... NURSING DIRECTOR, ADMINISTRATION (Director, Workforce Management and Operations) Salary $163,996.80 - $255,048.48 Annually Location Los Angeles County, CA Job Type… more
- LA Care Health Plan (Los Angeles, CA)
- …the coordination of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and ... ECM and receives clinical supervision as needed from the Medical Director of Care Management . The position... Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer:… more
- UCLA Health (Los Angeles, CA)
- …multiple clinical programs and medical services with an emphasis on optimizing Utilization Management for the Faculty Practice Group (FPG) Management ... etc.), required + 3-5 years of executive leadership experience with a focus on Utilization Management for a medical group, IPA, or Health Plan, required +… more
- Rising Medical Solutions (Los Angeles, CA)
- …the following specialties: industrial rehabilitation nursing, medical case management , occupational health, orthopedics, home health care, utilization ... of dedicated professionals committed to elevating the standards of medical case management for workplace injuries and find a collaborative environment where… more
- Molina Healthcare (Los Angeles, CA)
- …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies ... the most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II, D-SNP Team (ALD) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... the safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions… more
