- LA Care Health Plan (Los Angeles, CA)
- …in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: ... current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager … more
- UCLA Health (Los Angeles, CA)
- …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... (BSN) degree required + Five or more years of utilization management required + Four or more...travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified… more
- LA Care Health Plan (Los Angeles, CA)
- …of work/licensure. The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols, and ... of 5-7 years of acute/clinical care experience. Minimum of 2 years experience in Case /Care/ Utilization Management in an acute care or health plan setting.… more
- LA Care Health Plan (Los Angeles, CA)
- …appeals and grievances, delegation oversight, and/or CNA experience. At least 2 years of Utilization Management / Case Management experience in a hospital ... Utilization Management Nurse Specialist LVN II... Utilization Management Nurse Specialist LVN II Job Category: Clinical...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews… more
- LA Care Health Plan (Los Angeles, CA)
- …years of varied clinical experience in an acute hospital setting. At least 2 years Utilization Management / Case Management experience in a hospital or HMO ... Utilization Management Nurse Specialist RN II...Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
- Providence (Tarzana, CA)
- …in Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years Experience in Case Management (Care Coordination or Utilization Management ) ... **Description** Case Management is a collaborative practice...care coordination along a continuum through effective transitional care management and utilization management . Recognizing… more
- Universal Health Services (Palmdale, CA)
- …plan with company match + SoFi Student Loan Refinancing Program Essential Job Duties: The Case Manager , a Licensed Vocational Nurse, under the Director of C ase ... clinical experience and minimum of three years C linical C ase Management / Utilization Review experience (preferred). Motivation for self-direction. + Minimum of… more
- Providence (Santa Monica, CA)
- …Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management ) ... **Description** Case Management is a collaborative practice...care coordination along a continuum through effective transitional care management and utilization management . Recognizing… more
- Providence (Santa Monica, CA)
- …in Oncology, Rehab, Pediatrics, Transplant, or Wound Care. + 3 years experience in utilization management or case management . **Why Join Providence?** ... **Description** Care Management is a collaborative practice model including the...physicians, other practitioners, caregivers and the community. The care management process encompasses excellent communication, both verbal and written,… more
- UCLA Health (Santa Monica, CA)
- …solver with: + BSN or MSN + CA RN License and BLS + Recent experience in case management , utilization management and discharge planning + Minimum of ... quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and...to you to help drive performance improvement efforts. This Case Management position floats to various units… more
- Amergis (Los Angeles, CA)
- The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... for psychosocial needs + Participates in Quality Assurance and Utilization Reviewactivities, as directed + Empowers patients in decision-making...in state practicing + At least one year of Case Management experience preferred + Complies with… more
- UCLA Health (West Hills, CA)
- …a: + BSN or MSN + CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + Minimum of ... safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital care.… more
- UCLA Health (Santa Monica, CA)
- …Health Nursing staff) + CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + ... safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital care.… 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 ... and decreasing fragmentation and duplication of care, the Nurse Case Manager /Clinical Advisor is able to enhance...BSN Degree + Minimum of 2 years' experience in utilization management , Inpatient CM or clinical Experience… more
- LA Care Health Plan (Los Angeles, CA)
- …current and unrestricted California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager ... Manager , Enhanced Care Management (RN or... Manager , Enhanced Care Management (RN or LCSW) Job Category: Clinical Department:...Job Summary Reporting to the Director of Enhanced Care Management (ECM), the ECM Manager will be… more
- UCLA Health (Los Angeles, CA)
- …+ Current unrestricted California RN license. + BSN Degree + 5 years of Case Management experience + Must have strong problem solving skills; ability to ... quality outcomes by effectively managing care and resources to reduce unnecessary utilization . The RN Care Manager utilizes clinical expertise and understanding… more
- Ross Stores, Inc. (Los Angeles, CA)
- …and development for our teams\. **GENERAL PURPOSE:** The Area Loss Prevention Manager \(ALPM\) is responsible for protecting the assets of Ross Stores, Inc\. ... SPS\) and are involved in the ongoing hiring, training, development, and performance management of this team\. Periodically, ALPMs may need to support the response… more
- Elevance Health (Glendale, CA)
- …in applicable states or territory of the United States required. + Previous experience in case management / utilization management with a broad range of ... **Sign-on Bonus:** $3,000 The **Behavioral Care Manager ** **II** is responsible for completing clinical assessments,...and contract. + Outreaches to providers as necessary for Utilization Management functions. + Collaborating with other… more
- Securitas Security Services USA, Inc. (Los Angeles, CA)
- **JOB SUMMARY:** Supports Branch Manager or Account Manager through project planning and coordination to meet commitments on time and within resource ... and monitors service delivery. Distinguishing Characteristics: Performs a variety of management functions for assigned account or site(s); may be assigned a… more
- Cedars-Sinai (Beverly Hills, CA)
- …including aiding in resolving any conflicting project decisions. + Discusses business case scenarios, presents to senior management , and guides team(s) on ... **Job Description** The Project Manager is responsible for managing assigned projects from...managing budget, costing, timing, and other resources including vendor management , staffing and/or deliverables to ensure utilization … more