- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/ rn - case - manager ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
- Prime Healthcare (Montclair, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229421/ case - manager -%28rn%29 ... other Bachelor degree in a related field. At least one year experience in case management, discharge planning or nursing management; + CCM or obtained within 6… more
- University of Southern California (Los Angeles, CA)
- …management of specific patient populations. The RN case manager role integrates the functions of utilization management, quality management, discharge ... Qualifications: + Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within...the last three years preferred. Required Licenses/Certifications: + Req Registered Nurse - RN (CA… more
- Cedars-Sinai (Beverly Hills, CA)
- …appropriate. + For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for ... Little More About What You Will be Doing** The Case Manager is responsible for the ...for Hiring. **Req ID** : 12949 **Working Title** : Registered Nurse - ISP Care Coordinator -… 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
- 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
- LA Care Health Plan (Los Angeles, CA)
- …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Supervisor, Utilization Management RN Job Category: Clinical...The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols,… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Admissions Liaison RN II...California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case … more
- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an… more
- University of Southern California (Arcadia, CA)
- …and maintain BLS certification. Preferred (Not required) Professional certification as a case manager preferred. Pay Transparency The hourly rate range for ... the compilation of physician profile data regarding LOS, resource utilization , denied days, cost, case mix index,.... Licenses and Certifications Minimum (Required) * A current RN licensure in the State of California is required.… more
- Genesis Healthcare (Los Angeles, CA)
- …while making a meaningful impact in the communities we serve. Responsibilities The Manager , Case Management is responsible for the clinical, administrative, and ... Manager will also perform the functions of the Case Management Job Description and will be measured based...of clinical nursing experience is required. Prior experience in utilization review, case management or discharge planning… more
- UCLA Health (Los Angeles, CA)
- …staff) + CA RN License and BLS certification + Recent experience in case management, utilization management and discharge planning + Minimum of three years ... 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
- University of Southern California (Glendale, CA)
- …of California, BSN preferred Minimum Experience/Knowledge: Recent experience in Utilization /Quality/ Case Management in acute setting preferred Required ... License/Certification: Current BCLS certificate from the American Heart Association As part of Keck Medicine of USC, USC Verdugo Hills Hospital is the only community hospital in the Foothills area of Los Angeles backed by an academic medical center. With its… more
- Deloitte (Los Angeles, CA)
- …as clinical registered nurse , physician, physician assistant, case manager , clinical documentation specialist, utilization review, informatics ... Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical… more
- Providence (Burbank, CA)
- **Description** **Care Manager RN at Providence St. Joseph Medical Center in Burbank, CA. This position is Full- time and will work 8-hour, Day shifts (Sunday - ... them. **Required Qualifications:** + Bachelor's Degree, or equivalent education/experience. + California Registered Nurse License upon hire. + 2 years experience… more
- Providence (Fullerton, CA)
- …Qualifications:** + Graduate of an accredited school of nursing. + Upon hire: California Registered Nurse License + 3 years clinical experience in an HMO, ... Transplant, or Wound Care + 3 years experience in utilization management or case management. **Why Join Providence?** Our best-in-class benefits are uniquely… more
- Molina Healthcare (Long Beach, CA)
- …relevant education and experience or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), * Ability to manage conflict and ... California Registered Nurse .** JOB DESCRIPTION Job Summary...is not a compact state.** Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Health… more
- Providence (Torrance, CA)
- …them. **Required Qualifications:** + Associate's Degree Nursing. + Upon hire: California Registered Nurse License. + 2 years Direct patient care experience ... **Description** **Appeals RN - Care Manager Remote. This...of acute care). + 2 years Experience as a case manager in an acute care setting.… more
- Elevance Health (Los Angeles, CA)
- **Telephonic Nurse Case Manager II** **Sign on Bonus: $5000.** **Location: This role enables associates to work virtually full-time, with the exception of ... members in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management… 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 ... **Job Summary and 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