- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most appropriate ... level of care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools, such as InterQual or MCG criteria, to… more
- UCLA Health (Santa Monica, CA)
- …or MSN * CA RN License and BLS * Recent experience in case management, utilization management and discharge planning * Minimum of three years of acute hospital ... We're also looking to you to help drive performance improvement efforts. This Case Management position floats to various units within the Ronald Reagan UCLA Medical… more
- UCLA Health (Santa Monica, CA)
- …with four award-winning hospitals and dozens of primary care practices, specialty practices, urgent care centers and other ancillary locations throughout metro ... accepted for current UCLA Health Nursing staff) * CA RN License and BLS certification * Recent experience in... License and BLS certification * Recent experience in case management, utilization management and discharge planning * Minimum… more
- Travelers Insurance Company (Diamond Bar, CA)
- …medical case management may be required to support Concierge locations, where a Nurse Case Manager meets with injured employees face to face following ... you do and where you do it. **Job Category** Nurse - Medical Case Manager ...Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred. **What is a… more
- Providence (Torrance, CA)
- **Description** The case manager performs the primary functions of assessment, planning, facilitation and advocacy, which are achieved through collaboration with ... people, we must empower them. **Required Qualifications:** + Bachelor's Degree + California Registered Nurse License upon hire + 2 years acute hospital… more
- Providence (Torrance, CA)
- …them. **Required Qualifications:** + Graduate of an accredited school of nursing + California Registered Nurse License upon hire + 3 years of Clinical experience ... + Master's Degree in related field + Certification in Case Management (CCM, ACM) upon hire + Specialty... Case Management (CCM, ACM) upon hire + Specialty Certification in Oncology, Rehab, Pediatrics, Transplant, or Wound… 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 Nurse Specialist RN II Job Category:...clean record and Auto Insurance Required Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most appropriate ... care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools,...Cedars-Sinai Medical Center **Job Category** : Patient Services **Job Specialty ** : Case Management **Overtime Status** :… more
- Cedars-Sinai (Los Angeles, CA)
- …systems and financial reimbursement required **Req ID** : 1025 **Working Title** : CSMC 8750007 Case Management ED Case Manager FR 42579 Chua 429 1.00 ... Entity** : Cedars-Sinai Medical Center **Job Category** : Patient Services **Job Specialty ** : Case Management **Overtime Status** : NONEXEMPT **Primary Shift**… more
- Cedars-Sinai (Beverly Hills, CA)
- …coordinate health plan communication with assigned hospitalist as appropriate. + Coordinates with nurse practitioner and case manager assigned to the SNF's ... from various care settings. In collaboration with the Inpatient Specialty Program (ISP) hospitalists, the RN Care...Staff who will be handling issues, questions, concerns, ie Case Manager . + Authorizes all appropriate services… more
- LA Care Health Plan (Los Angeles, CA)
- …programs such as Excel, Power-point and relational data bases. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... unrestricted California License Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Certified Professional in Healthcare Quality… more