- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156578/ rn - case - manager utilization ... 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
- 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 ... of an accredited nursing program Bachelor's Degree Nursing **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3...**Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR… 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 ... care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools,...Eye/Hand/Foot Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management… 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. ... Enhanced Care Management Clinical Specialist II ( RN or LCSW) Job Category: Clinical Department: Care...Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case … more
- Pipeline Health System, LLC (East Los Angeles, CA)
- Job Title: Case Manager / RN /8hrs. Base Rate: $46.07 - $64.51 Job Summary: The Case Manager is responsible for managing and coordinating the care of ... other professional staff to determine appropriate level of care, utilization of resources, length of stay and quality of...(BLS) from American Heart Association (AHA) required. + Accredited Case Manager (ACM) or Certified Case… more
- Universal Health Services (Palmdale, CA)
- …the provider, the facility and the payer. The RN Case Manager is knowledgeable about and responsible for utilization review, discharge planning and ... of the Director of Case Management. The RN Case Manager collaborates with...work in a team environment, + Registered Nurse . Bachelor's degree preferred. + Current RN … 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 (Outpatient) Job Category:...California License Certified Case Manager (CCM) Licenses/Certifications Preferred Required Training… 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
- 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...clean record and Auto Insurance Required Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
- Cedars-Sinai (Marina Del Rey, CA)
- …+ Current CA Registered Nurse Licensure, Required + Certified Case Manager CCM or ACM, Preferred **Experience** : + Minimum of two ... and support our community with the highest quality healthcare! **Position Summary:** As an RN Case Manager (Inpatient Services), you will be responsible for… more
- Pipeline Health System, LLC (Gardena, CA)
- …hospitals to available beds in our hospitals for quality care. Job Description & Requirements The RN Case Manager (CM) performs a wide variety of tasks and ... team to ensure coordination of patient care and wise utilization of resources. + Documents case management...Nursing + Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified… more
- UCLA Health (Santa Monica, CA)
- …* BSN or MSN * CA RN License and BLS * Recent experience in case management, utilization management and discharge planning * Minimum of three years of acute ... 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)
- …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
- Emanate Health (West Covina, CA)
- …and (3) nurses new to the US healthcare system must satisfactorily complete the CVHP RN Residency Program within the first 6 months of employment at CVHP. Two years ... recent acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal and time… more
- UCLA Health (Los Angeles, CA)
- …in the care of the patient and decreasing fragmentation and duplication of care, the Nurse Case Manager /Clinical Advisor is able to enhance the quality and ... Description Under the direction of the RN Asst. Director for Utilization Review, Intensive Case Management, you will support and perform duties to provide… more
- Providence (Santa Monica, CA)
- …obtaining the degree will not be a condition of employment. + Upon hire: California Registered Nurse License + 2 years of experience in Healthcare related field ... Degree in Nursing or Healthcare related field. + A RN with 20 years of RN experience...Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management)… more
- UCLA Health (Los Angeles, CA)
- …regulations * Ability to travel/attend off-site meetings and conferences * ACM - Accredited Case Manager preferred * CCM - Certified Case Manager ... all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll...a self-motivated, detail-oriented, service-driven leader with: * Current unrestricted RN licensure in CA required * Bachelors of Science,… more
- Providence (Tarzana, CA)
- …Safety Card - National Organization within 30 days of hire + Upon hire: California Registered Nurse License + 2 years of experience in Healthcare related field ... (Acute, Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management) or successful completion of the… more
- LA Care Health Plan (Los Angeles, CA)
- …Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnam Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... Manager , Enhanced Care Management ( RN or...and unrestricted California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager… more
- Providence (Burbank, CA)
- …them. **Required Qualifications:** + Bachelor's Degree, or equivalent education/experience. + California Registered Nurse License upon hire. + 2 years experience ... (Acute, Ambulatory, Post-Acute, etc.). + 2 years experience in Case Management (Care Coordination or Utilization Management)...of the Transitions in Practice (TIP) program for Care Manager . TIP candidates must have experience in same type… more