- Providence (Mission Hills, CA)
- …Degree in Healthcare related field. + 3 years' Experience in utilization management or case management. **Why Join Providence?** Our best-in-class benefits ... are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our… more
- UCLA Health (Los Angeles, CA)
- …with: * Current CA LVN licensure required * Two or more years of utilization review / utilization management experience in an HMO, MSO, IPA, or health plan ... and guidelines in the issuance of adverse organization determinations. You will review for appropriate care and setting while working closely with denial… more
- Universal Health Services (Palmdale, CA)
- …patient and his family. This person is the expert on issues related to utilization review and discharge planning. Qualifications Requirements: + Ability to read, ... clinical experience and minimum of three years C linical C ase Management/ Utilization Review experience (preferred). Motivation for self-direction. + Minimum of… more
- Cedars-Sinai (Santa Monica, CA)
- …clinical functions of the medical practice(s). 2. Assists in the development, review , and revision of standard operating policies and procedures in collaboration ... liaison, for administrative support activities including facilities management, pharmacy, utilization management, quality management, risk management, human resources, payroll,… more
- Elevance Health (Los Angeles, CA)
- …RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will be based upon the current ... not require nursing judgment. **Minimum Requirements:** + Requires an LPN/ LVN , LSW, LCSW, or LMSW or license other than...Disability / Veteran Please use the links below to review statements of protection from discrimination under Federal law… more
- Elevance Health (Woodland Hills, CA)
- …a related field, including prior management experience and clinical, quality, and/or utilization management experience in a managed care setting; or any combination ... and Experiences:** + MBA preferred. + RN, LSW, or LPN/ LVN license preferred. + LTSS experience preferred + Managed...Disability / Veteran Please use the links below to review statements of protection from discrimination under Federal law… more