- LA Care Health Plan (Los Angeles, CA)
- …develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service ... risk/high cost cases and reports are maintained and referred to the Physician Advisor /UM Director. Documents in platform/system of record. Utilizes designated… more
- Pipeline Health System, LLC (East Los Angeles, CA)
- …for appropriateness utilizing Milliman and Robertson criteria to coordinate care plan with physician and/or physician advisor . + Works with Social Worker ... Job Title: Case Manager/RN/8hrs. Base Rate: $46.07 - $64.51 Job...of Medicare log, Medi-cal log, department statistics, and utilization review documents according to department policy and procedures and… more