- Cedars-Sinai (Los Angeles, CA)
- …Motions, Eye/Hand/Foot Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization Review - Per ... Diem 8 Hour Days **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category** : Patient Services **Job Specialty**… more
- Dignity Health (Northridge, CA)
- …required. + Current CA Registered Nurse (RN) license + Prior Utilization Management experience in a clinical or insurance setting required. + Previous ... 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for assessing… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management /Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN)...skills. Computer literacy and adaptability to computer learning. Time management and priority setting skills. Must be organized and… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply REGISTERED NURSE II - NORTH ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...experience* at the level of Los Angeles County classification Registered Nurse I**. -AND- 2. A license… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN (Outpatient) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
- Fresenius Medical Center (Bellflower, CA)
- …and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... acting on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other FVC administrative and… more
- Pipeline Health System, LLC (East Los Angeles, CA)
- …nursing personnel and other professional staff to determine appropriate level of care, utilization of resources, length of stay and quality of care. + Assess ... in the maintenance of Medicare log, Medi-cal log, department statistics, and utilization review documents according to department policy and procedures and existing… more
- Prime Healthcare (Lynwood, CA)
- …experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- UCLA Health (Redondo Beach, CA)
- …make a life-changing difference. Come join our Venice Family Clinic team as a Registered Nurse for Care Coordination. Under the supervision of the Nursing ... this RN role will perform care coordination for high-risk high- utilization patients and provide direct nursing services to patients....current UCLA Health RN staff). * Current, active California Registered Nurse License. * BLS certificate from… more
- UCLA Health (Los Angeles, CA)
- Description The Liver Cancer Clinical Nurse is a professional registered nurse who assumes responsibility and accountability for patients within the ... Cancer Center. Salary Range: $59.46-$88.39/hourlyQualifications Required: * Current California Registered Nurse license, graduation from an accredited nursing… more
- Molina Healthcare (East Los Angeles, CA)
- …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home,… more
- Guidehouse (Los Angeles, CA)
- …Required** **:** None **What You Will Do** **:** The **Hospital Admitting Registered Nurse (Night shift)** will facilitate patient medical and financial ... years' experience in nursing or one-year related nursing experience in utilization review/insurance/case management /medical clearance. * Graduation from an… more
- The County of Los Angeles (Los Angeles, CA)
- …clinical nursing. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board or Registered ... in a state other than California must provide their Registered Nurse License Number from that state...vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used… more
- The County of Los Angeles (Los Angeles, CA)
- …-AND- 2. Two years of experience at the level of LA County classification of Registered Nurse II . -AND- 3. One year of professional teaching experience. -AND- ... Collaborates with medical providers, patient care staff, and unit management in the design, delivery, and evaluation of educational...4. A license to practice as a Registered Nurse issued by the California Board… more
- LA Care Health Plan (Los Angeles, CA)
- …the coordination of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and ... Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse (RN); current and unrestrited California License.… more
- The County of Los Angeles (Los Angeles, CA)
- …compete in this examination process, applicants must have a license to practice as a Registered Nurse issued by the California Board of Registered Nursing. ... and resolves problems involving grievance and discipline. + Advises nurse managers and other nursing staff on management...other than California must attach a copy of their registered nurse license from that state to… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Medical Management Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... operations of the staff and activities requiring clinical licensure in the Utilization Management (UM) department. This position will work closely leaders… more
- LA Care Health Plan (Los Angeles, CA)
- …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse (RN);current and unrestricted California License OR ... Care Management Specialist II Job Category: Clinical Department: Care...health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health… more