- PIH Health (Downey, CA)
- …effective communication, leadership skills, collaboration, and evidence-based practice/research utilization . Supervision duties include, assessment of patient and ... in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- WelbeHealth (Los Angeles, CA)
- …quality, compliant, and cost-effective care to our participants. By guiding this team, the Utilization Management RN Supervisor drives the continuous ... a critical role in our participant's journey and our Utilization Management team ensures we can provide...external), clinical staff, and others to timely resolve any utilization management issues **Job Requirements:** + Minimum… 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 ... This is a FT RN position in our Bellflower, CA surgery center....adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other… 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 , Appeals and Grievances Clinical Operations RN...Required: Knowledge of state, federal and regulatory requirements in Appeals/Care/Case/ Utilization Management /Quality. Strong verbal and written communication… more
- Cedars-Sinai (Beverly Hills, CA)
- …as well as patient care assessments, and a variety of medically related tasks. The Supervisor is a registered nurse who works in an administrative role ... **Job Description** The Supervisor of Clinical Operations RN supports...as a liaison for administrative support activities including facilities management , pharmacy, utilization management , quality… more
- LA Care Health Plan (Los Angeles, CA)
- …Computer ease & literacy with Word, Excel, PowerPoint Skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Executive Services...is responsible for ensuring that delegates contracted to perform Utilization Management (UM) functions on behalf of… 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. ... LA Care's ECM network. The position reports to the Supervisor of ECM and receives clinical supervision as needed...care with internal LA Care departments such as Care Management (CM), Utilization Management (UM),… more
- LA Care Health Plan (Los Angeles, CA)
- …accreditation guidelines and standards preferred. Licenses/Certifications Required Licenses/Certifications Preferred Registered Nurse ( RN ) - Active, current ... Clinical Operations Executive Job Category: Management /Executive Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full… more
