- LA Care Health Plan (Los Angeles, CA)
- …The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols, and procedures. This ... Supervisor , Utilization Management RN Job Category:...(RN) - Active, current and unrestricted California License Certified Case Manager (CCM) Licenses/Certifications Preferred Required Training… more
- Genesis Healthcare (Los Angeles, CA)
- …identifies opportunities for quality and performance improvement and communicates to s supervisor and/or Administrator.The Case Manager manages the patient ... POSITION SUMMARY: The Case Manager is responsible to ensure...patient plan of care subject to contract terms and case negotiations in order to minimize over- utilization … more
- LA Care Health Plan (Los Angeles, CA)
- …Required: Knowledge of state, federal and regulatory requirements in Appeals/Care/ Case / Utilization Management/Quality. Strong verbal and written communication ... Supervisor , Appeals and Grievances Clinical Operations RN Job...culturally diverse membership. The position supports the A&G Clinical Manager . This role also assists the A&G Leadership in… more
- LA Care Health Plan (Los Angeles, CA)
- …current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM),… more