- 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...external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Performs… more
- Lincoln Financial Group (Sacramento, CA)
- …in a behavioral health setting including 1 year in claims, disability management (STD/LTD), worker's compensation, utilization review, and or behavioral health ... Glance** We are excited to bring on a knowledgeable and motivated Behavioral Health Consultant to our Clinical Organization to work in one of our key city locations… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …summarizes the general nature, level and purpose of the job. The Nurse Scientist is accountable for the development, implementation, coordination and evaluation of ... that support and promote the conduct of clinical research, research utilization , and professional development to improve organizational systems and health outcomes… more
- Sharp HealthCare (La Mesa, CA)
- …within the Magnet Program requirements that functions in the following roles: leader, consultant , mentor, change agent. + California Registered Nurse (RN) - CA ... **Shift Start Time** **Shift End Time** Master's Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; Clinical Nurse Specialist… more
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …functions within span of control. Functions as administrator, educator, and consultant utilizing management theory in collaboration with Nursing/Patient Care ... Healthcare System (VAGLAHS) is seeking a highly qualified candidate for Chief Nurse - Perioperative Services who exhibits leadership that is characterized by… more
- ERP International (Camp Pendleton, CA)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... algorithms, CM software, databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case management with… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …summarizes the general nature, level and purpose of the job. Clinical Nurse Specialists are Master's Degree prepared advanced practice Registered Nurses in roles ... + Develop and implement standards of nursing practice + Serve as a consultant or expert resource person for other health providers + Facilitate an interdisciplinary… more
- Dignity Health (San Francisco, CA)
- …excellence in the clinical nursing practice. The incumbent is a consultant to staff, nursing leaders, hospital administration, physicians, patients, family and ... referral to resources for staff with continued learning needs. Reports needs to management as appropriate + Administers needs analysis and develops programs to meet… more
- Highland General Hospital (Oakland, CA)
- …+ Manages and assumes responsibility for day to day operations of utilization management , care coordination and discharge planning activities. + Manages ... committees and in conjunction with the Director of Care Management identifies utilization issues affecting the quality...+ Review cases regularly with staff; acts as clinical consultant regarding care management issues; guides clinical… more
- Highland General Hospital (Oakland, CA)
- …the continuum. -Manages and assumes responsibility for day-to-day operations of utilization management , care coordination and discharge planning activities. ... reports to appropriate committees and in conjunction with the Director of Care Management identifies utilization issues affecting the quality of patient care.… more
- Stanford Health Care (Palo Alto, CA)
- …and Abilities** + Knowledge of principles and best practices of case management , utilization review, social work, care coordination and discharge planning. ... Managers, Social Workers, Complex Case Managers Support Liaisons, and Utilization /Denials & Appeals. This individual works collaboratively with managers, directors,… more
- Sharp HealthCare (San Diego, CA)
- …skills in area of expertise. + Proficient knowledge and understanding of utilization management , transition planning, alternative options, goals and outcomes, ... End Time** Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse (RN)...to identify areas of risk and act as a consultant to the facility based ICM leaders to develop… more
- Cedars-Sinai (Los Angeles, CA)
- …and vetting of any community MH provider as needed. + Supports and advises Utilization Management , CS 360, and population health teams as needed, including ... Care model that currently exists to support primary care physicians and their management of patients with mild to moderate depression and anxiety. This includes… 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 ... on internal and external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Performs other duties as… more