- 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
- 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 Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... 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
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical Utilization Management (UM) provides comprehensive ... A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management with a...with a large Health Plan + An active CA Registered Nurse license + Current BCLS (AHA)… 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 ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to… 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/hourly Qualifications 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)
- …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
- LA Care Health Plan (Los Angeles, CA)
- …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnam Licenses/Certifications Required Registered Nurse (RN);current and unrestricted California License OR ... Manager, Enhanced Care Management (RN or LCSW) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Providence (Anaheim, CA)
- …**Required qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience in ... Transplant, or Wound Care upon hire. + 3 years Experience in utilization management or case management . **Why Join Providence?** Our best-in-class benefits… more
- Amergis (Los Angeles, CA)
- …ASSIGNED TO MEET BUSINESS NEEDS. REQUIREMENTS: Training and Experience: A valid California Registered Nurse (RN) license issued by theCalifornia Board of ... LifeSupport (BCLS) and Cardiopulmonary Resuscitation (CPR) certification. Clinicalexperience as a registered nurse in an ambulatory health care clinic,preferably… more
- Insight Global (Los Angeles, CA)
- Job Description Insight Global is seeking a skilled Registered Nurse Supervisor for a community health/wellness clinic in LA county. The position incorporates ... lead or supervisor role EMR system experience valid California Registered Nurse (RN) license Current Basic Cardiac...preferred. Experience in chronic disease management , case management , utilization management and quality… more
- Universal Health Services (Chino, CA)
- …UHS and its subsidiaries Qualifications + Minimum Bachelor's degree in Social Work.or Registered Nurse with current California license + 2 years of experience ... inpatient setting preferred; + Written and oral communication skills, knowledge of utilization management & skills in case management , time management ,… more
- Fresenius Medical Center (Irwindale, CA)
- …related field preferred or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality ... barriers to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders,… more