- Prime Healthcare (San Dimas, CA)
- …of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229285/ case - manager -%28rn%29 … more
- Molina Healthcare (Los Angeles, CA)
- …and experience. * At least 1 year of health care management leadership experience. * Registered Nurse ( RN ). License must be active and unrestricted in state ... Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Health Care… 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. ... Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case ...Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements… more
- Cedars-Sinai (Los Angeles, CA)
- …care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician ... of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required...for Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist -… more
- WelbeHealth (Los Angeles, CA)
- …(IDT). The Travel RN Specialist covers any nursing roles (eg, RN Case Manager , RN Clinic Nurse ) as needed in multiple markets. The Travel RN ... vulnerable seniors with better quality and compassion in a value-based model, and the Travel Registered Nurse ( RN ) Specialist directly guides this care as a… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Admissions Liaison RN II...California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case … 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, Utilization Management RN Job Category: Clinical...The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols,… more
- UCLA Health (Los Angeles, CA)
- …staff) + CA RN License and BLS certification + Recent experience in case management, utilization management and discharge planning + Minimum of three years ... safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital care.… more
- Emanate Health (Covina, CA)
- …nurses new to the US healthcare system must satisfactorily complete the Emanate Health RN Residency Program within the first 6 months of employment. Two years recent ... acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal and time management… more
- Molina Healthcare (Los Angeles, CA)
- …and in good standing. **Preferred Qualifications** * LVN (Licensed vocational nurse ) or RN ( Registered Nurse ) . License must be current, active and ... unrestricted in the state of California. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified… more
- Elevance Health (Los Angeles, CA)
- ** Nurse Case Manager II** Location(s): California, Colorado, Nevada, Washington State **Virtual:** This role enables associates to work virtually full-time, ... from 11:30 AM to 8:00 PM (local time) The ** Nurse Case Manager II** responsible...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements** Requires BA/BS… more
- Elevance Health (Los Angeles, CA)
- **Telephonic Nurse Case Manager II** **Sign on Bonus: $2000.** **Location: Virtual: This role enables associates to work virtually full-time, with the ... members in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management… more
- Dignity Health (Glendale, CA)
- …years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Knowledge of managed ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate.… more
- Dignity Health (Los Angeles, CA)
- …years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Knowledge of managed ... with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability… more
- The County of Los Angeles (Los Angeles, CA)
- …mental health team. Option III : A valid, current license to practice as a registered nurse issued by the appropriate State of California licensing agency -AND- ... identified needs. + Yes, I have a valid, current license to practice as a registered nurse issued by the appropriate State of California licensing agency - AND… 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 ... Preferred Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board Certified (CMGT-BC)… more
- Elevance Health (Los Angeles, CA)
- …analytics to improve the delivery of care. **Title:** Behavioral Health Care Manager I **Locations:** CA - Cerritos, Walnut Creek, Woodland Hills **Virtual:** This ... an accommodation is granted as required by law. The **Behavioral Health Care Manager I** is responsible for managing psychiatric and substance abuse or substance… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... to a line operation responsible for the delivery of psychological rehabilitation, case management and/or Psychiatric Emergency Service of the Department of Mental… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... assigned to a line operation responsible for delivering psychological rehabilitation, case management, and/or psychiatric emergency services in the Department of… more
- Molina Healthcare (Los Angeles, CA)
- …Licensed Vocational Nurse (LVN) license in good standing. **Preferred Education** Registered Nurse . Bachelor's Degree in Nursing or Health Related Field ... Certified Clinical Coder, Certified Medical Audit Specialists (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM),… more