- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/ rn - case - manager ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
- Cedars-Sinai (Los Angeles, CA)
- …criteria required **Req ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager - PER DIEM - 8 Hour Days **Department** : ... **What will you be doing in this role?** The Utilization Review Case Manager validates...Heart Association or American Red Cross required + Certified Case Management RN preferred **Experience:** + A… more
- Cedars-Sinai (Los Angeles, CA)
- …Eye/Hand/Foot Coordination **Req ID** : 14355 **Working Title** : Registered Nurse - Utilization Review Case Manager - 8 Hour Days **Department** : ... America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse ...accordance with CMS requirements and payer timelines. The UM RN collaborates with physicians, revenue integrity, and payer partners… more
- University of Southern California (Los Angeles, CA)
- …management of specific patient populations. The RN case manager role integrates the functions of utilization management, quality management, discharge ... + Pref Bachelor's Degree Nursing + Pref 1 year Case management or utilization review experience within...the last three years preferred. Required Licenses/Certifications: + Req Registered Nurse - RN (CA… 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 Nurse Specialist RN...California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
- UCLA Health (Los Angeles, CA)
- …regulations + Ability to travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager ... all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll...a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,… more
- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an… more
- University of Southern California (Arcadia, CA)
- …and maintain BLS certification. Preferred (Not required) Professional certification as a case manager preferred. Pay Transparency The hourly rate range for ... the compilation of physician profile data regarding LOS, resource utilization , denied days, cost, case mix index,.... Licenses and Certifications Minimum (Required) * A current RN licensure in the State of California is required.… 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
- University of Southern California (Glendale, CA)
- …of California, BSN preferred Minimum Experience/Knowledge: Recent experience in Utilization /Quality/ Case Management in acute setting preferred Required ... License/Certification: Current BCLS certificate from the American Heart Association As part of Keck Medicine of USC, USC Verdugo Hills Hospital is the only community hospital in the Foothills area of Los Angeles backed by an academic medical center. With its… more
- Emanate Health (Glendora, 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
- Elevance Health (Cerritos, CA)
- **Behavioral Health Care Manager I, Utilization Management** **Work Hours M-F 8am-5pm PST** **Work Location: Virtual, California** This role enables associates ... an accommodation is granted as required by law. The **Behavioral Health Care Manager I, Utilization Management** is responsible for managing psychiatric and… more
- Deloitte (Los Angeles, CA)
- …as clinical registered nurse , physician, physician assistant, case manager , clinical documentation specialist, utilization review, informatics ... Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical… more
- University of Southern California (Arcadia, CA)
- …Education: Bachelors Degree Nursing Minimum Skills: Possess basic computer skills. Required Certifications: Registered Nurse - RN (CA Board of Registered ... patient care interactions.* Performs other duties as assigned by Manager / Director / Clinical Lead RN .*...RN experience in assigned area of Nursing. A registered nurse with current RN … more
- Elevance Health (Los Angeles, CA)
- ** Nurse Case Manager I**...in Spanish a plus. + Discharge planning experience. + Utilization Management experience + Case Management experience. ... an accommodation is granted as required by law. The ** Nurse Case Manager I** is...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Qualifications** : +… 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
- 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
- Sysco (City Of Industry, CA)
- …application + Case Management in Workers' Compensation **Licenses/Certifications:** + Licensed Registered Nurse in State of Residence. License must be active ... employees fit for duty through injury prevention, employee wellness, case management, and process improvement that significantly impacts EHS's...and unencumbered. + Licensed Registered Nurse in States within the area… 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
- 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