- 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
- HCA Healthcare (Riverside, CA)
- …care and appropriate resource utilization . **What qualifications you will need:** + Registered Nurse ( RN ) with current California license required + ... from any other healthcare provider. We are seeking an RN Case Manager to join...nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want… more
- HCA Healthcare (Riverside, CA)
- …care and appropriate resource utilization . **What qualifications you will need:** + Registered Nurse ( RN ) with current California license required + ... midpoint of the range. **Introduction** Do you have the PRN career opportunities as an RN Case Manager PRN you want with your current employer? We have an… 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
- 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
- Providence (Irvine, CA)
- …and retain the best people, we must empower them. **Required Qualifications:** + California Registered Nurse License upon hire + 2 years of Acute Care clinical ... **Description** The RN Care Manager is responsible for...related field. + CCM or ACM + 2 years Case management, discharge planning, or utilization management… 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
- Providence (Brea, CA)
- …Qualifications:** + Graduate of an accredited school of nursing. + Upon hire: California Registered Nurse License + 3 years clinical experience in an HMO, ... Transplant, or Wound Care + 3 years experience in utilization management or case management. **Why Join Providence?** Our best-in-class benefits are uniquely… more
- Elevance Health (Costa Mesa, 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
- Dignity Health (Long Beach, 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
- Dignity Health (Long Beach, CA)
- …(5) 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
- 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
- Elevance Health (Costa Mesa, CA)
- …services only, and there is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with ... **Behavioral Health - Care Manager II** **Location:** _Virtual:_ This role enables associate...appropriate. + Performs psychiatric and autism assessment coordination implementation case planning monitoring and evaluating to promote quality member… more
- Elevance Health (Costa Mesa, CA)
- **JR177558 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental ... and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to… more
- University of Southern California (Arcadia, CA)
- …requirements impact DRG assignments. + Minimum of three years' experience in clinical disciplines ( RN , MD, FMG) or utilization review/ case management in an ... physicians, associates, and adheres to HIPAA regulations. Keep the CDI team and HIM Manager or Director informed of workflow status and potential backlog issues. more