- 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 (Los Angeles, CA)
- …+ Pref 2 years Experience in an HMO/IPA/Managed care setting Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic Life Support ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an… more
- Cedars-Sinai (Marina Del Rey, CA)
- …**Eligible for a $5,000 Employee Referral Bonus **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for identified...\#LI-On-site \#Jobs-Indeed **Req ID** : 14043 **Working Title** : RN Case Manager - … more
- Cedars-Sinai (Marina Del Rey, CA)
- …has named us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for identified...like family. **Req ID** : 12213 **Working Title** : RN Case Manager - … more
- UCLA Health (Santa Monica, 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
- 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
- Providence (Torrance, CA)
- …by the California Surgeon General for 2024.The The Inpatient Registered Nurse ( RN ) Care Manager provides professional, comprehensive, patient centric ... **Description** **Care Manager RN at Providence Little Company...Associate's Degree - Nursing degree/diploma upon hire. + California Registered Nurse License upon hire. + 2… more
- Providence (Santa Monica, CA)
- **Description** **Care Manager RN at Providence Saint John's Health Center in Santa Monica, CA. This position is Per Diem and will work 8-hour, Day shifts.** ... best people, we must empower them. **Required Qualifications:** + Bachelor's Degree + California Registered Nurse License upon hire + 2 years of experience in… more
- Providence (Tarzana, CA)
- …Nursing, but obtaining the degree will not be a condition of employment. + California Registered Nurse License upon hire. + California Fire and Life Safety Card ... related field (Acute, Ambulatory, Post-Acute, etc.). + 2 years experience in Case Management (Care Coordination or Utilization Management) or successful… more
- Providence (Santa Monica, CA)
- **Description** **Care Manager RN at Providence Saint John's Health Center in Santa Monica, CA. This position is Full- time and will work 8-hour, Day shifts.** ... best people, we must empower them. **Required Qualifications:** + Bachelor's Degree + California Registered Nurse License upon hire + 2 years of experience in… more
- Cedars-Sinai (Beverly Hills, CA)
- …appropriate. + For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for ... Little More About What You Will be Doing** The RN Care Coordinator is responsible for the case...with appropriate health care providers. + Refers to Ambulatory Case Manager patients identified that will need… 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