- LA Care Health Plan (Los Angeles, CA)
- …in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: ... current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager … more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163839/rn- case - manager utilization ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- UCLA Health (Los Angeles, CA)
- …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... (BSN) degree required + Five or more years of utilization management required + Four or more...travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified… more
- LA Care Health Plan (Los Angeles, CA)
- …of work/licensure. The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols, and ... of 5-7 years of acute/clinical care experience. Minimum of 2 years experience in Case /Care/ Utilization Management in an acute care or health plan setting.… more
- LA Care Health Plan (Los Angeles, CA)
- …appeals and grievances, delegation oversight, and/or CNA experience. At least 2 years of Utilization Management / Case Management experience in a hospital ... Utilization Management Nurse Specialist LVN II... Utilization Management Nurse Specialist LVN II Job Category: Clinical...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews… more
- LA Care Health Plan (Los Angeles, CA)
- …years of varied clinical experience in an acute hospital setting. At least 2 years Utilization Management / Case Management experience in a hospital or HMO ... Utilization Management Nurse Specialist RN II...Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
- Pipeline Health System, LLC (Gardena, CA)
- …coordination of patient care and wise utilization of resources. + Documents case management activities in the patient record and in the required information ... for quality care. Job Description & Requirements The RN Case Manager (CM) performs a wide variety...utilization review, discharge planning, care coordination and variance management to assure the delivery of necessary services, efficient… more
- Cedars-Sinai (Marina Del Rey, CA)
- …+ ED Case Management experience, Strongly preferred **Working Title:** RN Case Manager , Emergency Dept - Per Diem, 12-hour Day Shift - Marina del ... the highest quality healthcare! **Position Summary:** As an RN Case Manager (ED Services), you will be...will be responsible for the coordination and implementation of case management strategies pursuant to the … more
- Providence (Santa Monica, CA)
- …in Oncology, Rehab, Pediatrics, Transplant, or Wound Care. + 3 years experience in utilization management or case management . **Why Join Providence?** ... **Description** Care Management is a collaborative practice model including the...physicians, other practitioners, caregivers and the community. The care management process encompasses excellent communication, both verbal and written,… more
- UCLA Health (Santa Monica, CA)
- …solver with: + BSN or MSN + CA RN License and BLS + Recent experience in case management , utilization management and discharge planning + Minimum of ... quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and...to you to help drive performance improvement efforts. This Case Management position floats to various units… more
- Amergis (Los Angeles, CA)
- The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... for psychosocial needs + Participates in Quality Assurance and Utilization Reviewactivities, as directed + Empowers patients in decision-making...in state practicing + At least one year of Case Management experience preferred + Complies with… more
- UCLA Health (Los Angeles, CA)
- …Health Nursing staff) + CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + ... 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
- UCLA Health (Los Angeles, CA)
- …Health Nursing staff) + CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + ... 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
- UCLA Health (Los Angeles, CA)
- Description Under the direction of the RN Asst. Director for Utilization Review, Intensive Case Management , you will support and perform duties to provide ... and decreasing fragmentation and duplication of care, the Nurse Case Manager /Clinical Advisor is able to enhance...BSN Degree + Minimum of 2 years' experience in utilization management , Inpatient CM or clinical Experience… more
- Emanate Health (West Covina, CA)
- …Two years recent acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal ... in quality improvement activities as they relate to the management of patient care. **Job Requirements** **Minimum Education Requirement:**...and time management skills. Ability to work independently as well as… more
- LA Care Health Plan (Los Angeles, CA)
- …current and unrestricted California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager ... Manager , Enhanced Care Management (RN or... Manager , Enhanced Care Management (RN or LCSW) Job Category: Clinical Department:...Job Summary Reporting to the Director of Enhanced Care Management (ECM), the ECM Manager will be… more
- UCLA Health (Los Angeles, CA)
- …+ Current unrestricted California RN license. + BSN Degree + 5 years of Case Management experience + Must have strong problem solving skills; ability to ... quality outcomes by effectively managing care and resources to reduce unnecessary utilization . The RN Care Manager utilizes clinical expertise and understanding… more
- Providence (Orange, CA)
- …Rehab, Pediatrics, Transplant, or Wound Care upon hire. + 3 years Experience in utilization management or case management . **Why Join Providence?** ... through effective resource coordination. The goal of the Care Manager is to advocate for and assist the patient...+ Master's Degree in Related field. + Certification in Case Management (CCM, ACM) upon hire. +… more
- Ross Stores, Inc. (Los Angeles, CA)
- …and development for our teams\. **GENERAL PURPOSE:** The Area Loss Prevention Manager \(ALPM\) is responsible for protecting the assets of Ross Stores, Inc\. ... SPS\) and are involved in the ongoing hiring, training, development, and performance management of this team\. Periodically, ALPMs may need to support the response… more
- Molina Healthcare (Long Beach, CA)
- …experience, including 3 or more years in one or more of the following areas: utilization management , case management , care transition and/or disease ... Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM),… more