- Prime Healthcare (Anaheim, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218947/ case - manager ... related field or at least one year experience in case management , discharge planning or nursing ...Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM) certification preferred.3. At least… more
- 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
- Amergis (Orange, CA)
- …Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and ... as those listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral… more
- LA Care Health Plan (Los Angeles, CA)
- …in an acute hospital setting. Previous experience to have a strong understanding of Utilization Management / Case Management practices including, but not ... Utilization Management Admissions Liaison RN II...unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management … more
- Molina Healthcare (Los Angeles, CA)
- …and unrestricted in the state of California. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified ... professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term services and… more
- Cedars-Sinai (Marina Del Rey, CA)
- …staff member feels like family. **Req ID** : 12213 **Working Title** : RN Case Manager - Case Management (ED) - Per Diem (12-hour night shifts) - Marina ... You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of...care. + Assumes responsibility for timely completion of required case management reports for regulatory bodies, health… more
- Cedars-Sinai (Beverly Hills, CA)
- …the daily functions of the inpatient case managers. The inpatient case manager conducts case management on patients in the inpatient, and Skilled ... More About What You Will be Doing** The Lead Case Manager will assist in the daily...experience required + 3 years of previous experience in case management , discharge planning, utilization … more
- ICW Group (Woodland Hills, CA)
- …evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and ... to ensure quality and appropriate service delivery of the case management process. + Performs initial and...reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial,… more
- Elevance Health (Costa Mesa, CA)
- …evening shifts from 11:30 AM to 8:00 PM (local time) The **Nurse Case Manager II** responsible for care management within the scope of licensure for members ... **Nurse Case Manager II** Location(s): California, Colorado,...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements**… more
- Elevance Health (Costa Mesa, CA)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**...Management experience is preferred. + Certification as a Case Manager is preferred. + Minimum 2… 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
- Rising Medical Solutions (Los Angeles, CA)
- …best practices in workers compensation management . We are searching for a case manager with a proven background in workers compensation-someone who is ... the following specialties: industrial rehabilitation nursing, medical case management , occupational health, orthopedics, home health care, utilization … more
- LA Care Health Plan (Los Angeles, CA)
- …of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management , Disease ... Technical Applications Manager II Job Category: Information Technology Department: IT...Altruista, Thrasys) required. Functional knowledge of Utilization Management , Care Management , Clinical Case … more
- Molina Healthcare (Los Angeles, CA)
- …software program(s) proficiency. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term… more
- Amgen (Los Angeles, CA)
- …playing a key role in establishing product demand and delivering comprehensive account management within a designated territory. You will serve a central point of ... to support optimal patient care. As a SAM, you will drive product utilization while identifying and addressing the unique needs of each account. This includes… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658522) Apply MENTAL ... HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Salary $122,088.00 - $164,533.20 Annually...practice. + Participates in the development, negotiation, implementation, and management of the budget for the program support service… more
- Providence (Fullerton, CA)
- …Certification in Case Management (CCM, ACM) + 3 years Experience in utilization management or case management . + Experience with Psychiatric ... **Description** **Care Manager MSW at Providence St. Jude Medical Center,...excellence in surgical and clinical care by Healthgrades. Care Management is a collaborative practice model including the patients,… more
- Rep-Lite (Anaheim, CA)
- …, supporting surgeons and OR teams while also driving program growth and utilization . As the Clinical Account Manager , you will partner with surgeons, ... Clinical Account Manager - Surgical Robotics Position Overview We are...OR staff, and hospital leadership to deliver training, case coverage, and workflow optimization that ensures safe, effective,… more
- Cedars-Sinai (Beverly Hills, CA)
- …Faculty and support of Medical Center goals and philosophies. The Manager , Research Operations assumes fiscal responsibility through preparation of unit budgets, ... supports research, participates in both strategic and tactical planning. The Manager , Research Operations is accountable to the Department Chair and/or Institute… more
- ZOLL Medical Corporation (Los Angeles, CA)
- …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more