- UCLA Health (Los Angeles, CA)
- …the direction of the RN Asst. Director for Utilization Review, Intensive Case Management , you will support and perform duties to provide discharge planning/ ... admitted in Non Domestic Hospital. You will use the nursing process to identify and advocate for patient issues....patient and decreasing fragmentation and duplication of care, the Nurse Case Manager/Clinical Advisor is able to… more
- The County of Los Angeles (Los Angeles, CA)
- …in clinical nursing . + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION: *In order to receive credit ... ASSISTANT NURSING DIRECTOR , ADMINISTRATION Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2924513) Apply...appropriateness of the level of care. For this examination, Case Management is a collaborative process that… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate,...an acute hospital setting. At least 2 years Utilization Management / Case Management experience in a… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate,...and/or CNA experience. At least 2 years of Utilization Management / Case Management experience in a… more
- Brookdale Senior Living (Irvine, CA)
- …Voted by Newsweek in 2024 as one of America's Greatest Workplaces for Diversity About the Director of Nursing Position As Director of Nursing at ... California is in search of a strong and passionate nurse leader to join the leadership team as it's...step in their professional career or for an experienced Director of Nursing looking to join a… more
- Molina Healthcare (Long Beach, CA)
- …Directs and oversees one of the following key Healthcare Services functions: case management /disease management /care transitions; utilization management ... This is a fully remote role. The Director of Healthcare Services position will be overseeing...Management Team. Candidates must have an active California Nursing license to be considered for this position. **JOB… more
- Cedars-Sinai (Marina Del Rey, CA)
- …of the Marina del Rey Hospital (MDRH) Intensive Care Unit (ICU) Medical Director , the Nurse Practitioner provides preliminary assessment/evaluation in the ICU. + ... further! Cedars-Sinai, a world-class healthcare organization, is seeking a Nurse Practitioner (NP) to join our team in the...Responsible to the medical director and the chief nursing officer (CNO)… more
- WelbeHealth (Carson, CA)
- …are provided. The Clinical Nurse Manager is well-versed in people development, management , and RN level nursing care. The Clinical RN Manager maintains ... clinic operations. Under the direction of the Clinical Services Director (CSD), the WelbeHealth Clinical Nurse Manager...clearly understood and followed by all clinic and RN Case Manager team members. **Essential Job Duties:** + Operate… more
- Pipeline Health System, LLC (Gardena, CA)
- …to ensure coordination of patient care and wise utilization of resources. + Documents case management activities in the patient record and in the required ... prepared a plus. + Minimum of 2-3 years in Case Management Acute Care setting Licensure/Certifications: +... Nursing + Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified… more
- Elevance Health (Woodland Hills, CA)
- **Clinical Operations Medical Director ** **Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management ** **$20,000 Sign On Bonus** ... medical decisions to members and providers. **Job Summary:** + Perform physician-level case review, following initial nurse review, of Medical Oncology regimens… more
- Amergis (Los Angeles, CA)
- …+ Current RN licensure in state practicing + At least one year of Case Management experience preferred + Complies with all relevant professional standards ... The RN Case Manager is responsible for coordinatingcontinuum of care...pertinent to patient's needs/goals + Partners with the Program Director in development and reviewof the patient's individualized coordination… more
- Elevance Health (Woodland Hills, CA)
- …require Medical Director review or policy interpretation. + Perform physician-level case review, following initial nurse review, of sleep studies, durable ... **Clinical Operations Associate Medical Director ** **Sleep Medicine** **Carelon Medical Benefits Management...make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes… more
- LA Care Health Plan (Los Angeles, CA)
- …remediation for experienced staff. The position must be a subject matter expert in case management processes and standards of practice including, but not limited ... resources to ensure training materials are compliant with professional case management standards of practice, quality, evidenced...progress reports and recommendations on learning plans to the Director of Care Management who determines the… more
- LA Care Health Plan (Los Angeles, CA)
- …work/licensure. The Supervisor is a subject matter expert (SME) in Care/ Case /Utilization Management and supporting regulations, policies, protocols, and ... 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. Minimum… more
- LA Care Health Plan (Los Angeles, CA)
- …Supervisor of ECM and receives clinical supervision as needed from the Medical Director of Care Management . The position is responsible for providing oversight, ... Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range… more
- Amergis (Los Angeles, CA)
- Pay Rate $55-60 + POSITION SUMMARY: Under the supervision of the Nursing Director , the NursingSupervisor will provide culturally competent medical, services to ... the Nursing Supervisor willwork closely with the Nursing Director to design, implement and monitorworkflow...work environment and achievement of goals. Experience in chronicdisease management , case management , utilization … more
- LA Care Health Plan (Los Angeles, CA)
- …the safety net required to achieve that purpose. Job Summary Reporting to the Director of Enhanced Care Management (ECM), the ECM Manager will be responsible ... Manager, Enhanced Care Management (RN or LCSW) Job Category: Clinical Department:...Master's degree in Social Work OR Associates Degree in Nursing In lieu of degree, equivalent education and/or experience… more
- Abbott (Irvine, CA)
- …Territory Manager (TM) + Data entry into Salesforce, Mentor software for customer case support management + Learn commercial data analytics, resources & tools ... role is to provide TAVI clinical trial and commercial case support, trial enrollment & education initiatives for accounts...demands. The CSS will report to the Regional Sales Director with guidance from the Territory Manager on daily… more
- City of Long Beach (Long Beach, CA)
- …preventing the spread of TB through treatment, including Latent TB Infection, case management and contact investigation; + Support development and implementation ... from grant funding. The Department is overseen by the Director of Health and Human Services and has more...of clinical, diagnostic, & case management systems, tools and protocols for… more
- Providence (San Pedro, CA)
- …inpatient rehabilitation experience. **Preferred Qualification:** + 2 years experience in Case Management . **Why Join Providence?** Our best-in-class benefits ... (CMS) guidelines and regulations. Under the direction of the Medical Director the Admissions Coordinator evaluates internal and external referrals for admission… more