• Csmc 8750000 Utilization Management Utilization…

    Cedars-Sinai (Los Angeles, CA)
    **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most appropriate ... level of care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools, such as InterQual or MCG criteria, to… more
    Cedars-Sinai (03/10/24)
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  • RN Case Manager , Emergency…

    Cedars-Sinai (Marina Del Rey, CA)
    …+ Current CA Registered Nurse Licensure, Required + Certified Case Manager CCM or ACM, Preferred **Experience** : + Minimum of two ... support our community with the highest quality healthcare! **Position Summary:** As an RN Case Manager (ED Services), you will be responsible for the… more
    Cedars-Sinai (06/01/24)
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  • Case Manager - Registered

    Pipeline Health System, LLC (East Los Angeles, CA)
    Job Title: Case Manager / RN /8hrs. Base Rate: $46.07 - $64.51 Job Summary: The Case Manager is responsible for managing and coordinating the care of ... employment. + Basic Life Support (BLS) from American Heart Association (AHA) required. + Accredited Case Manager (ACM) or Certified Case Manager (CCM) a… more
    Pipeline Health System, LLC (05/25/24)
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  • Case Manager , RN - Full Time…

    Pipeline Health System, LLC (Gardena, CA)
    …hospitals to available beds in our hospitals for quality care. Job Description & Requirements The RN Case Manager (CM) performs a wide variety of tasks and ... record and in the required information system. + The RN CM reports to the Director/ Manager of...Nursing + Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified… more
    Pipeline Health System, LLC (04/17/24)
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  • Registered Nurse RN

    Prime Healthcare (Inglewood, CA)
    …experience, education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163229/ registered - nurse - rn case - ... an accredited school of nursing and a current state Registered Nurse license. 2. Grandfathered prior to...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3.… more
    Prime Healthcare (06/04/24)
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  • Behavioral Health Case Manager I

    Elevance Health (Woodland Hills, CA)
    …**Shift:** Monday - Friday 10:30am - 7:00pm Mountain Time. There are 2 Behavioral Health Case Manager I positions open for this team. One will report to Jennifer ... other will report to Anne Nazarenus. The **Behavioral Health Case Manager I** is responsible for performing...equivalent background. + Current active unrestricted license such as RN LCSW (as applicable by state law and scope… more
    Elevance Health (05/24/24)
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  • RN Case Manager

    Amergis (Los Angeles, CA)
    The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... assessments and ongoingreassessments of the patient's status + Documents patient case information within a database system + Performs chart review/audits monthly… more
    Amergis (05/24/24)
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  • RN Case Manager

    AccentCare, Inc. (Culver City, CA)
    …(ROC) - $130 Recertification - $130 Evaluation - $100 Find Your Passion and Purpose as an RN Case Manager . Reimagine Your Career in Home Health As a medical ... AccentCare-branded scrubs for patient-facing employees Qualifications Be the Best RN Case Manager You Can...professional nursing and currently licensed to practice as a registered nurse in the state of agency… more
    AccentCare, Inc. (05/08/24)
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  • Field Case Manager

    Sedgwick (Los Angeles, CA)
    …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Field Case Manager **This Field Case Manager will cover our ... be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or graduate degree in health or… more
    Sedgwick (05/14/24)
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  • RN Case Manager - REMOTE

    Actalent (Los Angeles, CA)
    Largest national Medicaid Managed Care Organization is looking for a REMOTE RN Case Manager to join their growing team! Opportunity to make an impact with an ... industry leader in a fast-paced environment! Requirements: + CA RN license + Case Management experience + Medicare or Medical experience + Ability to work… more
    Actalent (05/30/24)
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  • Behavioral Health Case Manager I

    Elevance Health (Los Angeles, CA)
    **JR114019 Behavioral Health Case Manager I** Responsible for performing case management telephonically within the scope of licensure for members with ... which would provide an equivalent background. + Current active unrestricted license such as RN LCSW (as applicable by state law and scope of practice) LMHC LICSW LPC… more
    Elevance Health (05/31/24)
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  • RN Case Manager - Utilization…

    Prime Healthcare (Lynwood, CA)
    …of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience ... experience, education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163839/ rn - case - manager utilization-review/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Francis… more
    Prime Healthcare (06/04/24)
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  • Case Manager RN

    Providence (Santa Monica, CA)
    …obtaining the degree will not be a condition of employment. + Upon hire: California Registered Nurse License + 2 years of experience in Healthcare related field ... **Description** Case Management is a collaborative practice including patients,...Degree in Nursing or Healthcare related field. + A RN with 20 years of RN experience… more
    Providence (04/06/24)
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  • RN - Clinical Case Manager

    UCLA Health (Santa Monica, CA)
    …or MSN + CA RN License and BLS + Recent experience in case management, utilization management and discharge planning + Minimum of three years of acute hospital ... to you to help drive performance improvement efforts. This Case Management position floats to various units within the...on the patient census and the skills of the Case Managers. An ability to work efficiently and effectively… more
    UCLA Health (03/14/24)
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  • RN Case Manager , Per Diem

    UCLA Health (Santa Monica, CA)
    …+ BSN or MSN (ASN accepted for current UCLA Health Nursing staff) + CA RN License and BLS certification + Recent experience in case management, utilization ... management and discharge planning + Minimum of three years of acute hospital experience; or the equivalent of education and experience + Strong leadership abilities + Systems planning and patient care management experience in a high-volume work environment +… more
    UCLA Health (04/16/24)
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  • RN Case Manager

    UCLA Health (Los Angeles, CA)
    …+ BSN or MSN (ASN accepted for current UCLA Health Nursing staff) + CA RN License and BLS certification + Recent experience in case management, utilization ... management and discharge planning + Minimum of three years of acute hospital experience; or the equivalent of education and experience + Strong leadership abilities + Systems planning and patient care management experience in a high-volume work environment +… more
    UCLA Health (05/17/24)
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  • Behavioral Health Case Manager I

    Elevance Health (Woodland Hills, CA)
    …of one of our Elevance Health PulsePoint locations. The Behavioral Health Care Manager I is responsible for performing case management telephonically and/or by ... equivalent background. + Current active unrestricted license such as RN LCSW, LMHC LICSW LPC, LMFT, and LMSW in...LPC, LMFT, and LMSW in California. + Experience in case management and telephonic and/or in person coaching with… more
    Elevance Health (05/13/24)
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  • RN - Case Manager

    Health Advocates Network (Santa Monica, CA)
    Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend ... & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare… more
    Health Advocates Network (06/02/24)
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  • RN - Intensive Case Management

    UCLA Health (Los Angeles, CA)
    …in the care of the patient and decreasing fragmentation and duplication of care, the Nurse Case Manager /Clinical Advisor is able to enhance the quality and ... Description Under the direction of the RN Asst. Director for Utilization Review, Intensive Case Management, you will support and perform duties to provide… more
    UCLA Health (05/29/24)
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  • BH Case Mgr I

    Elevance Health (Cerritos, CA)
    …Standard Hours.** MUST HAVE AN ACTIVE, CURRENT, CLINICAL LICENSURE. The **Behavioral Health Case Manager I** is responsible for performing case management ... care team. + Serves as a resource to other Case Managers. + Participates in cross-functional teams projects and...laws) LMFT, LMSW (as allowed by applicable state laws) RN ( **must have experience in behavioral health** )… more
    Elevance Health (05/31/24)
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