- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/204105/ case - manager %2c- rn utilization ... 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
- Molina Healthcare (Irvine, CA)
- **HOSPICE OVERSIGHT CASE MANAGER ( REGISTERED NURSE )** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers ... to address concerns. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- Emanate Health (West Covina, CA)
- …nurses new to the US healthcare system must satisfactorily complete the Emanate Health RN Residency Program within the first 6 months of employment. Two years recent ... acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal and time management… more
- Providence (Orange, CA)
- **Description** **Care Manager RN at Providence St. Joseph Hospital in Orange, CA. Positions available are full-time and will work 8-hour Day shifts.** Care ... an accredited school of nursing. + Upon hire: California Registered Nurse License. + 3 years Clinical...Transplant, or Wound Care. + 3 years Experience in utilization management or case management. **Why Join… 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 ... **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
- Elevance Health (Cerritos, CA)
- …Non- RN (US)** is responsible for working under the direction/supervision of an RN , with overall responsibility for the members case , as required by ... **Managed Care Coordinator Clinician Non- RN ** **Location:** Within 50 miles of a Pulse...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
- Pomona Valley Hospital Medical Center (Pomona, CA)
- …with Associates degree. Three years acute hospital experience; one year experience in Utilization Review or Case Management; discharge planning and/or case ... management. Knowledge of common disease processes and health care delivery systems; able to manage competing priorities and effectively prioritizes work; demonstrates effective communication, time management and problem solving skills; is adaptable, flexible… more
- Elevance Health (Costa Mesa, CA)
- …Manager II Behavioral Health Services** will be responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM) ... ** Manager II Behavioral Health Services** **Location:** This position...appropriateness of care for inpatient/outpatient BH services; ensures appropriate utilization of BH services through level of care determination,… more
- Molina Healthcare (Long Beach, CA)
- …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in nursing. ... Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM)… more