- 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 ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and… more
- WelbeHealth (Los Angeles, CA)
- …with better quality and compassion in a value-based model, and the Travel Registered Nurse (RN) Specialist directly guides this care as a primary voice on ... the interdisciplinary team (IDT). The Travel RN Specialist covers any nursing roles (eg, RN Case Manager,...any nursing roles (eg, RN Case Manager, RN Clinic Nurse ) as needed in multiple markets. The Travel RN… more
- Cedars-Sinai (Los Angeles, CA)
- …Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required Working knowledge of Joint ... Are you ready to bring your advanced Health Information Management skills to a world-class facility recognized as one...Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist - 8… more
- LA Care Health Plan (Los Angeles, CA)
- …the coordination of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and ... Enhanced Care Management Clinical Specialist II Job Category:... Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer:… more
- LA Care Health Plan (Los Angeles, CA)
- …the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter ... can include inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management , Medical Directors, and other internal teams to… more
- Rising Medical Solutions (Los Angeles, CA)
- …one of the following specialties: industrial rehabilitation nursing, medical case management , occupational health, orthopedics, home health care, utilization ... Your Career with Rising Medical Solutions Are you an experienced workers' compensation nurse case manager eager to bring your expertise to a team that's passionate… more
- Edwards Lifesciences (Los Angeles, CA)
- …difference to patients around the world. As a part of the Field Clinical Specialist team, you will be a critical part of delivering our patient focused innovations, ... Quality, Regulatory, and Education. After extensive training, a Field Clinical Specialist will travel frequently within an assigned territory, clinically training… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply REGISTERED NURSE II - NORTH COUNTY ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...practice setting. + Serves as a preceptor: expert or specialist who gives practical experience and training to new… more
- UCLA Health (Los Angeles, CA)
- …of clinical hospital experience; or equivalent of education and experience in case management , utilization management or prior clinical documentation review ... assisting with appropriate documentation strategies. Partnering with Medical Coding, Case Management and the Quality team, you will gather/analyze information to… more
- Cedars-Sinai (Beverly Hills, CA)
- …of acute nursing experience required + 3 years of previous experience in case management , discharge planning, utilization review, and HMO in the acute inpatient ... Case Manager will assist in the daily operations of the inpatient case management department. Primary responsibility is to provide oversight of the daily functions… more
- UCLA Health (Los Angeles, CA)
- …+ Communication and coordination of patient care with heart failure nurse specialist , transplant cardiologist, inpatient team members, heart transplant ... coordinators, cardiac surgeons, bed control, admissions, case managers, and utilization review. + Assisting the Cardiomyopathy Administrative Supervisor with… more