- 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/166682/ case - manager utilization -review/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Francis… more
- Cedars-Sinai (Los Angeles, CA)
- …named us one of America's Best Hospitals! **What You Will Do in This Role:** The Utilization Review Case Manager validates the patient's placement to be at ... from an accredited nursing program required. Bachelors Degree in Nurse preferred. California RN License required. **Experience:**...continued employment. **Req ID** : 4300 **Working Title** : Utilization Management Case Manager -… more
- UCLA Health (West Hills, CA)
- …experience; or the equivalent of education and experience + Recent experience in case management, utilization management, or discharge planning + Current valid ... Each employee must complete a FlexWork Agreement with their manager which will outline arrangement parameters and aids both...CA RN license + BLS from the ARC or AHA… more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case ...Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements… more
- LA Care Health Plan (Los Angeles, CA)
- …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Supervisor, Utilization Management RN Job Category: Clinical...The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols,… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Nurse Specialist RN...California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
- Cedars-Sinai (Marina Del Rey, CA)
- …+ Current CA Registered Nurse Licensure, Required + Certified Case Manager CCM or ACM, Preferred **Experience** : + Minimum of two ... with the highest quality healthcare! **Position Summary:** As an RN Case Manager (ED Services),...Responsibilities:** + Participates in a multi-disciplinary care team + Utilization review. + Reviews care and treatment for appropriateness… more
- Actalent (Los Angeles, CA)
- Job Title: RN Case Manager Assistant Job Description The RN Case Manager Assistant provides comprehensive case management for patients at ... interdisciplinary team to provide care coordination under the direction of a Registered Nurse , adhering to evidence-based practice and regulatory requirements.… more
- Molina Healthcare (Los Angeles, CA)
- **_For this position we are seeking a California ( RN ) Registered Nurse with 3 years+ Concurrent Review/ Utilization Review / Utilization Management ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Pipeline Health System, LLC (Gardena, CA)
- …hospitals includes: * Memorial Hospital of Gardena (CA) * Coast Plaza Hospital (Norwalk, CA) The RN Case Manager (CM) performs a wide variety of tasks and ... team to ensure coordination of patient care and wise utilization of resources. + Documents case management...Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified Case… more
- Pipeline Health System, LLC (Huntington Park, CA)
- The RN Case Manager (CM)...team to ensure coordination of patient care and wise utilization of resources. + Documents case management ... record and in the required information system. + The RN CM reports to the Director/ Manager of...Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified Case… more
- Amergis (Gardena, CA)
- The RN Case Manager is...of services + Follows State/County mandated guidelines for the nurse case management programs + Participates in ... continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential… more
- Providence (Santa Monica, CA)
- …Qualifications:** + Graduate of an accredited school of nursing. + upon hire: California Registered Nurse License. + 3 years Clinical experience in an HMO, ... Transplant, or Wound Care. + 3 years experience in utilization management or case management. **Why Join Providence?** Our best-in-class benefits are uniquely… more
- Actalent (Los Angeles, CA)
- Job Title: RN Case ManagerJob Description The RN Case Manager will make discharge plans, assist with care plans alongside doctors, and work in a less ... care. You will also conduct daily clinical reviews for utilization /quality management, act as a liaison between facilities, refer...Hard Skills + Inpatient experience - 1 year + Case Management - at least 6 months from an… more
- Amergis (Torrance, 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
- UCLA Health (Los Angeles, CA)
- …staff) + CA RN License and BLS certification + Recent experience in case management, utilization management and discharge planning + Minimum of three years ... 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
- UCLA Health (Los Angeles, CA)
- …regulations + Ability to travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager ... all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll...a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,… more
- Providence (Santa Monica, CA)
- **Description** **Care Manager RN at St. Johns Health...be a condition of employment. + Upon hire: California Registered Nurse License + 2 years of ... Degree in Nursing or Healthcare related field. + A RN with 20 years of RN experience...Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management)… more
- Dignity Health (Northridge, CA)
- …Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Care Coordinator Case ... + Performs other duties as assigned. **Qualifications** + CA Registered Nurse ( RN ) License required....Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM… more
- Providence (Tarzana, CA)
- …obtaining the degree will not be a condition of employment. + Upon hire: California Registered Nurse License + California Fire and Life Safety Card - National ... related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years Experience in Case Management (Care Coordination or Utilization Management) or successful… more