- UCLA Health (Los Angeles, CA)
- …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site at our ... accepted for current UCLA Health Nursing staff) + CA RN License and BLS certification + Recent experience in... License and BLS certification + Recent experience in case management, utilization management and discharge planning… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200415/ 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
- Select Medical (Los Angeles, CA)
- …and Select Medical Century City / Los Angeles, CA Case Manager (CM) - Registered Nurse ( RN ) or Social Worker (LCSW) - Per Diem **Pay Rate $66.00** ... protected under applicable law_ _._ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/320081/ case - manager -%28cm%29 registered - nurse -%28rn%29-or-lcsw per-diem/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814)… 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
- Providence (Burbank, CA)
- **Description** RN Care Manager in Utilization Management for Providence St Joseph Medical Center in Burbank, CA. This is a full-time position that will work ... degree will not be a condition of employment. + Upon hire: California Registered Nurse License **Preferred Qualifications:** + Master's Degree Healthcare related… 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
- 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
- Select Medical (Los Angeles, CA)
- …CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) **Schedule: Sun - Thu ... protected under applicable law_ _._ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/320789/ case - manager -%28cm%29 rn --or-lcsw ft %245k-sign-on/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share… more
- Molina Healthcare (Glendale, 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
- 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
- Molina Healthcare (Los Angeles, CA)
- …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... RN licensure must be valid for California. California...in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge… 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
- Prime Healthcare (Lynwood, CA)
- …accredited school of nursing with minimum Bachelors Science in Nursing (BSN) and Licensed Registered Nurse ( RN ) credential OR Grandfathered prior to April 1, ... Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The working Manager of Case Management is responsible… more
- Providence (Anaheim, CA)
- …**Required qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience in ... or Wound Care upon hire. + 3 years Experience in utilization management or case management. **Why Join Providence?** Our best-in-class benefits are uniquely… 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 ... Required: Knowledge of state, federal and regulatory requirements in Appeals/Care/ Case / Utilization Management/Quality. Strong verbal and written communication… more
- CenterWell (Los Angeles, CA)
- **Become a part of our caring community and help us put health first** The Manager Care/ Case Management is responsible for managing a team of nurses, community ... and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with...an impact** **Required Qualifications** + A current unrestricted state RN license or Social Work degree / license +… more
- Dignity Health (Los Angeles, 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
- Elevance Health (Los Angeles, CA)
- … case within the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case in accordance with applicable ... **LTSS Service Coordinator - RN Clinician** **Location:** Candidate should reside in California...co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and… more
- Elevance Health (Los Angeles, CA)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... members in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care… more
- UCLA Health (Los Angeles, CA)
- …health support. Under the supervision of the Utilization Management Operations Manager and the RN Assistant Director, the ICM Behavioral Coordinator plays ... a vital role in supporting RN Case Managers, Licensed Clinical Social Workers, and Medical Social Workers in delivering comprehensive case management and… more