- University of Southern California (Glendale, CA)
- …agreements with insurers or outside review agencies. Minimum Education: Current RN license in the State of California, BSN preferred Minimum Experience/Knowledge: ... Recent experience in Utilization/Quality/ Case Management in acute setting preferred Required License/Certification: Current BCLS certificate from the American Heart… more
- University of Southern California (Alhambra, CA)
- …as well as needlessly duplicated treatment, all while controlling the cost of quality patient care. The Case Manager will leverage their clinical and ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services...Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA… more
- University of Southern California (Arcadia, CA)
- …and maintain BLS certification. Preferred (Not required) Professional certification as a case manager preferred. Pay Transparency The hourly rate range for ... coordinates utilization management, care facilitation, and discharge planning functions. The Case Coordinator is accountable for a designated patient caseload… more
- University of Southern California (Glendale, CA)
- …Title 22, CDPH regulations, DNV-GL/NIAHO standards, etc. Minimum Education:Graduation from Registered Nurse ProgramBSN desired (if not upon hire, will ... Medical-Surgical, Orthopedic or other specialty preferred Required License/Certification: California Registered Nurse LicenseCertification in clinical specialty or… more
- University of Southern California (Arcadia, CA)
- …Education: Associate's Degree Nursing Minimum Skills: Possess basic computer skills. Required Certifications: Registered Nurse - RN (CA Board of ... .* Prioritizes cases to provide service to most urgent case .* Organizes patient transportation, surgical team coordination,...RN experience in assigned area of Nursing. A registered nurse with current RN … more
- Providence (Brea, CA)
- …Qualifications:** + Graduate of an accredited school of nursing. + Upon hire: California Registered Nurse License + 3 years clinical experience in an HMO, ... team at Providence Medical Foundation and thrive in our culture of patient -focused, whole-person care built on understanding, commitment, and mutual respect. Your… more
- Elevance Health (Cerritos, CA)
- **Behavioral Health Case Manager I-SUD** _Location:_ This role enables associates to work virtually full-time, with the exception of required in-person training ... to improve the delivery of care." The **Behavioral Health Case Manager I-SUD** is responsible for performing...equivalent background. + Current active unrestricted license such as RN LCSW (as applicable by state law and scope… more
- Providence (Brea, CA)
- …Qualifications:** + Graduate of an accredited school of nursing. + Upon hire: California Registered Nurse License + Case management or acute care experience ... distance to Brea, CA and have a active California RN license!** This posting is not for a specific...night, or variable shifts. Under the direction of the Supervisor/ Manager , this position is responsible for triaging incoming calls,… more
- Dignity Health (Northridge, CA)
- …around critical quality and safety initiatives. **Job Requirements** + Licensed Registered Nurse , Licensed Clinical Pharmacist, or other Licensed Clinical ... patient lives? We're actively seeking a Quality Patient Safety Program Manager , Licensed. We rely...attention to detail will shine through as you review patient records, distill complex information into clear case… more
- Dignity Health (Glendale, CA)
- …years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Knowledge of managed ... optimal outcomes at the appropriate level of care. The RN Care Coordinator advocates for the patient ...acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1… more
- University of Southern California (Arcadia, CA)
- …and makes referrals as necessary. The initial discharge plan must be co-signed by an RN Case Manager or LCSW. + When completing the initial discharge ... patient progress against discharge plan in collaboration with Case Managers and other healthcare team members. + Works...any other required notifications. + Recognizes the need for Case Manager and Social Worker collaboration for… more
- University of Southern California (Arcadia, CA)
- …impact DRG assignments. + Minimum of three years' experience in clinical disciplines ( RN , MD, FMG) or utilization review/ case management in an acute care ... on admission and throughout hospitalization. Analyzes clinical status of patient , current treatment plan and past medical history and...to HIPAA regulations. Keep the CDI team and HIM Manager or Director informed of workflow status and potential… more