- 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)
- …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/189323/ case - manager utilization -review/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Francis… more
- Select Medical (Los Angeles, CA)
- …City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) **Pay Rate: $50 - ... discharge to home rate. **Benefits of working as a Case Manager with us:** + Excellent Orientation...Current licensure in a clinical discipline per state guidelines ( RN , LCSW preferred). + Previous experience in Case… 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
- WelbeHealth (Los Angeles, CA)
- …(IDT). The Travel RN Specialist covers any nursing roles (eg, RN Case Manager , RN Clinic Nurse ) as needed in multiple markets. The Travel RN ... vulnerable seniors with better quality and compassion in a value-based model, and the Travel Registered Nurse ( RN ) Specialist directly guides this care as a… more
- Dignity Health (Northridge, CA)
- …centers. Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager ... Knowledge of CMS standards and requirements. **Qualifications** + CA Registered Nurse ( RN ) License required....Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM… 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
- 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 ... California residents preferred. California RN licensure required.** **Work Schedule: Monday thru Friday, 10:00AM to 7:00PM with some weekends and holidays. Pacific… more
- Providence (Santa Monica, CA)
- …gain approval for, implement and monitor a model for integrated coordination function, involving registered nurse , and social work case managers and other ... of efficient, quality care. + Collaborates with Financial Admitting case manager and other departments as needed...goals and outcomes. **QUALIFICATIONS** + Graduate of a recognized registered nurse program + Master's Degree in… 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 ... field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management) or successful completion… more
- Providence (Mission Hills, 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
- 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
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Master's degree in Nursing, Health Care Administration, or related field preferred. Current Registered Nurse licensure in the State of California and AHA CPR/BLS ... rewarding. **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning for… more
- Elevance Health (Los Angeles, CA)
- …complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. **How you will make ... improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and applies… more
- LA Care Health Plan (Los Angeles, CA)
- …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... Worker; current and unrestricted California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... to a line operation responsible for the delivery of psychological rehabilitation, case management and/or Psychiatric Emergency Service of the Department of Mental… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …**Overview** **Purpose Statement/Position Summary:** The Clinical Care Coordinator (CCC), or Case Manager under general supervision, the CCC acts independently ... area within pediatrics. Recent experience in one of the following areas: Case Management; use of Clinical pathways; or Quality/ Utilization Management and/or… more
- Elevance Health (Los Angeles, CA)
- The Med Mgmt Nurse CA is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of ... consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate types, places, or… more