- John Muir Health (Walnut Creek, CA)
- …back to the community and does this in coordination with the interdisciplinary health team. The RN Case Manager is expected to function within the full scope ... of appropriate utilization of resources. The inpatient case manager applies the process of assessment,...Case Management Preferred or Equivalent Work Experience Certifications/Licensures: RN Registered Nursing - California Board of… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/ rn - case - manager ... 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
- Providence (Orange, CA)
- …Degree Nursing. + Bachelor's Degree Nursing. + Upon hire: California Registered Nurse License. + 3 years Experience in Utilization Management. + Experience ... **Description** **Clinical Program RN at Providence St. Joseph Hospital Orange in...Master's Degree Nursing. + 5 years Experience as a utilization / case manager in an acute… more
- ERP International (Twentynine Palms, CA)
- …Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) o National ... **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers**...obtain within 18 months of employment.) o Commission for Case Manager Certification Certified Case … more
- Sutter Health (San Francisco, CA)
- …an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + CCM - Certified Case Manager (certification may ... Center Davies **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted criteria for… more
- Sutter Health (Burlingame, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... : **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire CCM certification… more
- Sutter Health (San Francisco, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... + Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** +… more
- VNA Health (Santa Barbara, CA)
- …$5,000 sign on BONUS! Job Description: VNA Health is looking for compassionate Registered Nurse Case Managers ( RN CM) to join our Home Health care team. ... of every patient on his/her caseload to include: appropriate utilization of services; ensuring continued skilled need; monitoring of...audio acuity. Apply today to be considered for our RN Case Manager role or… more
- University of Southern California (Los Angeles, CA)
- …management of specific patient populations. The RN case manager role integrates the functions of utilization management, quality management, discharge ... Qualifications: + Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within...the last three years preferred. Required Licenses/Certifications: + Req Registered Nurse - RN (CA… more
- Cedars-Sinai (Beverly Hills, CA)
- …appropriate. + For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for ... Little More About What You Will be Doing** The Case Manager is responsible for the ...for Hiring. **Req ID** : 12949 **Working Title** : Registered Nurse - ISP Care Coordinator -… more
- Cedars-Sinai (Los Angeles, CA)
- …care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician ... of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required...for Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist -… more
- Amergis (Orange, CA)
- … Case Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and ... Qualifications: + Current California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of clinical experience required;… 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 Admissions Liaison RN II...California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case … more
- Stanford Health Care (Palo Alto, CA)
- …of America) Why work at Stanford Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with the Timely ... improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in...outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse -… more
- Providence (Mission Hills, CA)
- **Description** ** RN Utilization Review - Remote. This position will work full- time in a 8-hr Day shift.** Provide prospective, retrospective, and concurrent ... **Required Qualifications:** + Associate's Degree in Nursing. + California Registered Nurse License upon hire. + 2...remote UR environment or working as an acute hospital case manager . **Preferred Qualifications:** + Bachelor's Degree… more
- Sharp HealthCare (La Mesa, CA)
- … Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing **Hours** **:** ... experience or case management experience. + California Registered Nurse ( RN ) - CA...**Preferred Qualifications** + Bachelor's Degree in Nursing + Certified Case Manager (CCM) - Commission for … more
- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an… more
- Cedars-Sinai (Marina Del Rey, CA)
- …has named us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for identified...like family. **Req ID** : 11818 **Working Title** : RN Case Manager - … more
- Providence (Santa Rosa, CA)
- **Description** **Care Manager RN - Case ...within 30 days of hire. + Upon hire: California Registered Nurse License + 2 years acute ... staff, medical center personnel and outside resources to ensure the appropriate utilization of resources according to clinical and financial standards. Monitors the… more
- Trinity Health (Fresno, CA)
- …through the effective utilization of the facility's resources. 1. Current licensure as a Registered Nurse ( RN ) in the state of California is required. 2. ... from an accredited baccalaureate nursing program (BSN) is preferred. 4. Certified Case Manager (CCM) national certification is preferred. 5. Interquel training… more
