- Prime Healthcare (Inglewood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189094/ director -of- case - management utilization - ... more
- LA Care Health Plan (Los Angeles, CA)
- …observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director , on requests where determination ... more
- Cedars-Sinai (Los Angeles, CA)
- …with internal and external stakeholders. + Promotes the role of Case management , medical social work & utilization management within the organization ... more
- CenterWell (Los Angeles, CA)
- …and help us put health first** **The Role** 10k sign on bonus** The Manager Care/ Case Management is responsible for managing a team of nurses, community health ... more
- The County of Los Angeles (Los Angeles, CA)
- …the following: + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT ... more
- Genesis Healthcare (Los Angeles, CA)
- …of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient identification ... more
- LA Care Health Plan (Los Angeles, CA)
- …that the programs align with our operational systems and tools while also performing utilization review of cases. The Medical Director reports to the Senior ... more
- Elevance Health (Cerritos, CA)
- …policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests involving radiology imaging requests, ... more
- Sevita (Los Angeles, CA)
- …every day. Join us today, and experience a career well lived. **Area Director -** **Operations Management ** **_Full-Time position - Annual Salary $74,000 ... more
- The Walt Disney Company (Santa Monica, CA)
- …workflows and related policies within account management & billing, Salesforce CRM case management , NICE CXone Omnichannel, and NICE IEX agent interface. + ... more
- Sevita (Long Beach, CA)
- …day. Join us today, and experience a career well lived. **$72,000/year** **Operations Management Area Director ** Everybody needs a job but only extraordinary ... more
- LA Care Health Plan (Los Angeles, CA)
- …Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary ... more
- Cedars-Sinai (West Hollywood, CA)
- …guidance, including aiding in resolving any conflicting project decisions. Discusses business case scenarios, presents to senior management and guides team(s) on ... more
- Elevance Health (Los Angeles, CA)
- …critical thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... more
- LA Care Health Plan (Los Angeles, CA)
- …information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory ... more
- UCLA Health (Los Angeles, CA)
- …work with clinicians, families and other state agencies for patient care. 7. Case management / utilization management , health education and/or discharge ... more
- Elevance Health (Norwalk, CA)
- …in process improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and ... more
- Griffith Company (Los Angeles County, CA)
- …and sequence of operations. + Coordinate manpower and equipment utilization . + Assist project manager in conducting effective pre-construction/pre-planning meetings. ... more
- The County of Los Angeles (Los Angeles, CA)
- …to a line operation responsible for the delivery of psychological rehabilitation, case management and/or Psychiatric Emergency Service of the Department of ... more
- The County of Los Angeles (Los Angeles, CA)
- …assigned to a line operation responsible for delivering psychological rehabilitation, case management , and/or psychiatric emergency services in the Department ... more