- Molina Healthcare (Long Beach, CA)
- …Management / Utilization Review is required for this role. Experience with Case Management is a plus._** **_This is a remote role (work from home). Excellent ... **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_PERMANENT SHIFT WILL BE :_** **_12...illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses inpatient services for members to ensure optimum outcomes, cost… more
- Cedars-Sinai (Marina Del Rey, CA)
- …experience + ED Case Management experience, Strongly preferred **Working Title:** RN Case Manager , Inpatient and Emergency Dept., 8- and 12- hour ... the highest quality healthcare! **Position Summary:** As an RN Case Manager (ED Services), you will be...+ Participates in a multi-disciplinary care team + Utilization review . + Reviews care and treatment for appropriateness against… more
- Molina Healthcare (Long Beach, CA)
- **_JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE_** **_For this position we are seeking a (RN) Registered Nurse with previous ... experience in Acute Care, Concurrent Review / Utilization Review / Utilization Management and...role. Productivity is important with turnaround times._** **_Essential knowledge: Inpatient Reviews with transfers to lower level of care… more
- Prime Healthcare (Garden Grove, CA)
- …an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred + Five years acute care nursing experience preferred. ... credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/170816/registered-nurse-%28rn%29 case - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityGarden Grove Hospital Medical… more
- Prime Healthcare (Inglewood, CA)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/169304/registered-nurse%2c-rn case - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... care, advanced cardiac services, critical care services, robotics surgery program, inpatient and outpatient rehab programs, labor and delivery, and more. Join… more
- Prime Healthcare (Anaheim, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/170050/ case - manager ... compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health,… more
- UCLA Health (Los Angeles, CA)
- Description As our Patient Care Manager , you will be responsible for managing all clinical staff within Patient Navigation and Business Services. Your oversight ... includes intake and referral personnel, case management personnel, and care coordination personnel. In this...and is inclusive of: intake, referral management, transfer, ambulatory, inpatient , discharge, and repatriation. In this role, you will… more
- Dignity Health (Northridge, CA)
- …(https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Care Coordinator Case Manager Northridge Hospital Medical Center ... nursing (Bachelor's Degree in Nursing (BSN)) or related healthcare field. preferred + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or… more
- Adecco US, Inc. (Long Beach, CA)
- **Job Title:** RN Case Manager **Location:** Long Beach, CA (Hybrid Role) **Schedule:** Monday to Friday, 8:00 AM - 5:00 PM **No weekends, no on-calls** ... Overview:** We are seeking an experienced and compassionate RN Case Manager to join our small but...including post-discharge follow-ups with partnering providers. - **Census Management:** Review daily censuses, manage inpatient , ER, and… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... of referral determination. Actively monitors for admissions in any inpatient setting. Performs telephonic and/or on site admission and...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews… 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 Mental ... team leaders reporting to a mental health clinical program manager or a physician manager . Positions allocable...to assaultive behavior or requiring more extensive monitoring and review of their condition and progress. Essential Job Functions… 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 of ... team leaders reporting to a mental health clinical program manager or a physician manager . Positions allocable...to assaultive behavior or requiring more extensive monitoring and review of their condition and progress. Essential Job Functions… more
- Elevance Health (Los Angeles, CA)
- …+ Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service ... referrals given. + Processes incoming requests, collection of information needed for review from providers, utilizing scripts to screen basic and complex requests… more
- Elevance Health (Costa Mesa, CA)
- …quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of ... but are not limited to: + Conducts precertification, continued stay review , care coordination, or discharge planning for appropriateness of treatment setting… more