- Cedars-Sinai (Los Angeles, CA)
- …named us one of America's Best Hospitals! **What You Will Do in This Role:** The Utilization Review Case Manager validates the patient's placement to be at ... Manager follows the UR process as defined in the Utilization Review Plan in accordance with the...from an accredited nursing program required. Bachelors Degree in Nurse preferred. California RN License required. **Experience:**… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/173003/* case -manager%2c- rn utilization - review ... 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 years acute… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/171837/ case -manager%2c- rn utilization - review ... 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 years acute… 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 ... CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board...of staff, and evaluating employee performance. For this examination, Utilization Review is defined as provides technical… 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 Manager (CCM) Required Training Physical Requirements… more
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …The VA Greater Los Angeles Healthcare (VAGLAHS) is seeking a highly skilled/experienced Registered Nurse to serve as Home Base Primary Care (HBPC) Program ... policies and procedures to include performance improvement, patient safety, utilization review , emergency preparedness, and staff safety....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Guidehouse (Los Angeles, CA)
- …two years' experience in nursing or one-year related nursing experience in utilization review /insurance/ case management/medical clearance. * Graduation from ... None **What You Will Do** **:** The **Hospital Admitting Registered Nurse (Day Shift)** will facilitate patient...Nice To Have** **:** * Two years' experience in utilization review with external payors within a… 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 Nurse Specialist RN...in an acute hospital setting. At least 2 years Utilization Management/ Case Management experience in a hospital… more
- Dignity Health (Northridge, CA)
- …nursing experience in an acute hospital setting required. + Current CA Registered Nurse ( RN ) license + Prior Utilization Management experience in a ... than 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Proven ability to lead successful performance improvement projects. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and ... Utilization Management Clinical Quality Nurse Reviewer RN II Job Category:...post-audit preparation/follow-up. This position actively participates in development and review of policies and procedures to certify compliance with… more
- LA Care Health Plan (Los Angeles, CA)
- …programs such as Excel, Power point. Knowledge of Smart Sheets. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Practitioner (NP)- Active, current and unrestricted California License Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM)… more
- Molina Healthcare (Long Beach, CA)
- **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_PERMANENT SHIFT WILL BE :_** **_12 hour NIGHT SHIFT: 7:30PM (in the evening) - 08:30AM (in the morning) PACIFIC ... to a 3 day/12 hour shift from then on._** **_Previous experience with Emergency Room Utilization Management / Utilization Review is required for this role.… more
- HCA Healthcare (Thousand Oaks, CA)
- …at Los Robles Regional Medical Center have the opportunity to make a real impact. As a(an) RN Case Manager II PRN you can be a part of change. **Benefits** Los ... improve positive outcomes for your patients as a (an) RN Case Manager II PRN. We want...qualifications you will need:** + Current licensure as a Registered Nurse in the state of California… more
- Molina Healthcare (Long Beach, CA)
- … REVIEW : REGISTERED NURSE_** **_For this position we are seeking a ( RN ) Registered Nurse with previous experience in Acute Care, Concurrent Review ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Cedars-Sinai (Marina Del Rey, CA)
- …Master's Degree in Nursing, Preferred **License/Certification:** + Current CA Registered Nurse Licensure, Required + Certified Case Manager CCM or ACM, ... with the highest quality healthcare! **Position Summary:** As an RN Case Manager (ED Services), you will...Responsibilities:** + Participates in a multi-disciplinary care team + Utilization review . + Reviews care and treatment… more
- Pipeline Health System, LLC (Huntington Park, CA)
- The RN Case Manager (CM) performs a...a wide variety of tasks and functions. These include utilization review , discharge planning, care coordination and ... team to ensure coordination of patient care and wise utilization of resources. + Documents case management...Case Management Acute Care setting Licensure/Certifications: + Current RN licensed in good standing by the California Board… more
- Pipeline Health System, LLC (Gardena, CA)
- …other hospitals to available beds in our hospitals for quality care. Job Summary: The RN Case Manager (CM) performs a wide variety of tasks and functions. These ... include utilization review , discharge planning, care coordination and...Case Management Acute Care setting Licensure/Certifications: + Current RN licensed in good standing by the California Board… more
- Amergis (Torrance, CA)
- The RN Case Manager is responsible for... information within a database system + Performs chart review /audits monthly or as needed + Participates in monthly ... case conferences by providinginformation pertinent to patient's needs/goals +...for psychosocial needs + Participates in Quality Assurance and Utilization Reviewactivities, as directed + Empowers patients in decision-making… more
- UCLA Health (Los Angeles, CA)
- …of safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital ... 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
- Providence (Tarzana, CA)
- **Description** ** Utilization Review RN (full...+ Bachelor's Degree in Nursing. + upon hire: California Registered Nurse License. + 3 years Acute ... time day shift)** The Peer Review RN is responsible for facilitating the design, implementation and...other reports and databases as well as perform needed case reviews based on Federal, State and National guidelines.… more