- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163839/* rn - case - manager utilization ... 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
- Molina Healthcare (Long Beach, CA)
- **We are seeking a LVN CASE MANAGER (CALIFORNIA LICENSED VOCATIONAL NURSE ), Bilingual Spanish with PEDIATRICS CASE MANAGEMENT experience for this role. ... assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Amergis (Los Angeles, CA)
- …for 40 hr days Travel Rate- $2,300 for 40 hr days Mon-Fri 8a-5p The Case Manager is responsible for utilization reviews, resource management, discharge ... Case Manager - Travel or Local Local Rate- $2,080 weekly… 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
- 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 ... Supervisor, Utilization Management RN Job Category: Clinical...California License Certified Case Manager (CCM) Licenses/Certifications Preferred Required Training… 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...California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… 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 ... to provide timely clinical reviews to payers. The Care Manager utilizes the following processes to meet the patient's...(Acute, Ambulatory, Post-Acute, etc.) + 2 years Experience in Case Management (Care Coordination or Utilization Management)… more
- Pipeline Health System, LLC (Gardena, CA)
- …hospitals to available beds in our hospitals for quality care. Job Description & Requirements The RN Case Manager (CM) performs a wide variety of tasks and ... team to ensure coordination of patient care and wise utilization of resources. + Documents case management...Nursing + Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified… more
- Providence (Santa Monica, CA)
- …Qualifications:** + Graduate of an accredited school of nursing. + upon hire: California Registered Nurse License. + 3 years Clinical experience in an HMO, ... Transplant, or Wound Care. + 3 years experience in utilization management or case management. **Why Join Providence?** Our best-in-class benefits are uniquely… more
- Actalent (Los Angeles, CA)
- Largest national Medicaid Managed Care Organization is looking for a REMOTE RN Case Manager to join their growing team! Opportunity to make an impact with an ... industry leader in a fast-paced environment! Requirements: + CA RN license + Case Management experience +...outcome * Assess the member's current health status, resource utilization , past and present treatment plan and services, prognosis,… more
- Amergis (Los Angeles, CA)
- The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... assessments and ongoingreassessments of the patient's status + Documents patient case information within a database system + Performs chart review/audits monthly… more
- UCLA Health (Santa Monica, CA)
- …+ BSN or MSN + CA RN License and BLS + Recent experience in case management, utilization management and discharge planning + Minimum of three years of acute ... 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
- 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
- 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
- Emanate Health (West Covina, CA)
- …nurses new to the US healthcare system must satisfactorily complete the Emanate Health RN Residency Program within the first 6 months of employment. Two years recent ... acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal and time management… more
- UCLA Health (Los Angeles, CA)
- …in the care of the patient and decreasing fragmentation and duplication of care, the Nurse Case Manager /Clinical Advisor is able to enhance the quality and ... Description Under the direction of the RN Asst. Director for Utilization Review, Intensive Case Management, you will support and perform duties to provide… more
- UCLA Health (Los Angeles, CA)
- …regulations + Ability to travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager ... all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll...a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,… more
- Providence (Santa Monica, CA)
- …obtaining the degree will not be a condition of employment. + Upon hire: California Registered Nurse License + 2 years of experience in Healthcare related field ... Degree in Nursing or Healthcare related field. + A RN with 20 years of RN experience...Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management)… more
- Huntington Hospital (Pasadena, CA)
- …(LCSW) issued by State of California within one year of hire/transfer, or current unrestricted Registered Nurse ( RN ) license issued by California Board of ... Acute Psychiatric Case Manager 836000 Apply now (https://huntingtonhospital.wd5.myworkdayjobs.com/HuntingtonHospitalCareers/job/Huntington-Hospital… more
- LA Care Health Plan (Los Angeles, CA)
- …Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnam Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... Manager , Enhanced Care Management ( RN or...and unrestricted California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager… more