- Providence (Mission Hills, CA)
- …must empower them. **Required Qualifications:** + Associate's Degree in Nursing. + California Registered Nurse License upon hire. + 2 years of experience working ... Utilization Management, medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently manage a diverse… more
- Pipeline Health System, LLC (Huntington Park, CA)
- RN Case Manager - Registered Nurse Per Diem 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety of tasks and functions. These include ... utilization review , discharge planning, care coordination and...record and in the required information system. + The RN CM reports to the Director/Manager of the department.… more
- Pipeline Health System, LLC (Gardena, CA)
- Case Manager Registered Nurse RN - Per Diem 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety of tasks and functions. These include ... utilization review , discharge planning, care coordination and...record and in the required information system. + The RN CM reports to the Director/Manager of the department.… more
- Select Medical (Los Angeles, CA)
- …Medical Century City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) **Pay Rate: ... + Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure positive fiscal… more
- HCA Healthcare (Thousand Oaks, CA)
- …Regional Medical Center! **Job Summary and Qualifications** The **Oncology Registered Nurse ** II performs direct patient care through utilization of the ... of an accredited School of Professional Nursing + Current RN license by the Board of Nurse ...career path, we encourage you to apply for our Registered Nurse Oncology opening. We review… 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...work 3 pm to 11:30 pm PST, five days per week with rotating weekends and holidays. Established in… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $118,161.60 -… more
- Cedars-Sinai (Marina Del Rey, CA)
- …Duties and Responsibilities:** + Participates in a multi-disciplinary care team + Utilization review . + Reviews care and treatment for appropriateness against ... Bachelor's or Master's Degree in Nursing, Preferred **License/Certification:** + Current CA Registered Nurse Licensure, Required + Certified Case Manager CCM or… 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...and BLS certification + Recent experience in case management, utilization management and discharge planning + Minimum of three… more
- Elevance Health (Los Angeles, CA)
- …years acute care clinical experience is required. **Preferred Qualifications** + Previous utilization review / utilization management experience in a managed ... Mesa, Los Angeles, Rancho Cordova, Sacramento, Walnut Creek, Woodland Hills** The Nurse Medical Management I is responsible to collaborate with healthcare providers… more
- The County of Los Angeles (Los Angeles, CA)
- …practice as a clinical social worker, marriage and family therapist, psychologist, or registered nurse issued by the appropriate State of California licensing ... practice as a clinical social worker, marriage and family therapist, psychologist, or registered nurse issued by the appropriate State of California licensing… more
- Providence (Santa Monica, CA)
- …approval for, implement and monitor a model for integrated coordination function, involving registered nurse , and social work case managers and other relevant ... professionals that measurably improve performance. + Create, and analyze utilization review metrics, maintained in the form...goals and outcomes. **QUALIFICATIONS** + Graduate of a recognized registered nurse program + Master's Degree in… more
- The County of Los Angeles (Los Angeles, CA)
- …clinical nursing. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board or Registered ... in a state other than California must provide their Registered Nurse License Number from that state...Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL… more
- Guidehouse (Los Angeles, CA)
- …Required** **:** None **What You Will Do** **:** The **Hospital Admitting Registered Nurse (Day Shift)** will facilitate patient medical and financial ... years' experience in nursing or one-year related nursing experience in utilization review /insurance/case management/medical clearance. * Graduation from an… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... clients most prone to assaultive behavior or requiring more extensive monitoring and review of their condition and progress. Essential Job Functions + Interviews the… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... most prone to assaultive behavior or requiring more extensive monitoring and review of their condition and progress. Essential Job Functions + Administers, either… more
- Elevance Health (Los Angeles, CA)
- The **Manager II Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM) or a ... with implementation of cost of care initiatives. + May attend meetings to review CM processes. + Hires, trains, coaches, counsels, and evaluates performance of… more
- Elevance Health (Los Angeles, CA)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the… more
- Elevance Health (Los Angeles, CA)
- …community, and connection. This includes remote work and 1-2 days in office per week. Candidates must reside within a 50-mile or 1-hour commute each way ... of a relevant Elevance Health location. The ** Nurse Medical Management ll** is responsible to collaborate with healthcare providers and members to promote quality… more