• Utilization Management

    UCLA Health (Los Angeles, CA)
    …a vital role within a leading health organization. Help ensure smooth and efficient case management processes to support quality care. Take your expertise to the ... more at UCLA Health. Under the direction of the Utilization Management , Assistant Manager, you will play...computer applications and logs + Monitor members/patients followed by Case Management + Work directly with a… more
    UCLA Health (12/01/24)
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  • Utilization Review RN *FT/Days

    Providence (Mission Hills, CA)
    …strong clinical background combined with well-developed knowledge and skills in Utilization Management , medical necessity, and patient status determination. The ... Utilization Management RN must effectively and efficiently manage a diverse...remote UR environment or working as an acute hospital case manager. **Preferred Qualifications:** + Bachelor's Degree - Nursing.… more
    Providence (12/17/24)
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  • Case Manager RN *Per Diem/DAY

    Providence (Orange, CA)
    …Rehab, Pediatrics, Transplant, or Wound Care upon hire. + 3 years Experience in utilization management or case management . **Why Join Providence?** ... + Master's Degree in Related field. + Certification in Case Management (CCM, ACM) upon hire. +...women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum… more
    Providence (12/13/24)
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  • Care Manager RN *FT/Days

    Providence (Tarzana, CA)
    …Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management ) ... **Description** Case Management is a collaborative practice...care coordination along a continuum through effective transitional care management and utilization management . Recognizing… more
    Providence (10/02/24)
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  • Care Manager RN - Full Time *$10k Sign On Bonus

    Providence (Santa Monica, CA)
    …Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management ) ... and external hires that meet required qualifications and conditions for payment.** Case Management is a collaborative practice including patients, caregivers,… more
    Providence (12/24/24)
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  • Medical Director of Mental Health MDN

    Cedars-Sinai (Los Angeles, CA)
    …and vetting of any community MH provider as needed. + Supports and advises Utilization Management , CS 360, and population health teams as needed, including ... currently exists to support primary care physicians and their management of patients with mild to moderate depression and...to track all assigned patients and prioritize patients for case review and treatment adjustment. + Recommends any treatment… more
    Cedars-Sinai (10/18/24)
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