- UCLA Health (Los Angeles, CA)
- …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site ... coordination of care. In this role you will perform utilization review while assuring the delivery of...RN License and BLS certification + Recent experience in case management, utilization management and discharge planning… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200415/ case - manager %2c-rn utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- UCLA Health (Los Angeles, CA)
- …+ experience in an HMO environment + Thorough knowledge of health care industry, utilization review , utilization management, and concurrent review ... all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll...travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified… 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 ... implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews...an acute hospital setting. At least 2 years of Utilization Management/ Case Management experience in a hospital… more
- Molina Healthcare (Los Angeles, CA)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... / MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). **MULTI STATE / COMPACT LICENSURE**… more
- Select Medical (Los Angeles, CA)
- …partnership between Cedars-Sinai, UCLA Health and Select Medical Century City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered ... discharge to home rate. **Benefits of working as a Case Manager with us:** + Excellent Orientation...Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure… more
- Select Medical (Los Angeles, CA)
- …between Cedars-Sinai, UCLA Health and Select Medical Century City / Los Angeles, CA Case Manager (CM) - Registered Nurse (RN) or Social Worker (LCSW) - ... Per Diem **Pay Rate $66.00** **Benefits of becoming a Case Manager with us:** + Manageable ...Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure… 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 ... teams + Knowledge of a large university teaching hospitals Experience with utilization review and complex discharge planning in an academic tertiary/quaternary… more
- Cedars-Sinai (Los Angeles, CA)
- …financial patient situations regarding reimbursement issues, social work, discharge planning, utilization review , continuity of care, and systems management. + ... patient situations regarding reimbursement issues, social work, discharge planning, utilization review , continuity of care/readmission avoidance, and systems… more
- Prime Healthcare (Lynwood, CA)
- …Program. Provides leadership and supervision to case managers, case management coordinators/discharge planners, utilization review coordinators ... Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The working Manager of Case Management is responsible… more
- UCLA Health (Los Angeles, CA)
- … case management and behavioral health support. Under the supervision of the Utilization Management Operations Manager and the RN Assistant Director, the ICM ... Description We are seeking for a detail-oriented Intensive Case Management (ICM) Behavioral Coordinator dedicated to improving...and Social Workers to develop non-clinical care plans + Review pending claims for approval or denial decisions Note:… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658522) Apply MENTAL ... HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Salary $122,088.00 - $164,533.20 Annually...and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in… more
- GAF (Los Angeles, CA)
- …this roof, we protect what matters most. **Team Summary** The Maintenance Excellence Manager is a key member of the Corporate Reliability & Maintenance team and ... with the site Planners/Schedulers/Supervisors and can tailor site-specific needs on a case -by- case basis. + Works with supporting organizations on a unified… more
- Deloitte (Los Angeles, CA)
- Consulting Manager - Health and Benefits Human CapitalThe Human Capital Offering Portfolio is dedicated to helping organizations enhance their performance through ... the C-Suite. Our services extend beyond HR to include the CEO, CFO, Risk Manager , and Business Unit leaders, delivering value and creating impact for our clients.… more
- Sysco (East Los Angeles, CA)
- **JOB SUMMARY** The District Sales Manager (DSM) role requires exceptional management of sale performance among Sales Consultants (SCs). This position is responsible ... developing the talent of their sales consultants to achieve profitable planned case and GP growth **RESPONSIBILITIES** + Manages the performance and development of… more
- LA Care Health Plan (Los Angeles, CA)
- …California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or… more
- Dignity Health (Los Angeles, CA)
- …90 days of hire. + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate....least five (5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case … more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …the following areas: Case Management; use of Clinical pathways; or Quality/ Utilization Management and/or Review . Ability to utilize managed care, ... **Purpose Statement/Position Summary:** The Clinical Care Coordinator (CCC), or Case Manager under general supervision, the CCC...The Clinical Care Coordinator (CCC), or Case Manager under general supervision, the CCC acts independently in… more
- Griffith Company (Los Angeles County, CA)
- …methods and sequence of operations. + Coordinate manpower and equipment utilization . + Assist project manager in conducting effective ... Review job costs and budget controls with project manager /foreman. + Monitor processing of timesheet and extra work...to candidates outside of the local area on a case -by- case basis. Visit us at: www.griffithcompany.net. Griffith… more
- UCLA Health (Los Angeles, CA)
- …experience (ie, MSO, IPA, or health plan) required + Working knowledge of utilization review /referral processing systems (ie, EPIC) + Working knowledge of CPT-4, ... NCQA, State and Federal regulations with direction from the Medical Director and QM Manager . + Review all member appeals and grievances for accuracy, ensuring… more