- 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 ... from an accredited nursing program required. Bachelors Degree in Nurse preferred. California RN License required. **Experience:**...continued employment. **Req ID** : 4300 **Working Title** : Utilization Management Case Manager -… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/171837/ case - manager %2c- rn 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
- Pipeline Health System, LLC (Gardena, CA)
- RN Case Manager Full Time...team to ensure coordination of patient care and wise utilization of resources. + Documents case management activities ... 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety...a wide variety of tasks and functions. These include utilization review, discharge planning, care coordination and variance management… 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
- 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 ... level degree in Nursing may have opportunity to become registered as a nurse with a state...least 3 years of successful nursing practice as a nurse leader ( Nurse Manager , Acting… 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...The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols,… 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
- Cedars-Sinai (Marina Del Rey, CA)
- …+ Current CA Registered Nurse Licensure, Required + Certified Case Manager CCM or ACM, Preferred **Experience** : + Minimum of two ... with the highest quality healthcare! **Position Summary:** As an RN Case Manager (ED Services),...Responsibilities:** + Participates in a multi-disciplinary care team + Utilization review. + Reviews care and treatment for appropriateness… more
- Molina Healthcare (Los Angeles, CA)
- **_INPATIENT REVIEW : REGISTERED NURSE_** **_For this position we are seeking a ( RN ) Registered Nurse with previous experience in Hospital Acute Care, ... Concurrent Review/ Utilization Review / Utilization Management and knowledge...care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Pipeline Health System, LLC (East Los Angeles, CA)
- The RN Case Manager (CM)...team to ensure coordination of patient care and wise utilization of resources. + Documents case management ... record and in the required information system. + The RN CM reports to the Director/ Manager of...Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified Case… more
- Providence (Anaheim, 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
- Molina Healthcare (Long Beach, CA)
- …Certification, Association** **CALIFORNIA LICENSE MUST BE an active, unrestricted State Registered Nursing ( RN ) license in good standing.** **Preferred ... **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_PERMANENT SHIFT WILL BE :_** **_12 hour...in the USA if they have a valid CALIFORNIA RN license must work the shift hours as posted.… 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)
- …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)
- **Description** **Care Manager RN at St. Johns Health...be a condition of employment. + Upon hire: California Registered Nurse License + 2 years of ... 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
- Dignity Health (Northridge, CA)
- …Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Care Coordinator Case ... + Performs other duties as assigned. **Qualifications** + CA Registered Nurse ( RN ) License required....Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM… more
- Providence (Torrance, CA)
- …the degree will not be a condition of employment. + Upon hire: California Registered Nurse License + 2 years experience in Healthcare related field (Acute, ... patient's needs are met in the community. The Care Manager utilizes the following processes to meet the patient's...Ambulatory, Post-Acute, etc.) + 2 years experience in Case Management (Care Coordination or Utilization Management)… more
- Providence (Burbank, CA)
- …Nursing, but obtaining the degree will not be a condition of employment. + California Registered Nurse License upon hire. + 2 years of experience in Healthcare ... field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management) or successful completion… more
- UCLA Health (Los Angeles, CA)
- …and quality outcomes by effectively managing care and resources to reduce unnecessary utilization . The RN Care Manager utilizes clinical expertise and ... Description As an RN Care Manager , you will function...Description As an RN Care Manager , you will function as a clinician, advocate,... license. + BSN Degree + 5 years of Case Management experience + Must have strong problem solving… more