- UCLA Health (Los Angeles, CA)
- …You can do all this and more at UCLA Health. Under the direction of the Utilization Management , Assistant Manager , you will play a key role in processing ... 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
- UCLA Health (Los Angeles, CA)
- …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... (BSN) degree required + Five or more years of utilization management required + Four or more...travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified… more
- LA Care Health Plan (Los Angeles, CA)
- …in an acute hospital setting. Previous experience to have a strong understanding of Utilization Management / Case Management practices including, but not ... Utilization Management Admissions Liaison RN II...unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management … more
- LA Care Health Plan (Los Angeles, CA)
- …of work/licensure. The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols, and ... of 7 years of acute/clinical care experience. Minimum of 2 years of experience in Case /Care/ Utilization Management in an acute care or health plan setting.… more
- Prime Healthcare (San Dimas, CA)
- … Case Management Department under the direction of the assigned Case Manager /Social Worker in the development and implementation of the discharge plan. ... EDUCATION, EXPERIENCE, TRAINING Required qualifications. 1. Knowledge in discharge planning/ utilization management / case management terminology… more
- Providence (Burbank, CA)
- …+ Associate's Degree in Health care or related field + 1 year of experience in utilization management or case management with experience in medical ... **Description** Under the direction of the Manager , this position is responsible for the distribution , review, accurate and timely processing of patient referrals… more
- Prime Healthcare (Inglewood, CA)
- …Responsibilities The working Manager of Case ... Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators… more
- Dignity Health (Northridge, CA)
- …understanding of Utilization Review to progress plan of care. + Understand how utilization management and case management programs integrate. + ... care centers. Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager (Care Coordinator) Case … more
- Select Medical (Los Angeles, CA)
- …Joint Venture with Cedars, UCLA and Select Medical Century City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) Registered Nurse (RN) or Licensed ... at Cal Rehab have a high discharge to home rate. **Benefits of working as a Case Manager with us:** + Excellent Orientation Program + Paid Time Off (PTO) +… more
- Pipeline Health System, LLC (East Los Angeles, CA)
- Case Manager , RN - Full Time 8-Hour Day...care and wise utilization of resources. + Documents case management activities in the patient record and ... Shift The RN Case Manager (CM) performs a wide variety...utilization review, discharge planning, care coordination and variance management to assure the delivery of necessary services, efficient… more
- Pipeline Health System, LLC (Huntington Park, CA)
- RN Case Manager - Registered Nurse Per Diem...and wise utilization of resources. + Documents case management activities in the patient record and ... 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety...utilization review, discharge planning, care coordination and variance management to assure the delivery of necessary services, efficient… more
- Pipeline Health System, LLC (East Los Angeles, CA)
- …Hour Day Shift Under the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting ... Case Manager RN/LVN Per Diem 8...safe and effective transition/discharge plan + Responds timely to case management consults for patients + Refers… more
- Cedars-Sinai (Marina Del Rey, CA)
- …+ ED Case Management experience, Strongly preferred **Working Title:** RN Case Manager , Emergency Dept - Full time, 12-hour, Night Shift - Marina ... the highest quality healthcare! **Position Summary:** As an RN Case Manager (ED Services), you will be...will be responsible for the coordination and implementation of case management strategies pursuant to the … more
- Elevance Health (Los Angeles, CA)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... **Telephonic Nurse Case Manager II** **Location: This is...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Molina Healthcare (Los Angeles, CA)
- …to a 3 day/12 hour shift from then on._** **_Previous experience with Emergency Room Utilization Management / Utilization Review is preferred for this role. ... Experience with Case Management is a plus._** **JOB DESCRIPTION**...or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current… more
- UCLA Health (Los Angeles, CA)
- …Health Nursing staff) + CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + ... 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 (Covina, CA)
- …Two years recent acute clinical experience. Experience with discharge. Planning, utilization management and critical pathways preferred. Effective written, ... License Requirement:** Current California LVN License. BLS. Other certification in Case Management preferred. Delivering world-class health care one patient… more
- Prime Healthcare (Inglewood, CA)
- … Case Management Department under the direction of the assigned Case Manager /Social Worker in the development and implementation of the discharge plan. ... + Travel to local hospitals is required. + Knowledge in discharge planning/ utilization management / case management terminology and functions, in both… more
- Emanate Health (West Covina, CA)
- …Two years recent acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal ... in quality improvement activities as they relate to the management of patient care. **Job Requirements** **Minimum Education Requirement:**...and time management skills. Ability to work independently as well as… more
- Providence (Santa Monica, CA)
- **Description** **THE ROLE** The Director, Case Management promotes and supports the mission, vision and objectives of Saint John's Health Center and is ... responsible and accountable for the clinical, fiscal, and personnel management of Case Management on...of efficient, quality care. + Collaborates with Financial Admitting case manager and other departments as needed… more