- Kaiser Permanente (Downey, CA)
- …the interdisciplinary approach to providing continuity of care, including utilization management , transfer coordination, discharge planning, and obtaining ... seeking a Registered Nurse (RN) Case Manager, Acute Care Case Management for a nursing job in Downey, California.Job Description & RequirementsSpecialty: Acute… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and… more
- Amergis (Los Angeles, CA)
- …and billing requirements + Maintains compliance with regulation changes affecting utilization management + Reviews patient records and evaluates patient ... The Utilization Review Specialist is responsible for...keep physicians and professional staff informed about regulations affecting utilization management + Recognizes and reports appropriately… more
- LA Care Health Plan (Los Angeles, CA)
- …& Grievance program for LA Care Health Plan members under the direct supervision and management of the A&G Nurse Specialist , RN and/or Medical Director. This ... Customer Solution Center Appeals and Grievances Nurse Specialist LVN II Job Category:...Services(CMS), external review organization (QIO or IRE). Work with Utilization Management and PNO to facilitate completion… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Assurance Compliance Nurse Specialist RN II Job Category: Clinical Department: Enterprise Performance Optimization Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Clinical Assurance Compliance Nurse Specialist RN II is responsible for...to assurance compliance with care coordination and documentation of Utilization Management (UM) and CM element. Provide… more
- LA Care Health Plan (Los Angeles, CA)
- …the coordination of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and ... Enhanced Care Management Clinical Specialist II Job Category:... Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer:… more
- Edwards Lifesciences (Los Angeles, CA)
- …difference to patients around the world. As a part of the Field Clinical Specialist team, you will be a critical part of delivering our patient focused innovations, ... Quality, Regulatory, and Education. After extensive training, a Field Clinical Specialist will travel frequently within an assigned territory, clinically training… more
- Veterans Affairs, Veterans Health Administration (Long Beach, CA)
- Summary The Maternity Care Coordinator (MCC) Registered Nurse (RN) delivers fundamental knowledge-based care to assigned clients while developing technical skills. ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Influences… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply REGISTERED NURSE II - NORTH COUNTY ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...practice setting. + Serves as a preceptor: expert or specialist who gives practical experience and training to new… more
- UCLA Health (Los Angeles, CA)
- …of clinical hospital experience; or equivalent of education and experience in case management , utilization management or prior clinical documentation review ... assisting with appropriate documentation strategies. Partnering with Medical Coding, Case Management and the Quality team, you will gather/analyze information to… more
- 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 ... Care model that currently exists to support primary care physicians and their management of patients with mild to moderate depression and anxiety. This includes… more
- STG International (Los Angeles, CA)
- …Pay Rate: $85k - $87k Medical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical Service Corps ... mentor, and ensure all delivered services by the case management team meet the needs of clients. This includes...meets the needs of the client. + Ensure the utilization of best and evidence-based approaches to mental health… more
