- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… 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 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Cedars-Sinai (Los Angeles, CA)
- …condition of continued employment. **Req ID** : 4870 **Working Title** : Registered Nurse - Utilization Management 8 Hour Days Per Diem **Department** : ... from an accredited nursing program required. Bachelors Degree in Nurse preferred. California RN License required. **Experience:**... Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category**… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, ... achieve that purpose. Job Summary The Utilization Management Clinical Quality Nurse Reviewer RN...ability to lead successful performance improvement projects. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Dignity Health (Northridge, CA)
- …in an acute hospital setting required. + Current CA Registered Nurse ( RN ) license + Prior Utilization Management experience in a clinical or ... more than 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management to a team of UM ... a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,...(BSN) degree required + Five or more years of utilization management required + Four or more… 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. ... of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and Support (MLTSS),… more
- Dignity Health (Northridge, CA)
- …time management skills. + Performs other duties as assigned. **Qualifications** + CA Registered Nurse ( RN ) License required. + Minimum two (2) years of ... emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post… 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, ... Rehab, Pediatrics, Transplant, or Wound Care. + 3 years Experience in utilization management or case management . **Why Join Providence?** Our best-in-class… more
- The County of Los Angeles (Los Angeles, CA)
- …clinical nursing. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board or Registered ... in a state other than California must provide their Registered Nurse License Number from that state...vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used… more
- Molina Healthcare (Los Angeles, CA)
- …Productivity is important with turnaround times.** **For this position we are seeking a ( RN ) Registered Nurse with previous experience in Hospital Acute ... **INPATIENT REVIEW : REGISTERED NURSE ** **WORK SCHEDULE: 5 days /...Care, Concurrent Review/ Utilization Review / Utilization Management and… more
- Molina Healthcare (Long Beach, CA)
- …INPATIENT REVIEW : REGISTERED NURSE_** **_For this position we are seeking a ( RN ) Registered Nurse with previous experience in Acute Care, Concurrent ... Review/ Utilization Review / Utilization Management ...care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Fresenius Medical Center (South El Monte, CA)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... of education and experience. + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+… more
- Dignity Health (Los Angeles, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. +… more
- Dignity Health (Long Beach, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. +… 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 ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...experience* at the level of Los Angeles County classification Registered Nurse I**. -AND- 2. A license… more
- Providence (Santa Monica, CA)
- …communication and care coordination along a continuum through effective transitional care management and utilization management . Recognizing the patient's ... be a condition of employment. + Upon hire: California Registered Nurse License + 2 years of...Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management… 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 required for this role. ... Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina… more
- Molina Healthcare (Los Angeles, CA)
- …seeking a LVN (Licensed Vocational Nurse ) with experience in Prior Authorizations, Utilization Review / Utilization Management and knowledge of Interqual ... **JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN)… 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 ... The Home-Based Primary Care (HBPC) Program Director is an RN and is accountable for the management ,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more