- Prime Healthcare (Montclair, CA)
- …of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience ... experience, education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189039/ case - manager -%28rn%29 utilization -mgmt/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair Hospital… more
- Dignity Health (Northridge, CA)
- …centers. Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager ... Knowledge of CMS standards and requirements. **Qualifications** + CA Registered Nurse ( RN ) License required....Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM… more
- HCA Healthcare (Riverside, CA)
- …a balance of optimal care and appropriate resource utilization . **Requirements:** + Registered Nurse ( RN ) with current California license required, ... join an organization that invests in you as an RN Case Manager ? At Riverside...Case Management Certification or utilization review preferred + Associate's Degree minimum required +… more
- Amergis (Tarzana, CA)
- The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, ... and compliance with medical regime. Minimum Requirements: + Current RN licensure in state practicing + At least one...in state practicing + At least one year of Case Management experience preferred + Current CPR if applicable… more
- Molina Healthcare (Riverside, CA)
- …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... California residents preferred. California RN licensure required.** **Work Schedule: Monday thru Friday, 10:00AM to 7:00PM with some weekends and holidays. Pacific… more
- Emanate Health (West Covina, CA)
- …and (3) nurses new to the US healthcare system must satisfactorily complete the CVHP RN Residency Program within the first 6 months of employment at CVHP. Two years ... recent acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal and time… more
- ICW Group (Woodland Hills, CA)
- …assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate ... providing direct clinical care required. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational … more
- Providence (Mission Viejo, CA)
- …**Required qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience in ... or Wound Care upon hire. + 3 years Experience in utilization management or case management. + Managed care experience. **Why Join Providence?** Our best-in-class… more
- Providence (Anaheim, CA)
- …**Required qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience in ... or Wound Care upon hire. + 3 years Experience in utilization management or case management. **Why Join Providence?** Our best-in-class benefits are uniquely… more
- Amity Foundation (Moreno Valley, CA)
- …weekly systematic case reviews and ad hoc case reviews, and consults with Registered Nurse Care Manager and/or the Behavioral Health Care Manager ... barriers to care via field-based contacts including accompaniment to appointments. + Assists the RN Care Manager , BH Care Manager , and Care Coordinator in… more
- Elevance Health (Placentia, CA)
- …complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. Approval decisions may be ... improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and applies… more