- Providence (Mission Hills, CA)
- **Description** The Manager of Utilization Management provides a key role in leading, facilitating and managing the hospital utilization management ... The Manager assists the Regional Director of Utilization Management , Appeals & Clinical Training through...related area + Upon hire: California Registered Nurse License + 5 years Healthcare management … more
- Providence (Mission Hills, CA)
- … Utilization Management , medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently manage a ... **Description** Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical...**Required Qualifications:** + Associate's Degree in Nursing. + California Registered Nurse License upon hire. + 2… more
- Dignity Health (Northridge, CA)
- … programs integrate. + Knowledge of CMS standards and requirements. **Qualifications** + CA Registered Nurse ( RN ) License required. + Minimum two (2) years ... emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post… more
- Providence (Mission Hills, CA)
- …Qualifications:** + Graduate of an accredited school of nursing. + upon hire: California Registered Nurse License. + 3 years Clinical experience in an HMO, ... through effective resource coordination. The goal of the Care Manager is to advocate for and assist the patient...Transplant, or Wound Care. + 3 years Experience in utilization management or case management .… more
- Providence (Tarzana, 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 + California Fire and...Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management… more
- Dignity Health (Northridge, CA)
- …Visit dignityhealth.org/northridgehospital for more information. **Northridge Hospital Medical Center** ** REGISTERED NURSE - Educator** **Operating Room** As an ... degree in Nursing or related field required. + Master's degree preferred + Registered Nurse with current California License required. + Current AHA BLS,… more
- UCLA Health (West Hills, CA)
- …+ 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
- Cedars-Sinai (Beverly Hills, CA)
- …Description** **Job Summary: Key Job Responsibilities** Under the leadership of the Nurse Manager /Associate Director/Executive Director ( Nurse Leader) the ... care in support of Medical Center philosophies. The Assistant Nurse Manager functions as the Department Supervisor...and nursing practices within assigned clinical unit(s). Works with Nurse Management to address issues identified with… more
- Fresenius Medical Center (Arleta, CA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more