- Providence (Santa Monica, CA)
- …Required Qualifications: Graduate of an accredited school of nursing. upon hire: California Registered Nurse License. 3 years Clinical experience in an HMO, ... benefits, well-being resources and much more. Learn more at providence.jobs/benefitsPandoLogic. Category:Healthcare, Keywords:Medical Case Manager , Location:Santa Monica,… more
- Providence (Tarzana, CA)
- …obtaining the degree will not be a condition of employment. Upon hire: California Registered Nurse License California Fire and Life Safety Card - National ... voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefitsPandoLogic. Category:Healthcare, Keywords:Medical Case Manager , Location:TARZANA,… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163839/* rn - case - manager utilization ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
- Amergis (Los Angeles, CA)
- …for 40 hr days Travel Rate- $2,300 for 40 hr days Mon-Fri 8a-5p The Case Manager is responsible for utilization reviews, resource management, discharge ... Case Manager - Travel or Local Local Rate- $2,080 weekly… 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. ... Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case ...Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements… more
- LA Care Health Plan (Los Angeles, CA)
- …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Supervisor, Utilization Management RN Job Category: Clinical...California License Certified Case Manager (CCM) Licenses/Certifications Preferred Required Training… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Nurse Specialist RN...California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
- Providence (Mission Hills, CA)
- …must empower them. **Required Qualifications:** + Associate's Degree - Nursing. + California Registered Nurse License upon hire. + 2 years - Experience working ... in a remote UR environment or working as an acute hospital case manager . **Preferred Qualifications:** + Bachelor's Degree - Nursing. + Master's Degree -… more
- Pipeline Health System, LLC (Gardena, CA)
- …hospitals to available beds in our hospitals for quality care. Job Description & Requirements The RN Case Manager (CM) performs a wide variety of tasks and ... team to ensure coordination of patient care and wise utilization of resources. + Documents case management...Nursing + Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified… more
- Pipeline Health System, LLC (East Los Angeles, CA)
- Job Summary: The RN Case Manager (CM)...team to ensure coordination of patient care and wise utilization of resources. + Documents case management ... record and in the required information system. + The RN CM reports to the Director/ Manager of...Nursing + Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified… more
- Providence (Santa Monica, CA)
- …Qualifications:** + Graduate of an accredited school of nursing. + upon hire: California Registered Nurse License. + 3 years Clinical experience in an HMO, ... Transplant, or Wound Care. + 3 years experience in utilization management or case management. **Why Join Providence?** Our best-in-class benefits are uniquely… more
- Actalent (Los Angeles, CA)
- Largest national Medicaid Managed Care Organization is looking for a REMOTE RN Case Manager to join their growing team! Opportunity to make an impact with an ... industry leader in a fast-paced environment! Requirements: + CA RN license + Case Management experience +...outcome * Assess the member's current health status, resource utilization , past and present treatment plan and services, prognosis,… more
- Amergis (Los Angeles, CA)
- The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... assessments and ongoingreassessments of the patient's status + Documents patient case information within a database system + Performs chart review/audits monthly… more
- UCLA Health (Santa Monica, CA)
- …+ BSN or MSN + CA RN License and BLS + Recent experience in case management, utilization management and discharge planning + Minimum of three years of acute ... 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
- UCLA Health (Los Angeles, CA)
- …staff) + 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
- UCLA Health (Santa Monica, CA)
- …staff) + 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
- UCLA Health (Los Angeles, CA)
- …in the care of the patient and decreasing fragmentation and duplication of care, the Nurse Case Manager /Clinical Advisor is able to enhance the quality and ... Description Under the direction of the RN Asst. Director for Utilization Review, Intensive Case Management, you will support and perform duties to provide… more
- UCLA Health (Los Angeles, CA)
- …regulations + Ability to travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager ... all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll...a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,… more
- Providence (Santa Monica, CA)
- …obtaining the degree will not be a condition of employment. + Upon hire: California Registered Nurse License + 2 years of experience in Healthcare related field ... Degree in Nursing or Healthcare related field. + A RN with 20 years of RN experience...Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management)… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will...the department's continuous quality improvement activities. Communicates to UM Manager and supervising RN , barriers to completing… more
