- Cedars-Sinai (Los Angeles, CA)
- …Motions, Eye/Hand/Foot Coordination **Req ID** : 1074 **Working Title** : Registered Nurse - Utilization Management - Per Diem Days **Department** : ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement... Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category**… more
- 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: Full ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… 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
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II (After Hours Evening) Job Category: Clinical Department: Utilization Management Location: Los Angeles, ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
- Providence (Mission Hills, CA)
- …Degree in Nursing or other related area + Upon hire: California Registered Nurse License + 5 years Healthcare management experience related to acute care ... **Description** The Manager of Utilization Management provides a key role in leading, facilitating and managing the hospital utilization management … more
- Pipeline Health System, LLC (Gardena, CA)
- Case Manager Registered Nurse RN - Per Diem 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety of tasks and functions. These include ... utilization review, discharge planning, care coordination and variance management to assure the delivery of necessary services, efficient patient progression, and… more
- Pipeline Health System, LLC (Huntington Park, CA)
- RN Case Manager - Registered Nurse Per Diem 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety of tasks and functions. These include ... utilization review, discharge planning, care coordination and variance management to assure the delivery of necessary services, efficient patient progression, and… more
- Select Medical (Los Angeles, CA)
- …Medical Century City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) **Pay Rate: $50 - ... allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and… more
- Fresenius Medical Center (Los Angeles, CA)
- …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Molina Healthcare (Los Angeles, CA)
- …we are seeking a Nurse with previous experience in Prior Auth Utilization Management and knowledge of Interqual or MCG guidelines. CALIFORNIA LICENSURE IS ... **_JOB TITLE: CARE REVIEW CLINICIAN, PRIOR AUTHORIZATION ( REGISTERED NURSE , OR LVN)_** **For this position… more
- LA Care Health Plan (Los Angeles, CA)
- …care coordination functions and must adhere to regulatory mandates that apply to Utilization Management (UM) and Care Management (CM). Collaborate with ... care, such as ambulatory care, home care, or case management . OR experience in Utilization Review or...Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …years nursing experience with advanced level pediatric clinical experience and utilization management and/or discharge planning experience. Pediatric nursing ... with insurance and authorizations preferred. Thorough knowledge of managed care, utilization management , discharges planning, and continuous quality improvement… more
- Cedars-Sinai (Beverly Hills, CA)
- …approved by the California Board of Registered Current State of California Registered Nurse and Nurse Practitioner License National Certification as a ... in the inpatient and/or ambulatory setting. + Works with Inpatient Case Management and Inpatient Nursing to support and coordinate hospital discharge by working… more
- Molina Healthcare (Los Angeles, CA)
- … Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a bachelor's degree in Nursing. **Preferred ... contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM… more
- Molina Healthcare (Los Angeles, CA)
- …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home,… more
- LA Care Health Plan (Los Angeles, CA)
- …and final case documentation in the A&G system of record. Work with Utilization Management and PNO to facilitate completion of resolution determination. ... Care Health Plan members under the direct supervision and management of the A&G Nurse Specialist, RN...Care Health Plan Lines of Business. Duties Work with Registered Nurses and Medical Directors to appropriately investigate, review… more
- Guidehouse (Los Angeles, CA)
- …Required** **:** None **What You Will Do** **:** The **Hospital Admitting Registered Nurse (Day Shift)** will facilitate patient medical and financial ... years' experience in nursing or one-year related nursing experience in utilization review/insurance/case management /medical clearance. * Graduation from an… more
- Providence (Santa Monica, CA)
- …approval for, implement and monitor a model for integrated coordination function, involving registered nurse , and social work case managers and other relevant ... **Description** **THE ROLE** The Director, Case Management promotes and supports the mission, vision and...goals and outcomes. **QUALIFICATIONS** + Graduate of a recognized registered nurse program + Master's Degree in… 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
- The County of Los Angeles (Los Angeles, CA)
- …-AND- 2. Two years of experience at the level of LA County classification of Registered Nurse II . -AND- 3. One year of professional teaching experience. -AND- ... Collaborates with medical providers, patient care staff, and unit management in the design, delivery, and evaluation of educational...4. A license to practice as a Registered Nurse issued by the California Board… more