- UCLA Health (Los Angeles, CA)
- …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site ... coordination of care. In this role you will perform utilization review while assuring the delivery of...RN License and BLS certification + Recent experience in case management, utilization management and discharge planning… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200415/ case - manager %2c-rn utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- Prime Healthcare (Anaheim, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/199249/ case - manager utilization ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...related field or at least one year experience in case management, discharge planning or nursing management; + CCM… more
- UCLA Health (Los Angeles, CA)
- …+ experience in an HMO environment + Thorough knowledge of health care industry, utilization review , utilization management, and concurrent review ... all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll...travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews...an acute hospital setting. At least 2 years of Utilization Management/ Case Management experience in a hospital… more
- Molina Healthcare (Los Angeles, CA)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... / MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). **MULTI STATE / COMPACT LICENSURE**… more
- Providence (Anaheim, CA)
- **Description** Under the direction of the Utilization Supervisor/ Manager , this position is responsible for the distribution, review , accurate and timely ... Certification (CMA) upon hire. + 1 year of experience in utilization management or case management with experience in medical terminology and coding. **Why Join… more
- Select Medical (Los Angeles, CA)
- …partnership between Cedars-Sinai, UCLA Health and Select Medical Century City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered ... discharge to home rate. **Benefits of working as a Case Manager with us:** + Excellent Orientation...Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure… more
- Select Medical (Los Angeles, CA)
- …between Cedars-Sinai, UCLA Health and Select Medical Century City / Los Angeles, CA Case Manager (CM) - Registered Nurse (RN) or Social Worker (LCSW) - ... Per Diem **Pay Rate $66.00** **Benefits of becoming a Case Manager with us:** + Manageable ...Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure… more
- Prime Healthcare (Lynwood, CA)
- …Program. Provides leadership and supervision to case managers, case management coordinators/discharge planners, utilization review coordinators ... Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The working Manager of Case Management is responsible… more
- Cedars-Sinai (Marina Del Rey, CA)
- …our community with the highest quality healthcare! **Position Summary:** As an RN Case Manager (ED Services), you will be responsible for the coordination ... Responsibilities:** + Participates in a multi-disciplinary care team + Utilization review . + Reviews care and treatment...+ Current CA Registered Nurse Licensure, Required + Certified Case Manager CCM or ACM, Preferred **Experience**… more
- Elevance Health (Costa Mesa, CA)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care management… more
- UCLA Health (Los Angeles, CA)
- …of safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital ... teams + Knowledge of a large university teaching hospitals Experience with utilization review and complex discharge planning in an academic tertiary/quaternary… more
- Cedars-Sinai (Los Angeles, CA)
- …financial patient situations regarding reimbursement issues, social work, discharge planning, utilization review , continuity of care, and systems management. + ... patient situations regarding reimbursement issues, social work, discharge planning, utilization review , continuity of care/readmission avoidance, and systems… more
- UCLA Health (Los Angeles, CA)
- … case management and behavioral health support. Under the supervision of the Utilization Management Operations Manager and the RN Assistant Director, the ICM ... Description We are seeking for a detail-oriented Intensive Case Management (ICM) Behavioral Coordinator dedicated to improving...and Social Workers to develop non-clinical care plans + Review pending claims for approval or denial decisions Note:… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658522) Apply MENTAL ... HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Salary $122,088.00 - $164,533.20 Annually...and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in… more
- GAF (Los Angeles, CA)
- …this roof, we protect what matters most. **Team Summary** The Maintenance Excellence Manager is a key member of the Corporate Reliability & Maintenance team and ... with the site Planners/Schedulers/Supervisors and can tailor site-specific needs on a case -by- case basis. + Works with supporting organizations on a unified… more
- Deloitte (Costa Mesa, CA)
- Consulting Manager - Health and Benefits Human CapitalThe Human Capital Offering Portfolio is dedicated to helping organizations enhance their performance through ... the C-Suite. Our services extend beyond HR to include the CEO, CFO, Risk Manager , and Business Unit leaders, delivering value and creating impact for our clients.… more
- Sysco (Inglewood, CA)
- **JOB SUMMARY** The District Sales Manager (DSM) role requires exceptional management of sale performance among Sales Consultants (SCs). This position is responsible ... developing the talent of their sales consultants to achieve profitable planned case and GP growth **RESPONSIBILITIES** + Manages the performance and development of… more
- LA Care Health Plan (Los Angeles, CA)
- …California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or… more