- LA Care Health Plan (Los Angeles, CA)
- Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed Long Term Services and Supports Location: Los Angeles, ... Summary The Managed Long Term Services and Supports (MLTSS) Nurse Specialist RN II applies advanced clinical...and must adhere to regulatory mandates that apply to Utilization Management (UM) and Care Management… more
- LA Care Health Plan (Los Angeles, CA)
- …Grievance (A&G) program for LA Care Health Plan members under the direct supervision and management of the A&G Nurse Specialist , RN and/or Medical Director. ... Customer Solution Center Appeals and Grievances Nurse Specialist LVN II Job Category:...documentation in the A&G system of record. Work with Utilization Management and PNO to facilitate completion… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... support the safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential… 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 COUNTY ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...practice setting. + Serves as a preceptor: expert or specialist who gives practical experience and training to new… more
- UCLA Health (Los Angeles, CA)
- …of clinical hospital experience; or equivalent of education and experience in case management , utilization management or prior clinical documentation review ... assisting with appropriate documentation strategies. Partnering with Medical Coding, Case Management and the Quality team, you will gather/analyze information to… more
- Cedars-Sinai (Los Angeles, CA)
- …and vetting of any community MH provider as needed. + Supports and advises Utilization Management , CS 360, and population health teams as needed, including ... Care model that currently exists to support primary care physicians and their management of patients with mild to moderate depression and anxiety. This includes… more