- Providence (Orange, CA)
- …Degree Nursing. + Bachelor's Degree Nursing. + Upon hire: California Registered Nurse License. + 3 years Experience in Utilization Management. + Experience ... **Description** **Clinical Program RN at Providence St. Joseph Hospital Orange in...Master's Degree Nursing. + 5 years Experience as a utilization / case manager in an acute… more
- Amergis (Orange, CA)
- … Case Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and ... Qualifications: + Current California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of clinical experience required;… more
- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an… more
- University of Southern California (Arcadia, CA)
- …and maintain BLS certification. Preferred (Not required) Professional certification as a case manager preferred. Pay Transparency The hourly rate range for ... the compilation of physician profile data regarding LOS, resource utilization , denied days, cost, case mix index,.... Licenses and Certifications Minimum (Required) * A current RN licensure in the State of California is required.… more
- University of Southern California (Arcadia, CA)
- …Education: Associate's Degree Nursing Minimum Skills: Possess basic computer skills. Required Certifications: Registered Nurse - RN (CA Board of ... patient care interactions.* Performs other duties as assigned by Manager / Director / Clinical Lead RN .*...RN experience in assigned area of Nursing. A registered nurse with current RN … more
- Providence (Brea, 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
- University of Southern California (Arcadia, CA)
- …requirements impact DRG assignments. + Minimum of three years' experience in clinical disciplines ( RN , MD, FMG) or utilization review/ case management in an ... physicians, associates, and adheres to HIPAA regulations. Keep the CDI team and HIM Manager or Director informed of workflow status and potential backlog issues. more