- Cedars-Sinai (Los Angeles, CA)
- …named us one of America's Best Hospitals! **What You Will Do in This Role:** The Utilization Review Case Manager validates the patient's placement to be at ... from an accredited nursing program required. Bachelors Degree in Nurse preferred. California RN License required. **Experience:**...continued employment. **Req ID** : 4300 **Working Title** : Utilization Management Case Manager -… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/171837/ case - manager %2c- rn 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
- Pipeline Health System, LLC (Gardena, CA)
- RN Case Manager Full Time...team to ensure coordination of patient care and wise utilization of resources. + Documents case management activities ... 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety...a wide variety of tasks and functions. These include utilization review, discharge planning, care coordination and variance management… 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
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …The VA Greater Los Angeles Healthcare (VAGLAHS) is seeking a highly skilled/experienced Registered Nurse to serve as Home Base Primary Care (HBPC) Program ... level degree in Nursing may have opportunity to become registered as a nurse with a state...least 3 years of successful nursing practice as a nurse leader ( Nurse Manager , Acting… 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...The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols,… 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
- Cedars-Sinai (Marina Del Rey, CA)
- …+ Current CA Registered Nurse Licensure, Required + Certified Case Manager CCM or ACM, Preferred **Experience** : + Minimum of two ... with the highest quality healthcare! **Position Summary:** As an RN Case Manager (ED Services),...Responsibilities:** + Participates in a multi-disciplinary care team + Utilization review. + Reviews care and treatment for appropriateness… more
- Molina Healthcare (Los Angeles, CA)
- **_INPATIENT REVIEW : REGISTERED NURSE_** **_For this position we are seeking a ( RN ) Registered Nurse with previous experience in Hospital Acute Care, ... Concurrent Review/ Utilization Review / Utilization Management and knowledge...care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Pipeline Health System, LLC (East Los Angeles, CA)
- 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...Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified Case… 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 (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)
- **Description** **Care Manager RN at St. Johns Health...be a condition of employment. + Upon hire: California Registered Nurse License + 2 years of ... 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
- Dignity Health (Northridge, CA)
- …Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Care Coordinator Case ... + Performs other duties as assigned. **Qualifications** + CA Registered Nurse ( RN ) License required....Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM… 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
- Providence (Burbank, CA)
- …Nursing, but obtaining the degree will not be a condition of employment. + California Registered Nurse License upon hire. + 2 years of experience in Healthcare ... field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management) or successful completion… more
- Providence (Mission Hills, CA)
- …**Required Qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience in ... or Wound Care upon hire. + 3 years Experience in utilization management or case management. **Why Join Providence?** Our best-in-class benefits are uniquely… more
- UCLA Health (Los Angeles, CA)
- …and quality outcomes by effectively managing care and resources to reduce unnecessary utilization . The RN Care Manager utilizes clinical expertise and ... Description As an RN Care Manager , you will function...Description As an RN Care Manager , you will function as a clinician, advocate,... license. + BSN Degree + 5 years of Case Management experience + Must have strong problem solving… more
- Dignity Health (Los Angeles, CA)
- …years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Knowledge of managed ... with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... to a line operation responsible for the delivery of psychological rehabilitation, case management and/or Psychiatric Emergency Service of the Department of Mental… more