- Cedars-Sinai (Los Angeles, CA)
- …annually thereafter as a condition of continued employment. **Req ID** : 4300 **Working Title** : Utilization Management Case Manager - 8 Hour Days Per ... Hospitals! **What You Will Do in This Role:** The Utilization Review Case Manager validates...required. **Experience:** + Minimum of 2 years experience in Case Management preferred + Minimum of 3… more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/171837/ case - manager %2c-rn utilization ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- UCLA Health (Los Angeles, CA)
- …You can do all this and more at UCLA Health. Under the direction of the Utilization Management , Assistant Manager , you will play a key role in processing ... a vital role within a leading health organization. Help ensure smooth and efficient case management processes to support quality care. Take your expertise to the… more
- UCLA Health (Los Angeles, CA)
- …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... (BSN) degree required + Five or more years of utilization management required + Four or more...travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified… more
- LA Care Health Plan (Los Angeles, CA)
- …of work/licensure. The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols, and ... of 7 years of acute/clinical care experience. Minimum of 2 years of experience in Case /Care/ Utilization Management in an acute care or health plan setting.… more
- LA Care Health Plan (Los Angeles, CA)
- …years of varied clinical experience in an acute hospital setting. At least 2 years Utilization Management / Case Management experience in a hospital or HMO ... Utilization Management Nurse Specialist RN II...Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more
- Elevance Health (Los Angeles, CA)
- ** Utilization Management Representative II** **Location** : This is a remote position. Candidates must live in the state of **California** . Seeking candidates ... Alto, Walnut Creek, Rancho Cordova and Sacramento, CA.** The ** Utilization Management Representative II** is responsible for...of community resources and social determinants of health. + Case management experience. + For URAC accredited… more
- Prime Healthcare (Inglewood, CA)
- …Responsibilities The working Manager of Case ... Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators… more
- Pipeline Health System, LLC (East Los Angeles, CA)
- The RN Case Manager (CM) performs a wide...and wise utilization of resources. + Documents case management activities in the patient record ... prepared a plus. + Minimum of 2-3 years in Case Management Acute Care setting Licensure/Certifications: +...Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified Case… more
- Pipeline Health System, LLC (Gardena, CA)
- RN Case Manager Full Time 8-Hour Day Shift...and wise utilization of resources. + Documents case management activities in the patient record and ... The RN Case Manager (CM) performs a wide variety of tasks and...utilization review, discharge planning, care coordination and variance management to assure the delivery of necessary services, efficient… more
- Cedars-Sinai (Marina Del Rey, CA)
- …+ ED Case Management experience, Strongly preferred **Working Title:** RN Case Manager , Emergency Dept - Per Diem, 12-hour Night Shift - Marina del ... the highest quality healthcare! **Position Summary:** As an RN Case Manager (ED Services), you will be...will be responsible for the coordination and implementation of case management strategies pursuant to the … more
- Amergis (Torrance, CA)
- The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... for psychosocial needs + Participates in Quality Assurance and Utilization Reviewactivities, as directed + Empowers patients in decision-making...in state practicing + At least one year of Case Management experience preferred + Complies with… more
- UCLA Health (Los Angeles, CA)
- …Health Nursing staff) + CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + ... 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
- LA Care Health Plan (Los Angeles, CA)
- …in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: ... current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager … more
- Providence (Torrance, CA)
- …in Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years experience in Case Management (Care Coordination or Utilization Management ) ... **Description** Case Management is a collaborative practice...achievement of optimal health, access to services, advocacy, appropriate utilization of resources and collaboration with post-acute care providers… more
- Providence (Santa Monica, CA)
- …Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management ) ... Care Management Team at Providence Saint Johns! Case Management is a collaborative practice including...care coordination along a continuum through effective transitional care management and utilization management . Recognizing… more
- UCLA Health (Los Angeles, CA)
- …+ Current unrestricted California RN license. + BSN Degree + 5 years of Case Management experience + Must have strong problem solving skills; ability to ... quality outcomes by effectively managing care and resources to reduce unnecessary utilization . The RN Care Manager utilizes clinical expertise and understanding… more
- Providence (Burbank, CA)
- …Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management ) ... **Description** Case Management is a collaborative practice...of the Transitions in Practice (TIP) program for Care Manager . TIP canidates must have experience in same type… more
- Cedars-Sinai (West Hollywood, CA)
- …guidance, including aiding in resolving any conflicting project decisions. Discusses business case scenarios, presents to senior management and guides team(s) on ... **Job Description** The Project Manager is responsible for managing assigned projects from...managing budget, costing, timing and other resources including vendor management , staffing and/or deliverables to ensure utilization … more
- Abbott (Los Angeles, CA)
- …for the development / coaching of clinical representatives, as well as administrative management tasks. + Partner with Regional Sales Manager , Territory Managers ... implement strategies to increase service efficiency and optimize clinical headcount utilization . Leverage best practices via network of Clinical Leaders and… more