- Ventura County (Ventura, CA)
- … Nurse II: $52.75 - $69.62 hourly DEPARTMENT/AGENCY: Health Care Agency - Ambulatory Care Registered Nurse II and Per Diem Registered II are ... Clinical Manager . PAYROLL TITLE(S) and APPROXIMATE SALARIES: Registered Nurse II: $52.07 - $62.27 hourly...as indicated and required. + May participate in quality assurance/ utilization review or other non-direct patient care … 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...of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM). Knowledge… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/ rn -case- manager ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more
- John Muir Health (Walnut Creek, CA)
- …- Case Management Preferred or Equivalent Work Experience **Certifications/Licensures:** + RN Registered Nursing - California Board of NursingRequired + ... manager is one of patient advocate of appropriate utilization of resources. The inpatient case manager ...this in coordination with the interdisciplinary health team. The RN Case Manager is expected to function… more
- UCLA Health (Los Angeles, CA)
- …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 to a team ... a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,...in an HMO environment + Thorough knowledge of health care industry, utilization review, utilization … more
- Providence (Mission Hills, CA)
- **Description** ** RN Utilization Review - Remote. This position will work full- time in a 8-hr Day shift.** Provide prospective, retrospective, and concurrent ... must empower them. **Required Qualifications:** + Associate's Degree in Nursing. + California Registered Nurse License upon hire. + 2 years of experience working… more
- Providence (Irvine, CA)
- **Description** ** RN Utilization Review at Irvine, CA. This position is Full- time and will work Remote 8-hour, Day shifts.** Provide prospective, retrospective, ... empower them. **Required Qualifications:** + Associate's Degree Nursing. + Upon hire: California Registered Nurse License + 2 years experience working in a… more
- Elevance Health (Costa Mesa, CA)
- …Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health and ... provide an equivalent background. + Current active unrestricted license, such as ** RN LCSW** **LMSW LMHC** **LPC** (as allowed by applicable state laws) **LMFT**… more
- Stanford Health Care (Palo Alto, CA)
- …processes and outcomes of patient health care **Licenses and Certifications** + CA- RN ( Registered Nurse ) required **These principles apply to ALL ... Manager differs from other roles in professional nursing/health care practice in that it is not intended to...collaboration with other interdisciplinary team members; arranges follow up care as appropriate. + Utilization Review -… more
- Providence (Santa Monica, CA)
- **Description** ** Care Manager RN at Providence Saint John's Health Center in Santa Monica, CA. This position is Per Diem and will work 8-hour, Day shifts.** ... ensure patient's needs are met in the community. The Care Manager utilizes the following processes to...empower them. **Required Qualifications:** + Bachelor's Degree + California Registered Nurse License upon hire + 2… more