- 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 (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
- Providence (Mission Hills, CA)
- …must empower them. **Required Qualifications:** + Associate's Degree in Nursing. + California Registered Nurse License upon hire. + 2 years of experience working ... Utilization Management, medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently manage a diverse… 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
- Providence (Mission Hills, CA)
- **Description** ** Care Manager RN at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Part-time and will work 8-hour, Day ... we must empower them. **Required Qualifications:** + Bachelor's Degree + Upon hire: California Registered Nurse License + California Fire and Life Safety Card -… more
- HCA Healthcare (Thousand Oaks, CA)
- …Summary and Qualifications** The Registered Nurse ( RN ) Case Manager is responsible for promoting patient-centered care by coordinating the plan of ... delivering patient-centered care ?** Submit your application for RN Case Manager II BID position and...Diploma required. BSN preferred. + Currently licensed as a Registered Nurse in the state of California… more
- Providence (Santa Monica, CA)
- **Description** ** Care Manager RN at Providence Saint John's Health Center in Santa Monica, CA. This position is Full- time and will work 8-hour, Day ... empower them. **Required Qualifications:** + Bachelor's Degree + California Registered Nurse License upon hire + 2...or Post-Acute). + 2 years of experience in Acute Care Management ( Care Coordination or Utilization… more
- Sharp HealthCare (La Mesa, CA)
- …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... nursing experience or case management experience. + California Registered Nurse ( RN ) - CA...level of care ; work closely with ambulatory care manager (ACM) at the system level,… more