- Providence (Napa, CA)
- **Description** Care Manager RN - Utilization Review unit at Providence Queen of the Valley Medical Center in Napa, CA. This position is Full-Time and ... the continuum of care . The RN Case Manager assists patients in the utilization of...time **Job Shift:** Day **Career Track:** Nursing **Department:** 7810 UTILIZATION REVIEW **Address:** CA Napa 1000 Trancas… more
- Trinity Health (Fresno, CA)
- **Employment Type:** Full time **Shift:** **Description:** This position coordinates utilization review service for defined patient populations across the acute ... care continuum. This includes discharge planning, utilization ...baccalaureate nursing program (BSN) is preferred. 4. Certified Case Manager (CCM) national certification is preferred. 5. InterQual training… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/219588/case- manager %2c-rn utilization - ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more
- Dignity Health (Woodland, CA)
- …Woodland, CA, with occasional onsite meetings in Woodland.** **Position Summary:** The Utilization Review LVN uses clinical judgement in providing utilization ... management services. The focus is to provide high quality, cost-effective care which will enable patients to achieve maximum medical improvement while receiving … more
- Prime Healthcare (Ontario, CA)
- …school of nursing and a current state Registered Nurse license. + Minimum 3 years RN Utilization Manager working for a Health Plan. + At least 3 years of ... cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of...experience in utilization review , referrals, authorizations, denials and appeals.… more
- LA Care Health Plan (Los Angeles, CA)
- … Management Medical Director, on requests where determination requires extended review . Collaborates with the inpatient care team for facilitation/coordination ... Utilization Management Admissions Liaison RN II Job Category:...participates in the discharge planning process, including providing clinical review and authorization for alternate levels of care… more
- Prime Healthcare (Chino, CA)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/219949/case- manager -%28rn%29 utilization… more
- Prime Healthcare (Anaheim, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218947/case- manager utilization ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...skills. Preferred qualifications: 1. Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM)… more
- Prime Healthcare (San Dimas, CA)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/214914/case- manager -%28rn%29 utilization… more
- Actalent (Redlands, CA)
- …internal staff to ensure seamless care coordination. Essential Skills + Utilization review and management experience. + Familiarity with Medicare, MediCal, ... Job Title: Remote LVN Case Manager - Utilization Management Job Description...clinical advanced degree preferred. + 1+ year of managed care experience preferred. + 1+ year of inpatient experience… more