- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM… more
- Sharp HealthCare (San Diego, CA)
- … clinical projects as directed by the physician or manager .Department specific requirements: + Department efficiency and effectivenessOrganizes and completes ... -REQUIRED **Preferred Qualifications** + 1 Year LVN experience in related clinical area + Ambulatory care experience + ACLS Certification (Advanced Cardiac… more
- Actalent (Redlands, CA)
- …Description Join our dynamic Utilization Management team as an LVN Case Manager where you will assess requests against clinical guidelines and effectively ... seamless care coordination. Essential Skills + Utilization review and management experience. + Familiarity with Medicare, MediCal ,...GED required; Bachelor of Science in Nursing or other clinical advanced degree preferred. + 1+ year of managed… more
- Alameda Health System (Oakland, CA)
- …requirements. 16. Participate in orientation of fresh staff as requested by the Manager of Utilization Management . 17. Maintains knowledge of current trends and ... System Utilization Management SUM Utilization Review RN + Oakland, CA...high- standards of patient care. This role involves evaluating medical necessity, assessing treatment plans, and collaborating with healthcare… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Participates in delivery of other EMS Agency classes including: Hospital Disaster Management Training (HDMT), The Medical Management of Chemical, ... nearly every medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …and internal equity. Position Summary: + This position reports to the Clinical Manager and the Cardiac Rehab Medical Director oversees clinical duties. + ... for remote telemetry during exercise. + Works under immediate supervision of clinical manager . + Demonstrates competency in the performance of job-related… more
- CenterWell (Sacramento, CA)
- …collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria ... or ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME,… more
- Sutter Health (Santa Rosa, CA)
- …to work under the supervision of the Supervisor of Social Services Strong clinical assessment and critical thinking skills Time management skills \#LI-TM1 **Job ... **Organization:** SSRRH-Sutter Santa Rosa Reg Hospital **Position Overview:** The Medical Social Work Associate (MSW) provides crisis intervention, information,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY (MSW): The Medical Social Worker (MSW) applies principles of Social Work and other mental health practices to provide patients and families with ... assessment interventions, support, advocacy and case management as a primary provider and/or as ancillary support....part of a multi-disciplinary team in the provision of clinical intervention and support to patients and families. The… more
- Providence (Eureka, CA)
- **Description** Under the immediate supervision of the Health information Management Department Manager , the Health Data Coordinator I performs complex functions ... to ensure a complete and integrated health record in compliance with Medical Staff Bylaws, hospital policies and procedures, and state and federal regulations.… more