- Highmark Health (Sacramento, CA)
- …and walkthroughs. + ** Utilization Management & Clinical Expertise:** + Utilization Management Knowledge : A strong understanding of utilization ... walkthroughs. + ** Utilization Management & Clinical Expertise:** + Utilization Management Knowledge : A strong understanding of utilization … more
- Prime Healthcare (Montclair, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/215040/case- manager -%28rn%29 utilization - ... year experience in case management , discharge planning or nursing management , preferred.4. Current BCLS (AHA) certificate, preferred.5. Knowledge of Milliman… more
- Prime Healthcare (San Dimas, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/214914/case- manager -%28rn%29 utilization - ... year experience in case management , discharge planning or nursing management , preferred.4. Current BCLS (AHA) certificate, preferred.5. Knowledge of Milliman… more
- Alameda Health System (Oakland, CA)
- …Participate in orientation of fresh staff as requested by the Manager of Utilization Management . 17. Maintains knowledge of current trends and changes in ... System Utilization Management SUM Specialist + Oakland,...in the State of California Preferred Licenses/Certifications: Certified Case Manager (CCM) or Accredited Case Manager (ACM)… more
- LA Care Health Plan (Los Angeles, CA)
- … Knowledge of state, federal and regulatory requirements in Care/Case/ Utilization Management . Strong verbal and written communication skills. Computer ... Supervisor, Utilization Management RN Job Category: Clinical...Care's culturally diverse membership. The position supports the UM Manager /Director. This role also assists UM Educator/ Manager /Director… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or CM. Knowledge of Department of Health ... Utilization Management Admissions Liaison RN II...current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management Association (ACM)… more
- LA Care Health Plan (Los Angeles, CA)
- … of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM). Knowledge of Department of Health ... Utilization Management Nurse Specialist RN II...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service,… more
- Prime Healthcare (Lynwood, CA)
- …year experience in case management , discharge planning or nursing management , preferred.4. Current BCLS (AHA) certificate, preferred.5. Knowledge of Milliman ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/212260/case- manager %2c-rn utilization… more
- Actalent (Redlands, CA)
- … Manager - Utilization ManagementJob Description Join our dynamic Utilization Management team as a Case Manager , where you will play a pivotal role in ... Knowledge of Medicare, MediCal, and Milliman Criteria Guidelines. + Experience in utilization management and working with provider offices. + Proficiency in… more
- Prime Healthcare (National City, CA)
- …Discharge Plan. Qualifications EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/217510/discharge-planner utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityParadise… more
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