- Prime Healthcare (San Dimas, CA)
- …to stakeholders. Qualifications EDUCATION, EXPERIENCE, TRAINING Required qualifications. 1. Knowledge in discharge planning/ utilization management /case ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/234279/discharge-planner-ii-%28lvn%29 utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySan… more
- Prime Healthcare (Montclair, 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/221097/discharge-planner utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair… more
- Elevance Health (Los Angeles, CA)
- ** Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... an accommodation is granted as required by law. The ** Utilization Management Representative I** is responsible for...medical or insurance field preferred. + Behavioral Health related knowledge is preferred. + For URAC accredited areas, the… more
- Providence (Mission Hills, CA)
- …health plans. This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management , medical necessity, ... and patient status determination. The Utilization Management RN must effectively and efficiently manage a diverse...UR environment or working as an acute hospital case manager . **Preferred Qualifications:** + Bachelor's Degree - Nursing. +… more
- Providence (Mission Hills, CA)
- …health plans. This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management , medical necessity, ... and patient status determination. The Utilization Management RN must effectively and efficiently manage a diverse...UR environment or working as an acute hospital case manager . **Preferred Qualifications:** + Bachelor's Degree in Nursing. +… more
- Stanford Health Care (Palo Alto, CA)
- …to patients, interrelationships of the care components, and their effective integration + Knowledge of the models of case management , including the principles ... delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure...and practices of discharge planning, utilization review, and quality assurance/improvement + Knowledge … more
- Sharp HealthCare (San Diego, CA)
- …and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge planning, as specified ... policy.Identify opportunities for cost reduction and participate in appropriate utilization management venues.Escalate and refers cases for consultation… more
- Stanford Health Care (Palo Alto, CA)
- …patients, interrelationships of the care components, + and their effective integration + Knowledge of the models of case management , including the principles and ... delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure...practices of discharge + planning, utilization review, and quality assurance/improvement + Knowledge … more
- University of Southern California (Los Angeles, CA)
- …populations. The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and ... nursing + Req 3 years Clinical experience. + Req Knowledge of case management principles and healthcare...+ Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within the… more
- Envista Holdings Corporation (San Diego, CA)
- …+ Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and ... + Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and… more