- Providence (Tarzana, CA)
- **Description** RN Manager of our Care Management team at Providence Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This management position is Full-Time and ... management of the patient along the continuum of care, utilization activities, disease management appropriateness, discharge planning, patient education activities,… more
- VNA Health (Santa Barbara, CA)
- …all aspects of every patient on his/her caseload to include: appropriate utilization of services; ensuring continued skilled need; monitoring of homebound status; ... nursing procedures. Administers medications and treatments as prescribed by the physician . + Regularly re-evaluates patient nursing needs. + Counsels the patient… more
- Providence (Santa Monica, CA)
- **Description** **RN Care Manager for our Care Management Team at Providence Saint Johns Health Center in Santa Monica, CA. This position is Full-Time and will work ... + 2 years of experience in Acute Care Management (Care Coordination or Utilization Management) or successful completion of the Transitions in Practice (TIP) program… more
- Providence (Mission Viejo, CA)
- **Description** **Care Manager MSW Providence Mission Hospital in Mission Viejo, CA. Positions available are Per Diem and will work 8-hour Day shifts.** Care ... medical/office/clinic setting **Preferred Qualifications:** + 3 years of experience in utilization management or case management + Managed care experience **Why Join… more
- GE HealthCare (CA)
- …physicians. You will work cross-functionally with your Molecular Imaging Sales Manager counterparts leading other product categories to drive holistic solutions that ... and pharmacy partners).** Understand and leverage the value of providing referring physician education and office-based resources and how this impacts referrals into… more
- Dignity Health (Rancho Cordova, CA)
- …home.** **Position Summary:** Under the guidance and supervision of the department Manager /Director the Supervisor of Utilization Management is responsible and ... of referral reviews correct selection of criteria accurate prep to the UM Physician reviewer when indicated timely verbal and written documentation and completion of… more
- Evolent (Sacramento, CA)
- …monitoring for improvement. Responsible for coordinating education and findings with matrixed Physician Business Manager . + Provides medical direction to the ... requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with Physician Business… more
- Hospice Of San Joaquin (Stockton, CA)
- …expert nursing judgment and functions as patient advocate, in collaboration with Case Manager , IDT, and primary physician . + Additional duties as assigned. ... Care Services and the direction of the RN Case Manager , according to the policies and procedures of Hospice...the patient's death with coordination of services with the physician , mortuary, DME, and supplier. + Assists family in… more
- Sharp HealthCare (San Diego, CA)
- …policies and procedures including authorizations and referrals, claims/encounters, provider utilization reports and grievance procedures; b) Rules, regulations, and ... standards established by regulatory and accreditation agencies; and c) Training in the utilization of the SHP provider portal as a tool to enhance the provider's… more
- Sharp HealthCare (San Diego, CA)
- …and CMS. Develops and implements new programs under the direction of the manager of in-patient care management and the Director of Utilization Management. ... Degree Health care related field **Other Qualification Requirements** + Utilization , Case Management, or Quality Management certification preferred. **Essential… more