- Dignity Health (Oxnard, CA)
- …two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience. + California ... with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability… more
- Providence (Mission Hills, CA)
- … Management , medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently manage a diverse workload ... **Required Qualifications:** + Associate's Degree in Nursing. + California Registered Nurse License upon hire. + 2...in a remote UR environment or working as an acute hospital case manager. **Preferred Qualifications:** +… more
- Dignity Health (Santa Cruz, CA)
- …patient recovery but also fuel your own career advancement. Clinical Practice & Case Management - Provides safe therapeutic care in a holistic and systematic ... **Job Summary and Responsibilities** As our Staff RN , you will be a pivotal healthcare professional,...and Oncology Infusion Center experience, upon hire and + Registered Nurse : CA, upon hire and +… more
- Elevance Health (Costa Mesa, CA)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope ... **Telephonic Nurse Case Manager II** **Sign on...in multiple states. **Preferred Capabilities, Skills and Experiences:** + Case Management experience is preferred. + Certification… more
- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, Managed Care is ... **Job Summary and Responsibilities** **ICU RN , Emergency Room RN or Level... with 3-years of clinical experience, one to include acute hospital + Must have the ability to communicate… more
- CommonSpirit Health (Rancho Cordova, CA)
- …leading up to or including supervisory role highly preferred + Experience in Utilization Management , Case Management or Care Coordination, Managed Care is ... **Job Summary and Responsibilities** **I** **CU** ** RN , Emergency Room RN or Level... with 3-years of clinical experience, one to include acute hospital + Must have the ability to communicate… more
- Dignity Health (Bakersfield, CA)
- …two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience. + California ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the...management nursing physicians ancillary departments insurers and post acute service providers to progress the care toward optimal… more
- UCLA Health (Los Angeles, CA)
- …departments, and members. + Documents all review findings and decisions in the case management system and supports reporting initiatives. + Educates providers ... Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a...with UCLA Health medical directors and interdisciplinary teams for case resolution. + Serves as a liaison between clinicians,… more
- The County of Los Angeles (Los Angeles, CA)
- …an accredited college or university. LICENSE(S) REQUIRED: + A license to practice as a Registered Nurse and a certificate to practice as a Nurse Practitioner ... Do you have a license to practice as a Registered Nurse issued by the California Board...Practitioner + Gerontological Nurse Practitioner + Pediatric Nurse Practitioner + Pediatric Acute Nurse… more
- LA Care Health Plan (Los Angeles, CA)
- …Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board Certified (CMGT-BC) Required Training Physical ... Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California… more