- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management...California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case … more
- Dignity Health (Santa Cruz, CA)
- …survey tracers. **Qualifications** **MINIMUM QUALIFICATIONS:** **Required Education:** + Licensed Registered Nurse , Licensed Clinical Pharmacist, or other ... SUMMARY / PURPOSE** The primary function of the Quality/Patient Safety Program Manager Clinical License is to support, coordinate, and facilitate the quality… more
- LA Care Health Plan (Los Angeles, CA)
- …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location:...care experience. Minimum of 2 years of experience in Case /Care/Utilization Management in an acute care or… more
- Sutter Health (Modesto, CA)
- …Work candidates must have Masters in Social Work) **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + OR LCSW-Licensed Clinical Social ... (or current enrollment with completion within 2 years) in Case Management or Health Administration with relevant acute...Worker + CCM-Certified Case Manager **PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED… more
- Providence (Brea, CA)
- …school of nursing. + Upon hire: California Registered Nurse License. + Case management or acute care experience in a healthcare setting + 2 years of ... **Description** Under the direction of the Supervisor/ Manager , this position is responsible for triaging incoming...Degree Nursing or related field. + 2 years of Case management or acute care experience in… more
- Dignity Health (Glendale, CA)
- …years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Knowledge of managed ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the...utilization management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal… more
- Dignity Health (Los Angeles, CA)
- …years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Knowledge of managed ... a sign-on bonus not to exceed 10% of salary for this position. The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning… more
- Elevance Health (Costa Mesa, CA)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... members in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management… more
- Dignity Health (Long Beach, CA)
- …(5) years of nursing experience. + Certified Case Manager (CCM) Accredited Case Manager (ACM- RN ) or UM Certification preferred + Knowledge of managed ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the...utilization management nursing physicians ancillary departments insurers and post acute service providers to progress the care toward optimal… more
- Dignity Health (Long Beach, CA)
- …years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Knowledge of managed ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the...utilization management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal… more