- 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 ... Guidelines InterQual Health Plan Benefit Interpretation Guidelines and Medical Management Policies and DHMF Utilization Management...or experience equivalent required. - Clear and current CA Registered Nurse ( RN ) license. -… more
- Amergis (Orange, CA)
- …Case Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and ... California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of...listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care… more
- Sharp HealthCare (San Diego, CA)
- …Degree; California Registered Nurse ( RN ) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... or clinical experience in area of specialty. + California Registered Nurse ( RN ) - CA...and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure and/or Compact ... as scheduled. Whether this would be your first case management role or you are seasoned, here is your...transition from the hospital back into the community. The RN Case Manager is an integral part… more
- HCA Healthcare (Thousand Oaks, CA)
- …our RN Case Manager II opportunity. **Job Summary and Qualifications** The Registered Nurse ( RN ) Case Manager is responsible for promoting ... from any other healthcare provider. We are seeking an RN Case Manager II to join our...Diploma required. BSN preferred. + Currently licensed as a Registered Nurse in the state of California… more
- Cedars-Sinai (Marina Del Rey, CA)
- …named us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for identified...like family. **Req ID** : 11148 **Working Title** : RN Case Manager - Case Management… more
- HCA Healthcare (Riverside, CA)
- …a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse ( RN ) with current California license required, Case ... the opportunity to make a real impact. As an RN Case Manager you can be a...Management Certification or utilization review preferred + Associate's Degree minimum required +… more
- HCA Healthcare (Riverside, CA)
- …a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse ( RN ) with current California license required, Case ... **Introduction** Do you have the career opportunities as an RN Case Manager you want in your...Management Certification or utilization review preferred + Associate's Degree minimum required +… more
- 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 ... of the patient along the continuum of care, utilization activities, disease management appropriateness, discharge planning,...Bachelor's Degree Healthcare related field. + Upon hire: California Registered Nurse License + Management … more
- Sharp HealthCare (San Diego, CA)
- …BBS Licensed Marriage and Family Therapist (LMFT) - CA Board of Behavioral Sciences; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... involved in Admission & Triage, Discharge planning, and case management of chemical dependency patients. + AHA Basic Life...(AHA BLS Healthcare) - American Heart Association + California Registered Nurse ( RN ) - CA… more