- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements… more
- Sharp HealthCare (San Diego, CA)
- …Behavioral Sciences; California Licensed Clinical Psychologist (LCP) - CA Board of Psychology; California Registered Nurse ( RN ) - CA Board of Registered ... (LCSW) - CA Board of Behavioral Sciences **OR** California Registered Nurse ( RN ) - CA...manages admission and intake process.Complies with payor guidelines on utilization review process to promote optimal reimbursement.Collaborates… more
- Elevance Health (Cerritos, CA)
- …analytics to improve the delivery of care. **Title:** Behavioral Health Care Manager I **Locations:** CA - Cerritos, Walnut Creek, Woodland Hills **Virtual:** This ... an accommodation is granted as required by law. The **Behavioral Health Care Manager I** is responsible for managing psychiatric and substance abuse or substance… more
- Dignity Health (Carmichael, CA)
- **Job Summary and Responsibilities** ** Nurse Manager of Care Coordination / Case Management** **Sign On / Relocation Options** As our ** Nurse Manager ... efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality… more
- Elevance Health (Los Angeles, CA)
- **Telephonic Nurse Case Manager II** **Sign on Bonus: $2000.** **Location: Virtual: This role enables associates to work virtually full-time, with the exception ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within… more
- STG International (Victorville, CA)
- …*Assist in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's ... patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health… more
- Sharecare (Sacramento, CA)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
- LA Care Health Plan (Los Angeles, CA)
- …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health… more
- BrightSpring Health Services (Sacramento, CA)
- …Education: Degree from an accredited school of nursing Qualifications:* Must be a Licensed Registered Nurse ( RN ) in good standing and currently licensed by ... performance reviews* Responsible to ensure that there is a nurse on call after hours for all homes (and...State Health Services Director and Assigned Director, Clinical Practice* Review utilization report at least monthly to… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... team leaders reporting to a mental health clinical program manager or a physician manager . Positions allocable...to assaultive behavior or requiring more extensive monitoring and review of their condition and progress. Essential Job Functions… more
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