- CVS Health (Sacramento, CA)
- …within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... from work._ **Required Qualifications** + 1 year of varied UM ( utilization management ) experience within an **outpatient** setting, concurrent review… more
- Actalent (Santa Barbara, CA)
- Utilization Management Nurse ( RN ) - Santa Barbara, CA Hourly Rate: $50-$53/hr Location: On-site in Santa Barbara, CA Schedule: Full-time, Monday-Friday ... Registered Nurse to join a high-performing Utilization Management team supporting outpatient specialty care....+ Minimum 2 years of clinical nursing experience (ambulatory, case management , or UM preferred) + Strong… more
- Sutter Health (San Francisco, CA)
- …+ Other: Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... Manager, the Primary Care Clinician (PCC) is an experienced RN who is responsible for the overall management...the established plan of patient care and ensuring effective management of visit utilization and control of… more
- Sutter Health (Salida, CA)
- …**EDUCATION:** Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California BLS-Basic Life Support Healthcare ... at Home - South Valley **Position Overview:** An experienced RN who is responsible for the overall management...the established plan of patient care and ensuring effective management of visit utilization and control of… more
- 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. ... in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The… more
- Providence (Tarzana, CA)
- …in Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years Experience in Case Management (Care Coordination or Utilization Management ) ... excellence and unwavering commitment to patient care and safety. Case Management is a collaborative practice including...within 30 days of hire + Upon hire: California Registered Nurse License + 2 years Experience… more
- Providence (Apple Valley, CA)
- …in Healthcare related field (Acute, Ambulatory, Post-Acute, etc.). + 2 years experience in Case Management (Care Coordination or Utilization Management ) ... available are full-time and will work 8-hour Day Shifts** Case Management is a collaborative practice including...will not be a condition of employment. + California Registered Nurse License upon hire. + 2… more
- Providence (Burbank, CA)
- …in Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) 2 years Experience in Case Management (Care Coordination or Utilization Management ) ... **Description** Care Manager RN at Providence St. Joseph Medical Center in...types of care by US News & World Report. Case Management is a collaborative practice including… more
- Emanate Health (Covina, CA)
- …Two years recent acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal ... Participates in quality improvement activities as they relate to the management of patient care. **Job Requirements** **Minimum Education Requirement:** Bachelor… more
- Banner Health (Susanville, CA)
- … initiatives. Articulates and models an emphasis on patient quality and safety. Understands utilization management and case management and their ... progressive leadership development and competency. Must possess licensure as a professional nurse ( RN ) in the state of practice. Proven experience and… more