- The County of Los Angeles (Los Angeles, CA)
- …as a facilitator for the shared decision-making process and provides leadership for utilization of best practice evidence in nurse staffing and operations; a ... NURSING DIRECTOR, ADMINISTRATION (Director, Workforce Management and Operations) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3110377) Apply NURSING… more
- Alameda Health System (Oakland, CA)
- …of financial analyses including cost of care to reimbursement, denials management , and non-reimbursed services, promoting effective resource utilization , ... Director, Inpatient System Care Management + Oakland, CA + Highland General Hospital...the collection, analysis and presentation data relevant to the utilization of healthcare resources, including but not limited to… more
- UCLA Health (Los Angeles, CA)
- …of multiple clinical programs and medical services with an emphasis on optimizing Utilization Management for the Faculty Practice Group (FPG) Management ... the delivery of program functionalities in all aspects of Utilization Management and its integration with other...We're seeking an experienced leader with: + A Registered Nurse License, Advanced Practice Provider ( Nurse Practitioner… more
- LA Care Health Plan (Los Angeles, CA)
- …the coordination of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and ... Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The expected pay… more
- Sutter Health (Modesto, CA)
- …care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely ... of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across the continuum through… more
- Sharp HealthCare (San Diego, CA)
- …competency and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge planning, as ... policy.Identify opportunities for cost reduction and participate in appropriate utilization management venues.Escalate and refers cases for consultation… more
- UCLA Health (Santa Monica, CA)
- Description The clinical nurse is a professional Registered Nurse who assumes responsibility and accountability for a group of patients for a designated time ... process in accordance with the standards of professional nursing practice. The clinical nurse performs in the professional role as described by the American Nurses… more
- The County of Los Angeles (Los Angeles, CA)
- …used to fill a vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used to fill other vacancies ... + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION:… more
- Providence (Fortuna, CA)
- …in Nursing or health related field. + CCM or ACM + 2 years case management , discharge planning, or utilization management experience in the acute, sub-acute, ... **Description** Care Manager RN - Case Management at Providence Redwood Memorial Hospital in Fortuna,...hospital personnel and outside resources to ensure the appropriate utilization of resources according to clinical and financial standards.… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …to the Director of Case Management + Plan, organize and deliver utilization management activities for BOP patients through the LVCHO including authorization ... of services + Deliver utilization management services and social service activities...Position Qualifications: + Education: Current California license as Registered Nurse . Bachelors in nursing degree preferred. + Experience: A… more