- 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
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board Certified (CMGT-BC) Required Training Physical ... Care Management Specialist II Job Category: Clinical Department: Care...health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health… 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
- Stanford Health Care (Palo Alto, CA)
- …include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness ... of services as well as appropriate utilization of services; and ensuring optimum use of resources,...delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure… more
- Cedars-Sinai (CA)
- …America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization ... as appropriate. Works closely with social workers to integrate psychosocial management of patient/family needs. **Primary Duties and Responsibilities:** + Performs… more
- Cedars-Sinai (Marina Del Rey, CA)
- …Employee Referral Bonus **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization through ... as appropriate. Works closely with social workers to integrate psychosocial management of patient/family needs. **Primary Duties and Responsibilities:** + Performs… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** As a Utilization Management RN, you will be crucial in ensuring accurate and compliant medical necessity decisions. Your ... for physician review. You'll work closely with both Pre-Service and In-Patient Utilization Management teams to ensure appropriate and cost-effective care. Key… more
- Rising Medical Solutions (Los Angeles, CA)
- …one of the following specialties: industrial rehabilitation nursing, medical case management , occupational health, orthopedics, home health care, utilization ... Your Career with Rising Medical Solutions Are you an experienced workers' compensation nurse case manager eager to bring your expertise to a team that's passionate… more
- The County of Los Angeles (Los Angeles, CA)
- …of subordinates and resolves problems involving grievance and discipline. + Advises nurse managers and other nursing staff on management , administrative and/or ... and maintain strategic and operational initiatives for nursing workforce utilization . The incumbent will monitor and trend workforce metrics...or university. -AND- Four years of experience in nursing management at the level of Nurse Manager**… more
- Ventura County (Ventura, CA)
- …+ Utilization review: + Uses professional skills in quality management activities such as utilization review, monitoring and evaluation procedures, ... Description Are you a licensed Psychiatric Technician or Vocational Nurse in California looking to make a real difference...other members of the mental health team. + Case Management : + provides case management /brokerage including linkage… more