- HCA Healthcare (Riverside, CA)
- …+ Registered Nurse (RN) with current California license required, Case Management Certification or utilization review preferred + Associate's Degree ... Community Hospital! **Job Summary and Qualifications** The Coordinator of Case Management (RN CM) is responsible for promoting patient-centered care by coordinating… more
- The County of Los Angeles (Los Angeles, CA)
- …scope of practice. Participates in the development, negotiation, implementation, and management of the budget for the Countywide program support operational areas, ... goals. Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner.… more
- Magellan Health Services (San Diego, CA)
- …manage and oversee activities of assigned care support teams. Experience with Care Management flows. Knowledge of utilization management procedures, mental ... an appropriate and effective person-centered care plan, member education and care management . Conducts initial and concurrent review for prior authorization of… more
- Banner Health (Susanville, CA)
- …quality management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission ... in, general surgeries and orthopedics. **As a Licensed Vocational Nurse , LVN, at Banner Lassen Health Center, you will...care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the… more
- BrightSpring Health Services (Sacramento, CA)
- …and submit to State Health Services Director and Assigned Director, Clinical Practice* Review utilization report at least monthly to ensure adequate hours on ... of business development & growth, achievement of key performance indicators, management of nursing performance and staff development. Responsibilities * Oversees and… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... co-workers and hospital staff. The duties of this position vary widely requiring utilization of different processes and methods to accomplish this work. The work… more
- Dignity Health (Carmichael, CA)
- …efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality ... ** Nurse Manager of Care Coordination / Case Management ** **Sign On / Relocation Options** As our **...Management ** **Sign On / Relocation Options** As our ** Nurse Manager Care Coordination Manager at Mercy San Juan… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... Certification (Advanced Cardiac Life Support) - American Heart Association; California Registered Nurse (RN) - CA Board of Registered Nursing; AHA Basic Life Support… more
- HCA Healthcare (Thousand Oaks, CA)
- …through chart review , direct observation, and other methods of quality management . **What qualifications you will need:** + Graduate from an accredited school of ... today!** **Job Summary and Qualifications** The Clinical Nursing Manager is a registered nurse who reports directly to the unit Director or Chief Nursing Officer.… more
- Banner Health (Susanville, CA)
- …initiatives. Articulates and models an emphasis on patient quality and safety. Understands utilization management and case management and their importance to ... As part of your Total Rewards package, this role offers our Management Incentive Program, providing additional earning potential and recognition for your… more