- 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. ... of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and Support (MLTSS),… 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...Qualifications We're seeking an experienced leader with: + A Registered Nurse License, Advanced Practice Provider (… 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...visitors. Position Qualifications: + Education: Current California license as Registered Nurse . Bachelors in nursing degree preferred.… more
- Dignity Health (Rancho Cordova, CA)
- …of nursing. - BS degree or experience equivalent required. - Clear and current CA Registered Nurse ( RN ) license. - Knowledge of all applicable federal and ... the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable for coordination of… more
- ERP International (Twentynine Palms, CA)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers** for full-time positions in support of the **Naval Hospital Twentynine ... algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with… more
- Elevance Health (CA)
- …on relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior clinicians. **How you will ... services in multiple states. **Preferred Skills, Capabilities, and Experiences:** + Utilization Management experience is strongly preferred. + Health insurance… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge… more
- Providence (Anaheim, CA)
- …**Required qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience in ... Transplant, or Wound Care upon hire. + 3 years Experience in utilization management or case management . **Why Join Providence?** Our best-in-class benefits… more
- Dignity Health (Bakersfield, CA)
- … experience). - Bachelor's degree in Nursing, Social Work or equivalent experience - Active Registered Nurse ( RN ) or Social Worker (SW) license in good ... expert clinical and education resource; staff and leadership development consultant; and Utilization Management content expert for staff, leaders, physicians and… more
- Banner Health (Susanville, CA)
- …(https://youtu.be/sTPoc9EbJ\_Y) Banner Lassen Medical Center is looking for a full-time Registered Nurse Associate Director to lead the emergency department ... the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and… more