- Sharp HealthCare (San Diego, CA)
- …**FTE** 0.8 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** ... days** **of in-person training.** **What You Will Do** To provide comprehensive utilization management and coordination of care for SRS Members. Ensure timely and… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for… more
- Prime Healthcare (Inglewood, CA)
- …and Clinical Coordinators. This leader will oversee all facets of utilization management, discharge planning, and care coordination to ensure patiens receive ... case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Additionally,… more
- Centene Corporation (Sacramento, CA)
- …and criteria + Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers as appropriate to discuss ... to members and their families regrading ABA and BH utilization process + Provides feedback to leadership on opportunities...Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Sharp HealthCare (San Diego, CA)
- …Degree in Nursing; Bachelor's Degree in Nursing; Master's Degree; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) ... acute care or clinical experience in area of specialty. + California Registered Nurse (RN) - CA Board of Registered Nursing **Preferred Qualifications** + Master's… more
- Elevance Health (Walnut Creek, CA)
- ** Utilization Management Representative I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... shift between 8 am - 8 pm EST. The ** Utilization Management Representative I** is responsible for coordinating cases...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… more
- Providence (Anaheim, CA)
- …OR vocational school with 2 years' related work experience. + California Licensed Vocational Nurse upon hire. + 2 years Clinical experience in an HMO, medical group, ... Bachelor's Degree in Healthcare related field. + 3 years experience in utilization management or case management. **Why Join Providence?** Our best-in-class benefits… more
- Prime Healthcare (Chino, CA)
- …post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 years post ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/219949/case-manager-%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityChino Valley Medical… more
- Prime Healthcare (San Dimas, CA)
- …post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 years post ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/214914/case-manager-%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySan Dimas Community… more