- Sutter Health (San Francisco, CA)
- …nursing **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time to ... A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- CVS Health (Sacramento, CA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management....lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Sutter Health (Roseville, CA)
- … case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of ... SMCS-Valley Administration **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted… more
- Sutter Health (Burlingame, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… more
- UCLA Health (Los Angeles, CA)
- …of safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital ... + CA RN License and BLS certification + Recent experience in case management, utilization management and discharge planning + Minimum of three years of acute… more
- VNA Health (Santa Barbara, CA)
- …hour, minimum. + Visual and audio acuity. Apply today to be considered for our RN Case Manager role or email ###@vna.health with your resume. Powered by JazzHR ... Description: VNA Health is looking for compassionate Registered Nurse Case Managers (RN CM) to join our Home Health...directs home care services. Responsibilities: + Responsible for continuous review of all aspects of every patient on his/her… more
- Cedars-Sinai (Beverly Hills, CA)
- **Job Description** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all team ... + Processes Extensions and Denial Letters, when needed. + Prepares Utilization Review Reports as needed. + Assists the Case /Care Managers in coordinating and… more
- Cedars-Sinai (Beverly Hills, CA)
- …be Doing** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all team members ... + Processes Extensions and Denial Letters, when needed. + Prepares Utilization Review Reports as necessary. + Assists the Case /Care Managers in coordinating… more
- Rising Medical Solutions (Los Angeles, CA)
- …medical case management, occupational health, orthopedics, home health care, utilization review , or quality assurance + Familiarity with regional physicians ... Join Our Team as an Experienced Workers Compensation Case Manager Advance Your Career with Rising Medical Solutions Are you an experienced workers' compensation… more
- CenterWell (San Diego, CA)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... community and help us put health first** The Clinical Manager coordinates and oversees all direct care patient services...clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the… more