- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the ... health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are varied and… more
- LA Care Health Plan (Los Angeles, CA)
- …and clinical review of medical records to determine appropriate care including physical health , behavioral health , and social determinants of health ... include at least 2 years of relevant Licensed Vocational Nurse (LVN) experience in a UM or...environment. Preferred: Experience in utilization review, skilled nursing, home health , discharge planning, behavioral health ,… more
- LA Care Health Plan (Los Angeles, CA)
- …Management ( UM ), Managed Long Term Services and Support (MLTSS), Social Services, Behavioral Health , Community Health , Health Education, as well ... to clinically analyze the most complex cases involving highly acute physical health , behavioral health , complex/catastrophic and/or psychosocial issues to… more
- Molina Healthcare (San Diego, CA)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 DAY SHIFT 7:30AM - 08:30PM PACIFIC HOURS NON EXEMPT, 3 days a week will… more