- University of Southern California (Los Angeles, CA)
- …patient populations. The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and ... needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in...Preferred Qualifications: Pref Bachelor's degree Pref 1 year Case management or utilization review experience within the… more
- CVS Health (Sacramento, CA)
- …of time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all ... aspects of the utilization /benefit management program. Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care 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 ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for...external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Responsible… more
- CVS Health (Sacramento, CA)
- …to customer data analysis. Working proactively with the account team, Care management teams, peers, and other key enterprise partners to support our commercial ... plan sponsors. The Clinical Program Consultant fulfills the company mission of helping people on...consultative clinical insights based on analysis of clinical plan utilization and impact of member behavior on medical plan… more
- Dignity Health (Bakersfield, CA)
- …act as an expert clinical and education resource; staff and leadership development consultant ; and Utilization Management content expert for staff, leaders, ... physicians and customers across the ePH Utilization Management . This position will assist with...Nursing, Social Work or equivalent experience - Active Registered Nurse (RN) or Social Worker (SW) license in good… more
