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67 Jobs

  • Carelon Health Care Manager

    Elevance Health - LOS ANGELES, California
    ... , Capabilities, and Experiences:** RN preferred Certified Case Management experience is strongly ... Carelon Health Care Manager Location : Remote - within 50 miles of an Elevance Health ...
  • Registered Nurse RN

    WelbeHealth - Los Angeles, California
    ... career aspirations. RN Case Manager : Collaborate with interdisciplinary teams to ... and unencumbered RN license in California Strong clinical assessment and critical thinking skills ...
  • RN - Intensive Case Management

    UCLA Health - Los Angeles, California
    ... care, the Nurse Case Manager/Clinical Advisor is able to enhance the quality and cost effectiveness of ... 161,987/AnnualQualifications Required: California RN License BSN Degree Minimum ...
  • Case Manager: Masters Degree, LA County CALIFORNIA

    Molina Healthcare - Los Angeles, California
    ... **_We are seeking a CASE MANAGER for our CALIFORNIA Health Plan. Candidates must live in LOS ... . Collaborates with RN case managers/supervisors as needed or required Case managers in Behavioral Health ...
  • Utilization Management Nurse Specialist RN II

    L.A. Care Health Plan - Los Angeles, California
    ... California License Licenses/Certifications Preferred Certified Case Manager ... develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case ...
  • CSMC 8750007 Case Management ED Case Manager FR 42579 Chua 429 1.00

    Cedars-Sinai - Los Angeles, California
    ... California RN license required American Heart Association BLS certification required Case ... Manager FR 42579 Chua 429 1.00 Department : Case Management Business Entity : Cedars-Sinai ...
  • Utilization Management Nurse Specialist RN II

    L.A. Care Health Plan - Los Angeles, California
    ... develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case ... Licenses/Certifications Preferred Certified Case Manager (CCM) Required ...
  • Utilization Management Admissions Liaison RN II

    L.A. Care Health Plan - Los Angeles, California
    ... /Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management ...
  • Supervisor, Utilization Management RN

    L.A. Care Health Plan - Los Angeles, California
    ... , current and unrestricted California License Certified Case Manager (CCM ... Supervisor, Utilization Management RN Job Category ...
  • Behavioral Health Care Manager II

    Elevance Health - Los Angeles, California
    ... Sign-on Bonus: $3,000 The Behavioral Care Manager II is responsible for ... home position. Must reside and be licensed in the state of California. The ideal candidate will live ...
  • Manager, Care Management

    L.A. Care Health Plan - Los Angeles, California
    ... Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse (RN ... Certified Case Manager (CCM) Required Training Physical ...
  • Utilization Management Manager, Medicare Advantage

    UCLA Health - Los Angeles, California
    ... Case Manager preferred CCM - Certified Case Manager preferred Named one of the top ... this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll ...
  • Supervisor, Appeals and Grievances Clinical Operations RN

    L.A. Care Health Plan - Los Angeles, California
    ... Supervisor, Appeals and Grievances Clinical Operations RN ... in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to ...
  • Research Nurse II - Part Time - Oncology - Durational

    Kaiser Permanente - Los Angeles, California
    ... the appropriate time to ensure clear, accurate records, developing data collection, case report forms ... sponsors. In conjunction with, or in the absence of the Manager, monitors and plans in ...
  • Care Management Health Educator II

    L.A. Care Health Plan - Los Angeles, California
    ... Registered Nurse (RN);current and unrestricted California License OR Licensed Clinical Social Worker; current ... Certified Health Education Specialist (CHES) California Teaching Certificate Certified Case ...
  • Care Management Specialist II

    L.A. Care Health Plan - Los Angeles, California
    ... Registered Nurse (RN);current and unrestricted California License OR Licensed Clinical Social Worker; current ... Certified Case Manager (CCM) Required Training Physical ...
  • Enhanced Care Management Clinical Specialist II

    L.A. Care Health Plan - Los Angeles, California
    ... Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse (RN ... Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM ...
  • Manager, Enhanced Care Management (RN or LCSW)

    L.A. Care Health Plan - Los Angeles, California
    ... Manager, Enhanced Care Management (RN or LCSW) Job ... /Certifications Required Registered Nurse (RN);current and unrestricted California License OR Licensed ...
  • Supervisor, Care Management

    L.A. Care Health Plan - Los Angeles, California
    ... License or Registered Nurse (RN); current and unrestrited California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training ...
  • RN Care Coordinator

    Dignity Health - Los Angeles, California
    ... Overview Founded in 1887 Dignity Health - California Hospital Medical Center is a 318 ... . Responsibilities Position Summary: The RN Care Coordinator is responsible for assessing ...
  • Manager, Delegation Oversight Clinical Audit

    L.A. Care Health Plan - Los Angeles, California
    ... (CPUR) Certified Case Manager (CCM) Certified Professional in Healthcare Quality (CPHQ ... Manager, Delegation Oversight Clinical Audit Job Category ...
  • Case Manager Utilization RN-Per Diem

    Kaiser Permanente - Los Angeles, California
    ... COMPANY: KAISER TITLE: Case Manager Utilization RN-Per Diem LOCATION: Los Angeles ... : Experience Two (2) years combined RN experience in an acute care setting or case ...
  • LVN- UM Review

    Robert Half - Los Angeles, California
    ... required services will be part of your daily tasks, where, based on case findings, you may need to refer to ... medical referrals that meet specific criteria as a Utilization Management Nurse Specialist RN • Ensure ...
  • Pharmacy Utilization Management RN - Optum CA - Remote

    UnitedHealth Group - Los Angeles, California
    ... accreditation guidelines Accurately applies review requirements to assure case is reviewed by a ... various nurse licensure and certification based on role and grade level. Licensure includes RN or LPN/LVN ...
  • Managed Care Coordinator Clinician Non RN

    Elevance Health - LOS ANGELES, California
    ... working under the direction/supervision of an RN, with overall responsibility for the member's case, as ... Managed Care Coordinator Clinician Non RN Location: Remote, within 50 miles of an ...
  • Clinical Specialist I, CPT - Los Angeles

    Abbott - Los Angeles, California
    ... , primarily in support of 1-2 Territory Manager(s). · Assist Territory Managers in after hours call ... establishes strong rapport with customers. · Proficient in complex programming, case support ...
  • Case Manager Utilization RN, 32/hr Day

    Kaiser Permanente - Los Angeles, California
    ... TITLE: Case Manager Utilization RN, 32/hr Day LOCATION: Los Angeles, California REQNUMBER ... provides case management to patients referred. Refers patients to community resources to meet ...
  • Mattel Children's Quality Manager

    UCLA Health - Los Angeles, California
    ... Description The Mattel Children's Quality Manager is a key figure in pediatric quality ... -motivated nursing professional with: Current valid CA RN License, required Master's degree ...
  • Physician Assistant II / Nurse Practitioner II - Plastic Surgery

    Kaiser Permanente - Los Angeles, California
    ... case that are sufficiently complete for any physician reviewing them to evaluate the effectiveness of ... Physician Assistant Program OR graduate of an accredited RN and NP Program. Masters Degree in ...
  • Utilization Management Intensive Case Management Coordinator - After Hours

    UCLA Health - Los Angeles, California
    ... supervision of the RN Assistant Director, the Case Management Coordinator is responsible for patient high risk ... plan contracts. The Case Management Coordinator will also be responsible for ...
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