CASE MANAGER RN UTILIZATION jobs in CALIFORNIA, United Kingdom

reviews, assists assigned departments of the Medical Staff in implementing effective quality and utilization management...

Community Health System

) for qualified candidates* If you are a nurse (RN) looking for a position where you can utilize AND grow your critical care...: Your PACU Career at Community | Opportunity. Challenge. Growth. In this role you will assist the Unit Manager in the planning...

Community Health System

Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing... experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred. 4...

Prime Healthcare

Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing... experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred. 4...

Prime Healthcare

- American Heart Association Required ACM Accredited Case Manager - ACMA American Case Management Association or CCM... Certified Case Manager - CCMC Commission for Case Manager Certification Preferred Work Shift: 08.0 - 08:00 - 16:30 No Waive...

John Muir Health

Center. The Manager Utilization Management will ensure the timely delivery of utilization review, discharge planning... Association (AHA) Healthcare Provider CPR card is required. 6. Certified Case Manager (CCM) certification preferred. Pay...

Trinity Health

Medical Case Manager (LVN) (Utilization Management) (Full Telework/Weekend Work) Job Description Department.../Wednesday off or Friday-Tuesday with Wednesday/Thursday off. Job Summary The Medical Case Manager (LVN) is responsible...

CalOptima

Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing... experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred. 4...

Prime Healthcare

Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing... experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred. 4...

Prime Healthcare

, skill level, and education. Case Manager - RN (Utilization Review) Do you thrive on supporting the professional face... perfect opportunity for you. As the Care Manager RN for Hoag Memorial Hospital, Newport Beach, you'll be responsible...

Hoag

, skill level, and education. Case ManagerRN (Utilization Review) Do you thrive on supporting the professional face... perfect opportunity for you. As the Care Manager RN for Hoag Memorial Hospital, Newport Beach, you’ll be responsible...

Hoag

The Utilization Management (UM) RN performs utilization review activities, including, but not limited... Manager or Accredited Case Manager BSN preferred. Experience with Milliman Care Guidelines (MCG) Excellent verbal...

PIH Health

The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the... Care/Case/Utilization Management and supporting regulations, policies, protocols, and procedures. This position serves...

L.A. Care Health Plan

The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary referrals... to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre...

L.A. Care Health Plan

Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical...Job Description: Your Role The Utilization Management team reviews the inpatient stays for our members...

Blue Shield of California

standards. The Utilization Management Nurse Consultant will report to the Utilization Management Manager. In this role...Job Description: Your Role The Utilization Management team facilitates the review of requests for medical necessity...

Blue Shield of California

Significant experience in case management, utilization management, and population health with solid knowledge of best practices in... Organization's Utilization Management (UM) functions across all markets for AHP. The incumbent interprets key performance metrics...

Alignment Healthcare