UNKNOWN

FEED

Comfort operating inside healthcare environments, particularly skilled nursing facilities, with working knowledge of nursing workflows, shift structure, and floor dynamics. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.

YEAR

Circadia Technologies Ltd

Implementation Specialist

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At least 5 years of health care experience, including at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or special programs, or equivalent combination of relevant education and experience, or equivalent combination of relevant education and experience. Oversees team performance for one or more of the following healthcare services functions: care management, utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), transition of care, behavioral health, long-term services and supports (LTSS), and/or special programs.

Molina Healthcare Inc

Supervisor, Healthcare Services

Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment: Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente''s Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente''s policies and procedures. Job duties with at least occasional or possible access to: (1) patients, the general public, or other employees; (2) confidential protected health information and other confidential KP information (including employee, proprietary, financial or trade secret information); (3) KP property and assets, for example, electronic assets, medical instruments, or devices; (4) controlled substances regulated by federal law or potentially subject to diversion.

HOUR

At Kaiser Permanente, we are relentless in our pursuit of excellence. Driven by our mission to provide the highest quality preventive medicine, we are committed to eliminating health care disparities, and to making lives better through innovation, technology, and research.

Our desire to deliver the best possible care inspires us to promote wellness among our members, communities, and each other. It also fuels our belief that everyone — regardless of circumstance — deserves access to affordable care, which further drives our motivation to expand our reach.

Founded nearly 80 years ago, our unique business model sets us apart — positioning us to drive improvements across the industry and around the world.

Kaiser Permanente

Palliative Care, Inpatient, Case Manager RN-Per Diem

Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers' Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.

Enlyte Group LLC

Medical Field Case Manager

Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers' Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Telephonic Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.

Telephonic Case Manager

Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care. At our 91-bed hospital, our physician-led care teams provide critically ill patients with the specialized acute care and rehabilitation they need, for the time they need it - empowering them to take the next step in their recovery journey.

ScionHealth

Case Manager Per Diem

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Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care. Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients' care throughout the care continuum.

Case Manager II - Full Time Days

The Nurse Manager I will assure quality and cost-effective care for clinic patients, and will manage a patient's course of treatment, and coordinate care with providers and other clinical support staff to ensure quality patient outcomes are achieved within established time frames with efficient utilization of resources. POSITION SUMMARY: Under the supervision of the Chief Nursing Officer (CNO)/ Deputy Nursing Officer (DNO) and in collaboration with the Site Medical Director, the Nurse Manager I(NM) will provide culturally competent medical, services to low-income adult individuals in Los Angeles County, with a specific focus on underserved communities.

APLA Health & Wellness

Nursing Manager

Key Words: Discharge Planning, Home Health, MCG Guidelines, Social Services, Health Care Navigator, Discharge Planner, Care Manager, Case Manager, LVN, LPN, Licensed Vocational Nurse, Licensed Practical Nurse, Continuity of Care, Transition of Care / Transitional Care, Interdisciplinary Collaboration / Multidisciplinary Team, Comprehensive Patient Assessment, Acuity & Functional Assessment, Medication Reconciliation, Patient & Caregiver Education, Post-Acute & Resource Coordination, Durable Medical Equipment (DME), Home Health Care / Home Care Services, Skilled Nursing Facility (SNF) Placement, Inpatient Rehabilitation / Long-Term Acute Care (LTAC), Community Resource Linkage / Utilization, Transportation & Follow-up Scheduling, Compliance, Payors & Quality Metrics, Medicare / Medicaid Guidelines, Condition of Participation (CoP), Readmission Prevention / Reducing 30-Day Readmissions, Utilization Review (UR) / Case Management, Insurance Verification & Payor Source Management, HIPAA Compliance & Confidentiality. Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives.

Transition of Care Coach Remote (Must have CA LVN/LPN)

Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.

Director, Healthcare Services (California)

Street Outreach Specialists are committed to removing the client's barriers to care and housing by identifying critical resources for clients, helping them navigate through health care and housing services and systems, and promoting client health using Housing First, harm reduction, and trauma-informed approaches. Working across health care and community settings, multidisciplinary care teams-including care managers and community health workers-engage members, develop individualized care plans, connect individuals to appropriate services and coordinate with providers and community partners.

COPE HEALTH SOLUTIONS

Street Outreach Specialist

The CNO manages, directs, plans and coordinates the functions and activities of assigned areas; oversees and administers assigned patient care programs and services; assists the hospital’s CEO and hospital’s Board of Directors and other corporate administrators in the development, formulation and implementation of hospital strategic plans and serves as part of the hospital’s senior management team. This position develops/approves organization-wide patient care programs, policies and procedures that describe how patient’s nursing care are assessed, evaluated and met, involves pertinent individuals/departments, obtains medical staff input/approvals as needed, assures that policies reflect the institution’s policies, medical staff bylaws and governing board decisions.

<img src="https://www.healthsourcemso.com/uploads/5/9/1/5/59151673/hsmso-logo_1_orig.gif" alt="Picture">
  
Health Source MSO, Inc is an organization that provides management and administrative support. Located in the heart of Alhambra, HSMSO started in 2005 with less than 10 employees. Over the past 11 years, we have prospered and now have grown to over 60 employees. We manage over 250,000 members, 7 hospitals, 18 IPAs, and 9 Health Plans. We strive to be the best and our goal is to pay claims accurately and quickly. 
 
<div>Challenging but rewarding jobs await you.  We are an equal employment opportunity employer. Join our team today!</div>

AHMC Healthcare

Chief Nursing Officer

[AW]-iCims

FULL_TIME

Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning.

Enlyte

The Case Manager provides an efficient, coordinated approach to clinical management, with an emphasis on discharge planning, care coordination and utilization management activities for select patient populations across the continuum of programs and services at AHMC. The essential functions of the RN Case Manager require constant collaboration with the Social Workers, Nursing staff, Financial Counselors, Medical Staff to coordinate the care of patients in a proactive manner.

AHMC Healthcare Inc

Case Manager, Pre Admitting

The Director is responsible 24 hours a day, with full accountability for the staffing and management of patient care, for providing professional nursing services in specified patient care areas, and the acquisition, development and utilization of resources including human, material and fiscal needed to meet those responsibilities. Interpersonal and management skills and knowledge of employee relation laws in order to deal with complex management problems and communicate with unit personnel, physicians, administrative personnel, a variety of other hospital personnel and community persons.

Director, 3E Med Surg/Telemetry

The Director is responsible 24 hours a day, with full accountability for the staffing and management of patient care, for providing professional nursing services in specified patient care areas, and the acquisition, development and utilization of resources including human, material and fiscal needed to meet those responsibilities. Interpersonal and management skills and knowledge of employee relation laws in order to deal with Complex management problems and communicate with unit personnel, physicians, administrative personnel, a variety of other hospital personnel and community persons.

Director, Acute Rehab

The ER Director is maintains 24 hour accountability for the staffing and management of patient care, for providing professional nursing services in specified patient care areas, and the acquisition, development and utilization of resources including human, material and fiscal needed to meet those responsibilities. Act as a creative leader combining nursing expertise, critical thinking and effective leadership and management skills to ensure that quality care is provided through satisfied and inspired professionals.

Director Emergency Room

Director, 3E Med-Surg/Telemetry

The Cedars-Sinai Medical Network is committed to helping primary care and specialist physicians provide excellent care to all their patients, who benefit from convenient access to primary and specialty care physicians and seamless coordination of care between them. The Supervisor of Clinical Operations (LVN) supports the physician and clinical staff in the delivery of health care by performing operational oversight responsibilities, human resource responsibilities, as well as patient care assessments, and a variety of medically related tasks.

Cedars Sinai is one of the largest nonprofit academic medical centers in the United States, and it is the largest private academic medical center in the Western United States. The Cedars Sinai main campus, which encompasses nearly 24 acres, is located at the point where the cities of Los Angeles, Beverly Hills, and West Hollywood meet. Cedars Sinai has been recognized annually by U.S. News & World Report’s top 10 best hospitals in the U.S. The institution most recently placed No. 7 among a select group of 20 Honor Roll hospitals and ranked nationally in a dozen specialties. In addition, Cedars Sinai ranked No. 3 in California and No. 2 in the Los Angeles metro area.
Within Cedars Sinai, the Institute for Research on Health Aging conducts multi-disciplinary research that prioritizes the prevention of cardiovascular disease, neurocognitive disease, and cancer. Our focus is on translating new research discoveries into pragmatic interventions aimed at promoting healthy aging across diverse populations. Our approach involves human physiology, cohort, and clinical trial studies and our team includes established experts in population, clinical, translational, basic, and data science.

Cedars-Sinai Medical Center

LVN- Clinical Ops Supervisor - Cardiology - El Segundo

The ideal candidate will have a minimum of one (1) year of Skilled Nursing Facility (SNF) experience and will assist the Case Management team in coordinating patient care, discharge planning, utilization management, and transitions of care to ensure quality outcomes and continuity of services. Coordinate referrals to Skilled Nursing Facilities (SNFs), home health agencies, rehabilitation facilities, hospice, durable medical equipment (DME) providers, and other community resources.

Utilization Management Nurse Jobs in Los Angeles, CA

Implementation Specialist Circadia Technologies Ltd

Supervisor, Healthcare Services Molina Healthcare Inc

Palliative Care, Inpatient, Case Manager RN-Per Diem Kaiser Permanente

Medical Field Case Manager Enlyte Group LLC

Telephonic Case Manager Enlyte Group LLC

Case Manager Per Diem ScionHealth

Case Manager II - Full Time Days ScionHealth

Nursing Manager APLA Health & Wellness

Transition of Care Coach Remote (Must have CA LVN/LPN) Molina Healthcare Inc

Director, Healthcare Services (California) Molina Healthcare Inc

Street Outreach Specialist COPE HEALTH SOLUTIONS

Chief Nursing Officer AHMC Healthcare

Medical Field Case Manager Enlyte

Case Manager, Pre Admitting AHMC Healthcare Inc

Director, 3E Med Surg/Telemetry AHMC Healthcare Inc

Director, Acute Rehab AHMC Healthcare Inc

Director Emergency Room AHMC Healthcare Inc

Director, 3E Med-Surg/Telemetry AHMC Healthcare

LVN- Clinical Ops Supervisor - Cardiology - El Segundo Cedars-Sinai Medical Center

Case Manager Mission Community Hospital

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