, Commercial, etc.) 2+ years of utilization management experience Strong knowledge of utilization management processes... clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special...
(i.e. LVN, LPT, RN). Qualified candidates will have 3-5 year of nursing experience preferably in Utilization Management...Description : San Jose Behavioral Health currently has an opportunity for a Utilization Review Specialist Per Diem...
. Knowledge of utilization management procedures, mental health and substance abuse community resources and providers. Knowledge... communication skills. General Job Information Title Care Manager, Health Plan - Remote / Licensed in CA Grade 25 Work...
. Knowledge of utilization management procedures, mental health and substance abuse community resources and providers. Knowledge... communication skills. General Job Information Title Care Manager, Health Plan - Licensed/Remote in CA Grade 25 Work...
City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) Registered Nurse (RN) or Licensed Clinical Social Worker... (RN, LCSW preferred). Previous experience in Case Management and Discharge Planning preferred. CCM Certification...
-Management Exempt Workshift: Job Family: MED Licensed Nurse Please be advised that Elevance Health only accepts resumes...Anticipated End Date: 2025-02-28 Position Title: Med Mgmt Nurse CA (US) Job Description: The Med Mgmt Nurse CA...
-Management Exempt Workshift: Job Family: MED Licensed Nurse Please be advised that Elevance Health only accepts resumes...Anticipated End Date: 2025-02-28 Position Title: Med Mgmt Nurse CA (US) Job Description: The Med Mgmt Nurse CA...
and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community resources... health licensure is required. (LMSW, LCSW, LSW, LPC or RN) CEAP requirement does not apply to this role. Under general...
initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes... in inpatient Utilization Management, preferred. Knowledge and/or experience of MCO, preferred. For candidates working in person...
initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes... in inpatient Utilization Management, preferred. Knowledge and/or experience of MCO, preferred. For candidates working in person...
, utilization review, case management and social work experience: Preferred Five years' leadership experience: Preferred... Licenses/Certifications: Registered Nurse (RN), Medical Degree (MD) or (DO) and currently licensed to practice...
expert for assigned areas. Required Qualifications California Registered Nurse (RN) - CA Board of Registered Nursing... -REQUIRED Preferred Qualifications Bachelor's Degree in Nursing RN experience in related clinical area. Leadership experience. ACLS...
expert for assigned areas. Required Qualifications California Registered Nurse (RN) - CA Board of Registered Nursing... -REQUIRED Preferred Qualifications Bachelor's Degree in Nursing RN experience in related clinical area. Leadership experience. ACLS...
(RN) - CA Board of Registered Nursing -REQUIRED AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare...) - American Heart Association -REQUIRED Preferred Qualifications Bachelor's Degree in Nursing RN experience in related...
. To be successful in this role, you would have: Bachelor of Science in Nursing Current CA RN license, licensed to states where HumanGood operates... oversight and education of effective IDT meeting, Medicare/Utilization meetings, and Triple Check meetings through in-person...
. To be successful in this role, you would have: Bachelor of Science in Nursing Current CA RN license, licensed to states where HumanGood operates... oversight and education of effective IDT meeting, Medicare/Utilization meetings, and Triple Check meetings through in-person...
. To be successful in this role, you would have: Bachelor of Science in Nursing Current CA RN license, licensed to states where HumanGood operates... oversight and education of effective IDT meeting, Medicare/Utilization meetings, and Triple Check meetings through in-person...
. To be successful in this role, you would have: Bachelor of Science in Nursing Current CA RN license, licensed to states where HumanGood operates... oversight and education of effective IDT meeting, Medicare/Utilization meetings, and Triple Check meetings through in-person...
. To be successful in this role, you would have: Bachelor of Science in Nursing Current CA RN license, licensed to states where HumanGood operates... oversight and education of effective IDT meeting, Medicare/Utilization meetings, and Triple Check meetings through in-person...
. To be successful in this role, you would have: Bachelor of Science in Nursing Current CA RN license, licensed to states where HumanGood operates... oversight and education of effective IDT meeting, Medicare/Utilization meetings, and Triple Check meetings through in-person...