3902 Case Manager Utilization Rn Pd jobs in Los Angeles,CA

RN Utilization Manager: Care Coordination & Denials

Ocean State Job Lot

Los Angeles, CA 90079

MDAEdge

Los Angeles, CA 90079

Mayo Clinic

Los Angeles, CA

GrabJobs

Los Angeles, CA

Kaiser Permanente

Los Angeles, CA 90034

RN
Two (2) years combined RN experience in an acute care setting or case management required.
Completion of an accredited RN training program that allows graduates to take RN license exam.
Registered Nurse License (California)
Basic Life Support
Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management.
Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.).
Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking and problem-solving skills.
Demonstrated ability in planning, organizing, conflict resolution and negotiating skills.
Computer literacy skills required.
Must be able to work collaboratively with the Multidisciplinary team, multitask and in a fast pace environment.

Summit Behavioral Healthcare

Los Angeles, CA

Molina Healthcare

Los Angeles, CA 90071

RN
License must be active and unrestricted in state of practice
At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience
Ability to prioritize and manage multiple deadlines
Excellent organizational, problem-solving and critical-thinking skills
Strong written and verbal communication skills
Microsoft Office suite/applicable software program(s) proficiency