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UM Case Manager
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L.A. Care Health Plan (2)
IMAS (1)
Inland Empire Health Plans (1)
Advanced Medical Management, I… (1)
Los Angeles LGBT Center (1)
Regal Medical Group (1)

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UM Case Manager
IMAS -

Pasadena, CA


UM Case Manager, LVN or RN*. Act as a resource for hospitalists, SNFs, outpatient utilization management staff, home health care agencies, Employer home-visit…

Posted 30+ days ago

Utilization Management Nurse, LVN
Inland Empire Health Plans -

Rancho Cucamonga, CA


Works collaboratively with the UM clinical team to ensure regulatory timeframes are upheld for authorization of concurrent, outpatient or ancillary services as…

Posted 5 days ago

Utilization Management Nurse Specialist RN II
L.A. Care Health Plan -

Los Angeles, CA


Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent post-service and retrospective claims medical review.

Posted 7 days ago

Care Management Manager
Advanced Medical Management, Inc. -

Buena Park, CA


Review and analyze monthly health plan UM reports, quarterly and semi-annual UM health plan reports. Responsible for ensuring that AMM meets NCQA guidelines and…

Posted 7 days ago

Health Homes Nurse Liaison RN II
L.A. Care Health Plan -

Los Angeles, CA


The Health Homes Nurse Liaison RN II is responsible for the management and oversight activities associated with L.A. Perform other duties as assigned.

Posted 30+ days ago

LVN Case Manager - TEMP
Los Angeles LGBT Center -

Los Angeles, CA


Supervisor of Nurse Case Management Services. The LVN Nurse Case Manager will outreach and ensure that clients living with HIV/AIDS are aware of services…

Posted 8 months ago

Prior Authorization/DME Nurse, LVN/RN
Regal Medical Group -

Orange, CA


Maintain a working relationship with PACM colleagues, the pre-auth coordinator team, high-risk nurse case managers, inpatient nurse case managers, medical…

Posted 21 days ago

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