Jobs

9 results

All jobs posted within the past 30 days.

RN Director Utilization Management - FT - 1029A

The Director, Utilization Management is directly responsible for the planning, organization, direction, staffing and development of L.A. Care's Utilization Management function(s) including but not limited to Utilization Review, Care Transitions and Member Outreach. Responsibility ...

RN Care Management Specialist - FT - 1149A

L.A. Care RN Care Management Specialists embrace and demonstrate the CMSA Standards of Practice to improve health outcomes, enhance the health care experience, and reduce the cost of care for Los Angeles County Medi-Cal members. ...

Care Management Specialist RN - FT - 833B

The Care Management Specialist is primarily responsible for the overall coordination of care and services for LA Care Health Plan members. Responsibilities include, technology implementation and integrity, ensuring regulatory and accreditation compliance, program utilization and outcome ...

Utilization Management Oversight Nurse Specialist - FT - 1152A

The Utilization Management Specialist Position ensures compliance of the participating physician groups (PPGs) with regulatory, contractual and LA Care requirements. The UM Specialist is responsible for performing annual and focused audits and continuous monitoring activities. This ...

RN Lead Utilization Management Oversight Specialist - FT - 249C

The Utilization Management (UM) Specialist Position ensures compliance of the Plan Partners and/ or Participating Physician Groups (PPG) to regulatory, contractual and LA Care requirements. The UM Specialistis responsible for performing annual and focused audits and ...

RN Utilization Management Oversight & Compliance Specialist - FT - 250B

The Utilization Management Oversight & Compliance Specialist, RN is responsible for assuring that the UM Department is in compliance with all UM regulatory requirements and new legislation through the maintenance of required policies/procedures/workflows/ processes/audit ...

Lead Care Management Specialist RN - FT - 567C

The Care Management Specialist, Lead position functions as the lead of all staff in the Medical Management Unit and is responsible for daily operational activities, including staffing, productivity and work quality. Works with the Manager and ...

RN Care Management Specialist - FT - 2088A

The Care Management Specialist is primarily responsible for the overall coordination of care and services for LA Care Health Plan members. Responsibilities include, technology implementation and integrity, ensuring regulatory and accreditation compliance, program utilization and outcome ...

RN Director Care Management - FT - 1030A

The Director, Care Management is directly responsible for the planning, organization, direction, staffing and development of LA Care's Case Management function(s) including but not limited to Complex Case Management/ Case Management, Care Coordination and Special ...