- STG International (Rancho Cucamonga, CA)
- …any other protected class. Medical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical Service ... STGi is currently seeking a Registered Nurse to provide services at our Community Based...and stakeholders. The position requires an understanding of the clinical and medical programs, processes and procedures of the… more
- Molina Healthcare (Long Beach, CA)
- …License must be active and unrestricted in state of practice. * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager ... strategy to provide quality and cost-effective member care. The **Delegation Oversight Nurse ** is responsible for ensuring that Molina Healthcare's UM delegates are… more
- Cedars-Sinai (Beverly Hills, CA)
- …care. Use Milliman and Interqual guidelines as necessary. + Collaborates with clinical teams and practices to ensure synchronization of sub-areas' operations to ... day (preferably on day of admission). + Submits necessary clinical information to the health plan using the accepted...are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's… more
- Molina Healthcare (Los Angeles, CA)
- …License must be active and unrestricted in state of practice. * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager ... JOB DESCRIPTION **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for overseeing… more
- Cedars-Sinai (Beverly Hills, CA)
- …of patient care we strive for. **What will you be doing in this role?** A Clinical Nurse II (CN II) is a competent clinician who provides nursing care in ... **Job Description** Are you ready to bring your clinical competencies to a world-class Medical Group known...Medical Network is committed to helping primary care and specialist physicians provide excellent care to all their patients,… more
- University of Southern California (Pasadena, CA)
- …x-ray and exam rooms, monitors patient flow, assists physicians with minor clinical procedures including staple removal, suture removal, and wound care. Casting and ... x-ray and exam rooms, monitors patient flow, assists physicians with minor clinical procedures including staple removal, suture removal, and wound care. Casting and… more
- TEKsystems (Canoga Park, CA)
- …or LVN with an active license to join our team as a Utilization Review Nurse . In this role, you will conduct retrospective reviews of inpatient and outpatient claims ... + Prepare medical records for review by medical directors and provide clinical recommendations. + Ensure compliance with managed care authorization requirements and… more
- Novo Nordisk (Salinas, CA)
- …the CMCS I maintains relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and other paramedical ... gain access and drive business impact by collaborating around the clinical management of patients and offering NNI-approved solutions + Demonstrates professionalism… more
- TEKsystems (Canoga Park, CA)
- Position: Utilization Review Nurse Work Enviroment: Hybrid work schedule Schedule: Full time position, Flexible start time of 7-8 am, 5 days x 8hrs , no weekends, ... medical records for medical directors and provide recommendations based on clinical review. + Ensure compliance with managed care authorization requirements and… more
- Novo Nordisk (Santa Rosa, CA)
- …the CMCS I maintains relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and other paramedical ... gain access and drive business impact by collaborating around the clinical management of patients and offering NNI-approved solutions + Demonstrates professionalism… more