- Cedars-Sinai (Los Angeles, CA)
- …OR CPC, required Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required Working knowledge ... general direction of the HID CDI/Core Measures Supervisor or Manager , with responsibility for improving the overall quality and...Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist - 8… more
- Elevance Health (Walnut Creek, CA)
- …outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the ... ** Utilization Management Representative I** **Location:** Virtual: This role...inquiries from clients, providers and in-house departments. + Conducts clinical screening process. + Authorizes initial set of sessions… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …personnel provide timely nursing care which complies with generally accepted standards of clinical practice. The Nurse Manager is also responsible for ... Summary The VA Central California Health Care System (VACCHCS) Nurse Manager in the Operating Room is a professional nurse who provides leadership and… more
- City and County of San Francisco (San Francisco, CA)
- …Nursing (BRN) SUBSTITUTION: Up to two (2) years of additional experience as an Assistant Nurse Manager /Charge Nurse / Clinical Educator in a general acute ... in the development, implementation, and evaluation of programs and clinical services, organizational standards, and utilization measurements...five (5) years in a leadership position - charge nurse / nurse manager / clinical educator… more
- CVS Health (Sacramento, CA)
- …AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support ... + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.… more
- Dignity Health (Northridge, CA)
- **Responsibilities** **Join Us as an ED Nurse Leader at Dignity Health - Northridge Hospital Medical Center: Shape Emergency Care in Our Community!** As an ED ... Nurse Leader at Northridge Hospital, now part of CommonSpirit...high-quality care and inspire our ED team to achieve clinical excellence. At Northridge Hospital Medical Center, we believe… more
- Sutter Health (San Francisco, CA)
- …nursing, case management or related field. **CERTIFICATION & LICENSURE** + RN-Registered Nurse of California (required) + CCM-Certified Case Manager (preferred) ... CPMC-California Pacific Med Center Van Ness **Position Overview:** The RN Case Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and… more
- Sutter Health (Burlingame, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Elevance Health (Costa Mesa, CA)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within… more
- CenterWell (San Diego, CA)
- **Become a part of our caring community and help us put health first** The Clinical Manager coordinates and oversees all direct care patient services provided by ... clinical personnel. + Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. + Conducts/delegates the… more