- Centene Corporation (Sacramento, CA)
- … Nurse - Remote (California Market | Health Net)** Centene is seeking a ** Remote Concurrent Review Nurse ** to support our **Health Net California ... member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Centene Corporation (Sacramento, CA)
- …providers, as appropriate, for any discrepancies between prior authorization and concurrent review processes to ensure clinically appropriate determinations + ... competitive benefits including a fresh perspective on workplace flexibility. Remote Role, California RN Licensing Highly Preferred **Position Purpose:** Performs… more
- CVS Health (Sacramento, CA)
- …of varied UM (utilization management) experience within an inpatient, concurrent review or prior authorization. + Remote work experience. **Education** + ... with heart, each and every day. **Position Summary** **100% remote position from anywhere in the US** **Work hours:...varied UM (utilization management) experience within an **outpatient** setting, concurrent review or prior authorization. + 5… more
- Magellan Health Services (San Diego, CA)
- …person-centered care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care ... This is a remote position in California, candidates must be licensed...Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt… more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** Perform admission and concurrent review of patients, based upon needs regardless of payor ... patients.Interfaces with Business Office regarding ongoing certification of stay.Provides concurrent and retro UR reviews to Review Organizations.Identifies… more
- Centene Corporation (Sacramento, CA)
- …weight, current and past medical history, clinical laboratory results and concurrent medications (including over-the-counter or home remedy medications) + Ensure ... and the results are obtained and discussed with the nurse and the physician + Provide patient counseling, education,...+ Assess responses to therapy, patient compliance, and ongoing review of drug regimens; report and manage adverse events… more
- BrightSpring Health Services (North Highlands, CA)
- …Registered Professional Nurse + Excellent communicator with ability to handle concurrent tasks and responsibilities + Ability to travel within assigned area + ... meetings + Chairing committees as appropriate, safety, infection control, incident review , and human rights committees + Facilitating communication and serving as… more