- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management...to, placement (with level of care) criteria (MCG, InterQual), concurrent review , and discharge planning. Preferred: Consistent… more
- Stanford Health Care (Palo Alto, CA)
- …the processes and outcomes of patient health care **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State ... | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager? Here is your opportunity to work...coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts… more
- Sacramento County (Sacramento, CA)
- …Employment Qualifications Minimum Qualifications Possession of a current valid license as a Registered Nurse and a Nurse Practitioner certification issued by ... improperly rejected may request the Employment Services Division to review its decision to reject the application. If the...must submit a copy of both my current valid Registered Nurse license AND my Nurse… more
- Prime Healthcare (Chino, CA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... among the 100 Great Community Hospitals by Becker's Hospital Review in 2018 and as among the 100 Top...an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April… more
- Prime Healthcare (La Palma, CA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more
- Prime Healthcare (San Dimas, CA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more
- CVS Health (Sacramento, CA)
- …+ 1 year of varied UM (utilization management) experience within an **outpatient** setting, concurrent review or prior authorization. + 5 years of a variety ... make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted...of varied UM (utilization management) experience within an inpatient, concurrent review or prior authorization. + Remote… more
- Sacramento County (Sacramento, CA)
- …status. + None + Basic Life Support (BLS) / Cardiopulmonary Resuscitation (CPR) + Registered Nurse in California + Advanced Cardiac Life Support + Certified ... Licensed Vocational Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448956) Apply Licensed Vocational Nurse D/CF Salary… more
- Cedars-Sinai (Beverly Hills, CA)
- …by assessing their needs, coordinating care, communicating with health plans, including concurrent review to determine the appropriateness of services rendered ... Little More About What You Will be Doing** The RN Care Coordinator is responsible for the case management...communication with assigned hospitalist as appropriate. + Coordinates with Nurse Practitioners and ISP Hospitalists assigned to the SNF's… more
- Dignity Health (Oxnard, CA)
- …healthcare professionals, patients and their families. **Qualifications** + Current California Registered Nurse license & California Nurse Practitioner ... daily rounding and monitoring on our patients during hospitalization. The NP will review all medical record documentation on a concurrent basis to ensure… more