- UCLA Health (Los Angeles, CA)
- …Graduate from an accredited school of nursing. BSN required. MSN preferred. + CA RN License + ACLS .form the American Heart Association + Knowledge of Cardiology and ... to represent the Medical Center in site visits and review by managed care, insurance groups, and regulatory entities....work independently and prioritize workload. Ability to manage numerous concurrent tasks in a high stress environment and deal… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...information to the department head as indicated. + Utilization review and utilization managementThe RN CM I… more
- Stanford Health Care (Palo Alto, CA)
- …to identify trends and make recommendations for improvement. **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... stratification of at-risk patient populations, acute and skilled nursing facility concurrent review and complex and episodic case management, including the care… more
- Sacramento County (Sacramento, CA)
- …Psychiatrist, Psychologist, Licensed Clinical Social Worker, Marriage and Family Therapist, or Registered Nurse . AND Either: Two years of experience coordinating ... a Psychiatrist, Psychologist, Licensed Clinical Social Worker, Marriage Family Therapist, or Registered Nurse . Note: Failure to maintain a required license may… more
- Sacramento County (Sacramento, CA)
- …the State of California to practice as a: Either: 1. Psychiatric Technician Or: 2. Registered Nurse Or: 3. Vocational Nurse Note: The word "experience" ... improperly rejected may request the Employment Services Division to review its decision to reject the application. If the...hold to practice in: + Psychiatric Technician + Vocational Nurse + Registered Nurse +… more
- Sharp HealthCare (San Diego, CA)
- …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... + 2 Years Medical Management experience, preferably in a managed care setting + California Registered Nurse ( RN ) - CA Board of Registered Nursing… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness… more
- Magellan Health Services (San Diego, CA)
- …Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher...this role with necessary degrees, LMSW, LCSW, LPC, or RN . Minimum 5 years experience post degree in healthcare,… more
- Elevance Health (Los Angeles, CA)
- …on relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians **How you will ... guidelines within scope of licensure. + These reviews may require in-depth review ; however, any deviation from application of benefits plans will require guidance… more
- Dignity Health (San Luis Obispo, CA)
- …other duties as assigned. **Qualifications** **Education and Experience:** + Licensed Registered Nurse , Licensed Clinical Pharmacist, or other Licensed Clinical ... experience, efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review , OPPE, FPPE). + Participates in an integral… more