- Ventura County (Ventura, CA)
- Per Diem Registered Nurse II/III - Utilization Management VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply Per Diem ... Registered Nurse II/III - Utilization Management VCMC Salary...opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family… more
- The County of Los Angeles (Los Angeles, CA)
- MEDICAL SERVICE COORDINATOR, CCS (Registered Nurse , Pediatrics - Case Management ) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4145908) ... Apply MEDICAL SERVICE COORDINATOR, CCS (Registered Nurse , Pediatrics - Case Management ) Salary $99,205.68...race, religion, sex, national origin, age, sexual orientation, or disability or any other characteristic protected by State or… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a ** Nurse Practitioner** for a full-time position supporting the **Pain Management Clinic** at **Camp Pendleton, ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Sharecare (Sacramento, CA)
- …for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and ... efficient and cost-effective manner while ensuring high quality care. The Disease Management Nurse works with participating members to become empowered and… more
- Sutter Health (Lakeport, CA)
- …are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks ... is patient centric with continuity of care. * Partners with peers, management and other healthcare providers to effectively streamline patient workflow, improve… more
- CVS Health (Sacramento, CA)
- …that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key ... Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care … more
- Sutter Health (Sacramento, CA)
- …transfers, and discharges, balancing patient needs with health system capacity. The nurse works closely with hospital leadership, physicians, and other staff to ... the command center in the coordination of patient movement and capacity management , based on appropriate level of care and patient aggregation from health-system… more
- CenterWell (Sacramento, CA)
- …of our caring community and help us put health first** The **Denials Management Specialist** is responsible to respond to, monitor and analyze all governmental ... the dissemination of information. + Provides trended reports for operations and clinical management in order to improve performance, collaborates with and acts as a… more
- CVS Health (Sacramento, CA)
- …procedures/services or initiate a Medical Director referral as needed. Assists management with training new nurse reviewers/business partners or vendors ... meet quality and metric expectations. **Required Qualifications** + Registered Nurse (RN) - active license. + 3+ Years of...of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must… more
- CVS Health (Sacramento, CA)
- …/ 8:30am-5pm EST, Monday-Friday.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, ... AHH is URAC accredited in Case Management , Disease Management and Utilization Management...thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted license in their… more