- Molina Healthcare (San Diego, CA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 NIGHT SHIFT 7:30PM...in the USA if they have a valid CALIFORNIA RN license and must work the Pacific Time Zone… more
- Molina Healthcare (San Diego, CA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (CA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- County of El Dorado (Placerville, CA)
- …or Psychiatrist in the State of California, or must be licensed as a Registered Nurse . Mental Health Clinician IB/II: Must possess an appropriate ... to practice as a Licensed Clinical Social Worker, Marriage and Family Therapist, Registered Nurse , Licensed Clinical Psychologist, or Psychiatrist in the State… more
- Centene Corporation (Sacramento, CA)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to...are seeking a Licensed Clinical Behavioral Health Professional or RN to join our team! The ideal candidate will… more
- Centene Corporation (San Diego, CA)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to...Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs,… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $31.50-37.50 Per Hour RN /LCSW/LMFT/LPCC $54.00-64.00 ... and optimize reimbursement for external reviewers/third party payers. The Utilization Review Clinician maintains knowledge of, participates in further training… more
- Datavant (Sacramento, CA)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Elevance Health (Los Angeles, CA)
- RN Medical Management Nurse - California...6pm PST. Rotating Weekends and holidays. The **Medical Management Nurse ** is responsible for review of the ... consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate types, places, or… more
- County of El Dorado (Placerville, CA)
- …or Psychiatrist in the State of California, or must be licensed as a Registered Nurse . Mental Health Program Coordinator IB: In addition to the Master's ... years of post-licensing experience as a mental health therapist, clinician or counselor in a mental health inpatient...Professional Clinical Counselor (LPCC), a Clinical Psychologist, or a Registered Nurse ? Required for IB/II + Yes… more