- CenterWell (Sacramento, CA)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... unrestricted RN license with the ability to obtain Compact Nursing License + A minimum of three years clinical...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous… more
- Sharp HealthCare (San Diego, CA)
- …; Master's Degree; California Registered Nurse (RN) - CA Board of Registered Nursing ; Certified Case Manager (CCM) - Commission for Case Manager ... will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM.… more
- Prime Healthcare (Lynwood, CA)
- …care nursing experience preferred. At least one year experience in case management , discharge planning or nursing management , preferred.4. Current BCLS ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/rn-case- manager utilization… more
- Sharp HealthCare (San Diego, CA)
- …**FTE** 1 **Shift Start Time** **Shift End Time** Other; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians ... Nurse (LVN) program. + California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing...health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers.… more
- Providence (Mission Hills, CA)
- …strong clinical background combined with well-developed knowledge and skills in Utilization Management , medical necessity, and patient status determination. The ... Utilization Management RN must effectively and efficiently manage a diverse...must empower them. **Required Qualifications:** + Associate's Degree in Nursing . + California Registered Nurse License upon… more
- University of Southern California (Los Angeles, CA)
- …populations. The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and ... Specialized/technical training Graduate of an accredited school of registered nursing + Req 3 years Clinical experience. + Req...+ Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within the… more
- Elevance Health (Walnut Creek, CA)
- ** Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... to 5:05 PM Pacific. Training hours may vary. The ** Utilization Management Representative I** is responsible for...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… more
- University of Southern California (Los Angeles, CA)
- The Nurse Manager holds 24-hour accountability for the quality of patient care, efficiency of operations, and human resources management for area(s) ... experience in a cost-effective manner, while applying evidenced-based leadership and practice. The Nurse Manager is responsible for the provision of safe patient… more
- University of Southern California (Los Angeles, CA)
- The Nurse Manager holds 24-hour accountability for the quality of patient care, efficiency of operations, and human resources management for area(s) ... experience in a cost-effective manner, while applying evidenced-based leadership and practice. The Nurse Manager is responsible for the provision of safe patient… more
- Dignity Health (Northridge, CA)
- …how to quickly get you the care you need. **Northridge Medical Center** **Emergency Services** ** Nurse Shift Manager - Nights 12hrs shift** As an ED Nurse ... **Job Summary and Responsibilities** As an ED Nurse Leader at Dignity Health- Northridge Hospital Medical...quality patient care standards and outcomes based on current nursing research and customer satisfaction. + Assumes responsibility for… more