- Molina Healthcare (Long Beach, CA)
- …Licensed Practical Nurse . **Required Experience** Minimum three years clinical nursing experience. Minimum one year Utilization Review and/or Medical Claims ... Vocational Nurse (LVN) license in good standing. **Preferred Education** Registered Nurse . Bachelor's Degree in Nursing or Health Related Field Master's… more
- BD (Becton, Dickinson and Company) (San Jose, CA)
- **Job Description Summary** This position reports to the Regional Business Manager and supports the Specimen Management business unit. This role observes current ... Practice process optimization in all aspects of clinical laboratory and nursing processes. This service provides clinical effectiveness and enhanced hospital… more
- Dignity Health (Sacramento, CA)
- …emphasis will be on care coordination, communication, and collaboration with utilization management , nursing , physicians, ancillary departments, insurers, ... multiple stakeholders + Professional communication skills. + Understand how utilization management and case management ...healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM),… more
- Dignity Health (Los Angeles, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing , physicians, ancillary departments, insurers ... multiple stakeholders + Professional communication skills. + Understand how utilization management and case management ...healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM),… more
- Dignity Health (Long Beach, CA)
- …emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers ... multiple stakeholders + Professional communication skills. + Understand how utilization management and case management ...healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM)… more
- Dignity Health (Long Beach, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing , physicians, ancillary departments, insurers ... multiple stakeholders + Professional communication skills. + Understand how utilization management and case management ...healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM),… more
- Dignity Health (Glendale, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing , physicians, ancillary departments, insurers ... multiple stakeholders + Professional communication skills. + Understand how utilization management and case management ...healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM),… more
- ICW Group (Sacramento, CA)
- … management and utilization review. + Works closely with Case Management Manager and Director to perform quarterly reporting on program impact/results. + ... AND SKILLS** Understanding of Workers' Compensation, Workers' Compensation Managed Care processes, Utilization Review, Telephonic Nurse Case Management , and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- Please Note: *This position requires prior nursing bedside experience. *Does not require a current RN license. JOB SUMMARY: The Value Analysis Specialist plays a ... crucial role in optimizing cost-efficiency and quality in the procurement and utilization of medical supplies and equipment. This position requires a dedicated… more
- Dignity Health (Merced, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing , physicians, ancillary departments, insurers ... multiple stakeholders + Professional communication skills + Understand how utilization management and case management ...years of nursing experience + Certified Case Manager (CCM), + Accredited Case Management (ACM-RN),… more