- 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 ... 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to… more
- Prime Healthcare (Ontario, CA)
- …nursing and a current state Registered Nurse license. + Minimum 3 years RN Utilization Manager working for a Health Plan. + At least 3 years of experience ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/211752/ utilization -review-rn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse IV - (Assistant Nurse Manager ) - Labor & Delivery - (L&D) + Oakland, CA + Highland General Hospital + Labor and Delivery + Full Time - Night + ... Management + $73.81 to $103.78 per hour + Req...**SUMMARY** Under general supervision, directs the professional and support nursing personnel and provides individualized, goal-directed nursing … more
- Dignity Health (Bakersfield, CA)
- …Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience. + Ability to ... pass annual Inter-rater reliability test for Utilization Review product(s) used. **Preferred** + Graduate of an...healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM),… more
- ERP International (Twentynine Palms, CA)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management ... (CMP) and ensure that the CMP meets established case management (CM) standards of care. * Provide nursing...Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy… more
- Sutter Health (Goleta, CA)
- …Santa Barbara **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted ... and at the appropriate level of care. Coordinates the utilization management , resource management , discharge...** + Other: Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN-Registered Nurse … more
- Sutter Health (Roseville, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... fashion. He/She collaborates with patients, families, physicians, the interdisciplinary team, nursing management , quality, ancillary services, third party payers… more
- CVS Health (Sacramento, CA)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... in **Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- Sutter Health (Roseville, CA)
- …Administration **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted ... and at the appropriate level of care. Coordinates the utilization management , resource management , discharge...accredited school of nursing + Bachelor's in Nursing preferred. **CERTIFICATION & LICENSURE:** + RN-Registered Nurse… more