- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- CVS Health (CA)
- …years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of Appeals experience in Utilization ... **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This position is responsible for the development and… more
- Prime Healthcare (Chino, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226811/case- manager -%28rn%29 utilization - ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute… more
- Actalent (Santa Barbara, CA)
- Remote Utilization Management RN Leading...and helpful team + Fully remote!! REQUIREMENTS: + California Registered Nurse ( RN ) and/or ... working as soon as possible! Description: + REMOTE + RN with experience in providing Case Management ...such as Mental/Behavioral Health services. Skills: Care plans, Case Manager , Pediatrics, Utilization Management , Clinical… more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The… more
- Molina Healthcare (Los Angeles, CA)
- …experience. * At least 1 year of health care management leadership experience. * Registered Nurse ( RN ). License must be active and unrestricted in state ... services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term… more
- Fresenius Medical Center (Bellflower, CA)
- …care pre, during and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques ... This is a full time RN role for our surgery center in Bellflower,...adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other… more
- Fresenius Medical Center (Newport Beach, CA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Fresenius Medical Center (Pasadena, CA)
- …departments. + Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program. + Maintains integrity of ... Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. +… more
- Fresenius Medical Center (San Bernardino, CA)
- …Services departments. Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program. * Maintains integrity of ... Classification of Disease (ICD) coding. *Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.… more
Recent Jobs
-
HVAC Automation & Controls Technician
- Legend Biotech USA, Inc. (Raritan, NJ)
-
RN OR Specialty FT Days
- Tenethealth (Phoenix, AZ)
-
Production Supervisor: 2nd Shift
- Repligen (Clifton Park, NY)
-
Senior Director, Clinical Research, Atherosclerosis
- Merck & Co. (Rahway, NJ)