- Elevance Health (Costa Mesa, CA)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the… more
- Sutter Health (Burlingame, CA)
- …quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and ... experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and… more
- Sedgwick (Sacramento, CA)
- …review process including making a recommendation of specialty for the Independent Medical Review process. + Developing and delivering training materials and ... Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20...the following: + Conducting reviews on cases where the nurse is seeking treatment plan clarification, claim … more
- CVS Health (Sacramento, CA)
- …for guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on ... coding reviews and resolve intricate issues with sensitivity, including claim reviews for legal, compliance, or rework projects. +...projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR NURSING INSTRUCTOR (EMERGENCY MEDICAL SERVICES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3309230) Apply SENIOR NURSING ... INSTRUCTOR (EMERGENCY MEDICAL SERVICES) Salary $122,010.72 - $182,634.24 Annually Location Los Angeles County, CA Job Type Full time Job Number Y5216P Department… more
- Veterans Affairs, Veterans Health Administration (Menlo Park, CA)
- …CLCs on relevant facility committees Oversees hiring, credentialing, privileging, and peer review processes for physicians and nurse practitioners working in the ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Dignity Health (Long Beach, CA)
- **Responsibilities** **Position Summary:** Our ideal candidate will be a Registered Nurse (RN) with experience in patient safety or risk management for a general ... Manager of Patient Safety and Risk at St. Mary Medical Center, you will oversee the facility's Patient Safety...outcomes, and safer patient care. You will also coordinate claim team requests and collaborate with other key stakeholders… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency...of another member of the team, such as the nurse or cardiovascular technician, when that member is unavailable.… more
- The County of Los Angeles (Los Angeles, CA)
- …staff when assigned to a district office, providing technical and administrative review of reports submitted pertaining to areas affecting the quality of total ... and evaluates the activities of survey teams providing technical and administrative review pertaining to areas affecting total patient care such as nursing,… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as… more