- The County of Los Angeles (Los Angeles, CA)
- CLINIC LICENSED VOCATIONAL NURSE II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3101617) Apply CLINIC LICENSED VOCATIONAL NURSE II ... patients and patient family members concerning patient and family medical history, diet habits, health problems, symptoms, and observed...Two (2) years of experience as a licensed vocational nurse in either an inpatient setting or outpatient care… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR ... hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Elevance Health (Costa Mesa, CA)
- …fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU**...Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (Sacramento, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Quality Review Nurse **PRIMARY PURPOSE** : To monitor team and colleague technical and quality ... + Strong team and customer service orientation + Three Medical , and two dental plans to choose from. +...or health savings account, and other additional voluntary benefits._ \# nurse Sedgwick is an Equal Opportunity Employer and a… more
- Elevance Health (Los Angeles, CA)
- **Telephonic Nurse Case Manager I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is responsible for performing care management within… more
- Sutter Health (San Francisco, CA)
- …management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers ... patient experience. The RN Case Manager works in collaboration with the Physician, Medical Social Worker and bedside RN to assure the timely movement of patients… more
- Sutter Health (Roseville, CA)
- …management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers ... experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and… more
- Sutter Health (Burlingame, CA)
- …management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers ... experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and… more
- Travelers Insurance Company (Diamond Bar, CA)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...returning injured party to work and coordinating the appropriate medical treatment in collaboration with internal nurse … more