- CenterWell (San Diego, CA)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Veterans Affairs, Veterans Health Administration (Santa Rosa, CA)
- …the health care team functioning under the guidance, supervision and direction of the Registered Nurse ( RN ) completing nursing procedures as assigned by the ... and skills. The LVN/LPN will care for adults psychiatric, medical , and geriatric patients at the South Santa Rosa... RN or Nurse Manager. Uses guidelines or receives direction in selecting… more
- LA Care Health Plan (Los Angeles, CA)
- …the ability to manage multiple training initiatives simultaneously. Licenses/Certifications Required Licensed Registered Nurse ( RN ) - Active, current and ... Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Department: CSC Appeals &...clinical unit. This position is responsible for the quality review of complex and/or escalated clinical A&G cases for… more
- Dignity Health (Rancho Cordova, CA)
- …or Case Manager role. - Associates of Nursing degree. - Clear and current CA Registered Nurse ( RN ) license. - Comprehensive knowledge of care management and ... planning activities, patient advocacy, clinical social work and best practice in medical necessity determination and concurrent review . This position will… more
- Prime Healthcare (Victorville, CA)
- …Voluntary Benefit Options! (https://www.primehealthcare.com/careers/benefits/) Responsibilities The Case Manager Registered Nurse (CMRN) works collaboratively as ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the...of illness. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current state Registered Nurse license. 2. One year work… more
- Cedars-Sinai (Marina Del Rey, CA)
- …us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded...+ Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for… more
- University of Southern California (Arcadia, CA)
- …Work Experience Minimum (Required) 5 years recent RN experience as an ER Registered Nurse Licenses and Certifications Minimum (Required) * A current RN ... staff, patients and families. Works in collaboration with the medical and hospital staff to provide multidisciplinary care of...for selected topics. + Participates in the formulation and review of policies and procedures, standards of care, and/or… more
- HCA Healthcare (Riverside, CA)
- …Nurses at Riverside Community Hospital! **Job Summary and Qualifications** The High Risk Perinatal Registered Nurse Functions as a member of patient care team in ... your next step in your career path, we encourage you to apply for our RN High Risk Perinatal Unit opening. We review all applications. Qualified candidates will… more
- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... to an alternative level of care. As more complex medical treatment options emerge the Case Manager will look...the Case Manager overlap into inpatient duties including: Concurrent review of all patients to validate that the appropriate… more
- Ventura County (Ventura, CA)
- …Health Care Agency - Ventura County Medical Center/Santa Paula Hospital Registered Operating Room Nurse is represented by the California Nurses' Association ... Prepares the patient for the procedure, which includes reviewing medical records & history, patient assessment, review ...possess and maintain a current, valid license as a Registered Nurse issued by the State of… more