- Ventura County (Ventura, CA)
- …and patient care as indicated and required. + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments. + ... Registered Nurse II - Hematology Oncology (Regular & Per...or equivalent setting, or completion of the Ventura County Medical Center competency requirements* as evaluated and approved by… more
- Select Medical (Los Angeles, CA)
- …and professional growth of the Department including yet not limited to Utilization Review (UR) and resource management, discharge planning, treatment plan ... **Overview** **California Rehab Institute** A Joint Venture with Cedars, UCLA, and Select Medical Century City / Los Angeles, CA Director of Case Management - Full… more
- CVS Health (Sacramento, CA)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management...**Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a ** Nurse Practitioner** for a full-time position supporting the **Pain Management Clinic** at **Camp Pendleton, CA.** ... Paid Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays!** Medical /Dental/Vision, STD/LTD/Life, and Health Savings Account available!** Annual CME Stipend and… more
- Sutter Health (Burlingame, CA)
- …and case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the… more
- Dignity Health (Northridge, CA)
- …**Join Us as an ED Nurse Leader at Dignity Health - Northridge Hospital Medical Center: Shape Emergency Care in Our Community!** As an ED Nurse Leader at ... Advanced Midlevel Providers, and specialized staff. Together, you'll deliver not just excellent medical care, but also the crucial element of human kindness to every… more
- Cedars-Sinai (Los Angeles, CA)
- …outpatient clinic. + Develops collaborative relationships with members of the Medical Staff to gain support for value-based programs, encourage patient participation ... plans to track outcomes for patients in value-based programs, including utilization , cost, efficiency, and appropriateness metrics, as well as clinical outcomes.… more
- Fresenius Medical Center (San Bernardino, CA)
- …Manager to oversee the facility's Home Therapies Program. * Maintains integrity of medical and operations records and complies with all data collections and auditing ... activities. *Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. *Manages clinic financials including… more
- Sutter Health (San Francisco, CA)
- …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some awareness ... team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and… more
- HCA Healthcare (Los Gatos, CA)
- …satisfaction and personal growth, we encourage you to apply for our Operating Room Nurse PRN opening. We review all applications. Qualified candidates will be ... have the PRN career opportunities as an Operating Room Nurse PRN you want with your current employer? We...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more