- HCA Healthcare (Riverside, CA)
- …+ Registered Nurse (RN) with current California license required, Case Management Certification or utilization review preferred + Associate's Degree ... clinical nursing required. Two years experience in case management + InterQual experience preferred Riverside...has a HeartCare Institute that offers both invasive and non -invasive cardiac procedures. Riverside has a Level III Neonatal… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …groups, individual counseling sessions with Substance Abuse Specialist and/or a therapist, case management , transportation, and random drug screening. DUTIES AND ... Medical Director, Clinical Director and MAT AOD Specialist, the Licensed Vocational Nurse (LVN) provides professional nursing services for this residential… more
- CVS Health (Sacramento, CA)
- …procedures/services or initiate a Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners or vendors to ... is Monday - Friday 8am-5pm est.** No travel required. Non -exempt. Hourly. Pay: Bi-weekly. No shift premium. Occasional Overtime...feedback, + Actively cross-trains to perform reviews of multiple case types to provide a flexible workforce to meet… more
- HCA Healthcare (Riverside, CA)
- …or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Riverside Community ... of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for… more
- ERP International (San Diego, CA)
- **Overview** ERP International is seeking a full-time **Registered Nurse (RN)** supporting the **Miramar Branch Health Clinic** associated with **Naval Medical ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Elevance Health (Costa Mesa, CA)
- ** Case Reviewer (NP/PA)** **Carelon Medical Benefit Management ** **Orthopedic Surgery** **Virtual:** This role enables associates to work virtually full-time, ... employment, unless an accommodation is granted as required by law._ The ** Case Reviewer** is responsible for conducting pre-authorization, out of network and… more
- Cedars-Sinai (Los Angeles, CA)
- …and non critical transfer requests. + You will also use your case management and utilization leadership skills to evaluate appropriateness of direct admits ... many reasons we've achieved our fifth-consecutive Magnet designation for nursing excellence. From working with a team of world-class...a diverse and high functioning team, the Transfer Center Nurse is a central contact for all incoming patient… more
- Valero (Wilmington, CA)
- …* Administers OSHA required immunizations and vaccinations. * Performs case management of both work related and non -work related injuries and illnesses. ... required. * 3 years of clinical and/or occupational nursing experience required. * Registered Nurse designation...and/or occupational nursing experience required. * Registered Nurse designation required, with current licensure and in good… more
- Sutter Health (Roseville, CA)
- …fashion. He/She collaborates with patients, families, physicians, the interdisciplinary team, nursing management , quality, ancillary services, third party payers ... accredited school of nursing + Bachelor's in Nursing preferred. **CERTIFICATION & LICENSURE:** + RN-Registered Nurse...A broad knowledge base of health care delivery and case management within a managed care environment.… more
- Sutter Health (Sacramento, CA)
- …into treatment decisions. The ideal candidate will have previous experience in oncology, nurse navigation, or case management , and will demonstrate a ... **Job Description** : **EDUCATION:** Graduate of an accredited school of nursing . **CERTIFICATION & LICENSURE:** RN-Registered Nurse of California BLS-Basic… more