- Dignity Health (Santa Cruz, CA)
- …PURPOSE** The primary function of the Quality/Patient Safety Program Manager Clinical License is to support, coordinate, and facilitate the quality management (QM), ... patient experience, efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review, OPPE, FPPE). + Participates in an integral… more
- Cedars-Sinai (Los Angeles, CA)
- …one of the nations premiere academic leaders in the field is looking for a nurse leader to join our expert team. Interested in using your experience in clinical care ... needed. **Qualifications** **Qualifications:** Education: + GED or Highschool Diploma ** License /Certifications:** + Current, unrestricted California LVN License … more
- Travelers Insurance Company (Irvine, CA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. + ... activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. +… more
- LA Care Health Plan (Los Angeles, CA)
- …Required Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse (RN); current and unrestrited California ... Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light Additional… more
- Travelers Insurance Company (Diamond Bar, CA)
- …insured based on application of policy information, facts or allegations of each case . Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates ... to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to...referred timely to next level claim professional or Major Case Unit. + Appropriately deals with information that is… more
- Cedars-Sinai (CA)
- …A true leader strives to inspire-and at Cedars-Sinai, that's exactly what our Nurse Managers do. They've got a strong combination of clinical skills, management ... Requirements: + BSN Degree preferred + Master's Degree preferred License /Certification/Registration Requirements: + BLS and ACLS from American Heart Assoc.… more
- Magellan Health Services (Fort Irwin, CA)
- …Family centered developmental approach. + Keeps tracking system up to date with case status. + Participates in monthly conference calls and annual training events. ... medical social work. Must hold a current and active license as an LCSW, LMFT or RN. Licensed Clinical...Family Therapist - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care MgmtCare… more
- CVS Health (Sacramento, CA)
- …Manager role includes: -Collaborate with an interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social workers) to ... for pharmacy benefit and precertification related issues. -Participates in case conferences, grand rounds, and plan sponsor requested formal clinical… more
- Scripps Health (San Diego, CA)
- …experience including Spine, Ortho, General, Urology, and Vascular * California Registered Nurse License * Current American Heart Association BLS provider ... Job Title * Transfers to other locations will be reviewed on a case -by- case basis and may result in forfeiting remaining incentive bonus unless specifically… more
- Providence (Anaheim, CA)
- …+ Graduate of an accredited school of nursing. + Upon hire: California Registered Nurse License . + 3 years Clinical experience in an HMO, medical group, ... or + Master's Degree in Related field. + Upon hire: Certification in Case Management (CCM, ACM) + Upon hire: Specialty Certification in Oncology, Rehab, Pediatrics,… more