- Dignity Health (Santa Maria, CA)
- …physician orders and as assigned and supervised by a registered nurse . **Job Details:** **Vocational Nursing Skills** Demonstrates basic technical nursing skills ... **Interacts with Staff** Collaborates, cooperates and coordinates with RN Case Manager/supervisor to assure effective, consistent management of clients. Works… more
- Elevance Health (Los Angeles, CA)
- …a Community Health Worker, Peer Support, Registered agency affiliated counselor, certified nurse assistant or certified medical assistant preferred . + BS/BA ... plan modifications and determines need for additional services, in conjunction with case management and provider. + Coordinates identification of and referral to… more
- Stanford Health Care (Palo Alto, CA)
- …reporting and analysis experience. + ICU/ED and Academic Medical Center experience preferred . + Case management, utilization review and/or direct provider ... - Registered Nurse - State Licensure And/Or Compact State Licensure preferred . **These principles apply to ALL employees:** **SHC Commitment to Providing an… more
- LA Care Health Plan (Los Angeles, CA)
- … Nurse (RN); current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case ... Master's Degree in Social Work for Licensed Clinical Social Workers Education Preferred Bachelor's Degree in Nursing Experience Required: Minimum 3 years of recent… 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 ... Professional Organization Standards. **Qualifications** Educational Requirements: + BSN Degree preferred + Master's Degree preferred License/Certification/Registration Requirements:… 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
- Dignity Health (Bakersfield, CA)
- …appropriate contracts as deemed appropriate. - Identify cases that require additional case management. - Work with appropriate departments and internal staff to ... and every internal and external customer. - Perform all functions of the UM nurse reviewer. - Composes denial letter in a manner consistent with federal regulations,… more
- Trinity Health (Fresno, CA)
- …of autonomy, the RN accepts responsibility and accountability for assigned patients as a case manager to plan, implement and evaluate the care for all chronic wound ... The RN works within the framework of the State Nurse Practice Act and follows all Paradigm (PMM), wound...Provider CPR card is required. 4. WON certification is preferred . 5. CWON certification is preferred . 6.… more
- Dignity Health (Bakersfield, CA)
- …appropriate contracts as deemed appropriate. - Identify cases that require additional case management. - Composes denial letter in a manner consistent with federal ... used for decision-making. - Ensures that there is evidence that the UM nurse reviewer documented communications with the requesting provider to validate the presence… more
- Sharp HealthCare (San Diego, CA)
- …completion of a program for sterile processing/central supply technician ** Preferred Qualifications** + Certified Sterile Processing and Distribution Technician ... - The Certification Board for Sterile Processing & Distribution - PREFERRED **Essential Functions** + CommunicationPerformance Criteria:Reports any malfunctions or… more