- Elevance Health (Walnut Creek, CA)
- ** Nurse Reviewer I** Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... to work weekends if necessary. New Grads are encouraged to apply! The ** Nurse Reviewer I** will be responsible for conducting preauthorization, out of network and… more
- Sharp HealthCare (San Diego, CA)
- …Association; California Registered Nurse ( RN ) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... business practices. **What You Will Do** The Clinical Case Manager 's (CCM) role is to be a patient advocate...health care promotion programs and/or community development. + California Registered Nurse ( RN ) - CA… more
- Elevance Health (Costa Mesa, CA)
- …Wednesday - Sunday 8am - 5pm PST, this position includes weekends. The Med Mgmt Nurse is responsible for review of the most complex or challenging cases that require ... Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate...experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination… more
- CenterWell (Sacramento, CA)
- …**Use your skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN ) with no disciplinary ... caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge,...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Magellan Health Services (San Diego, CA)
- …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... 8:30-5pm pacific. + A California active independent behavioral health or RN (with psychiatric/behavioral health) licensure is required. + CEAP requirement does… more
- CVS Health (Sacramento, CA)
- …in state of residence + 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + Must have experience using MS ... team is producing at a successful level. The Associate Manager is also responsible for oversight of utilization... Manager is also responsible for oversight of utilization management nurses including the organization and development of… more
- HCA Healthcare (Thousand Oaks, CA)
- …Manager of Critical Care role today!** **Job Summary and Qualifications** The Clinical Nursing Manager is a registered nurse who reports directly to the ... and the United Kingdom. We are looking for a Manager of Critical Care for our Los Robles Regional...of nursing; BSN desired, MSN preferred. + Current California Registered Nurse License. + Current BCLS and… more
- The County of Los Angeles (Los Angeles, CA)
- …university. -AND- Four years of experience in nursing management at the level of Nurse Manager ** or higher in a clinical environment. LICENSE AND CERTIFICATION ... applicants must have a license to practice as a Registered Nurse issued by the California Board...Requirements. ** In the County of Los Angeles, a Nurse Manager administers an assigned nursing program… more
- Magellan Health Services (San Diego, CA)
- …Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... is required for this role with necessary degrees, LMSW, LCSW, LPC, or RN . Minimum 5 years experience post degree in healthcare, behavioral health, psychiatric and/or… more
- Sharp HealthCare (San Diego, CA)
- …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... and implements new programs under the direction of the manager of in-patient care management and the Director of...experience, preferably in a managed care setting + California Registered Nurse ( RN ) - CA… more