• Advanced Registered Nurse

    STG International (Corona, CA)
    …and in accordance to their need and learning capacity. + Assists the Registered Nurse to ensure all patient information on electronic encounter documentation ... STGi is currently seeking a Nurse Practitioner (NP) or Physician Assistant (PA) to...Scope of Practice/Collaborative Agreement with a state licensed physician prior to delivery of health care). + Current and… more
    STG International (05/16/25)
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  • RN Supervisor UM Prior Auth

    Dignity Health (Rancho Cordova, CA)
    …skills. - Graduate of an accredited school of nursing. - Clear and current CA Registered Nurse ( RN ) license. **Preferred Qualifications:** - 7 years UM ... and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is… more
    Dignity Health (04/17/25)
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  • Per Diem RN - Case Management - Sharp…

    Sharp HealthCare (La Mesa, CA)
    …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... care nursing experience or case management experience. + California Registered Nurse ( RN ) - CA...services are directed to appropriate network providers, and obtains prior authorization for in network and out… more
    Sharp HealthCare (05/30/25)
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  • Hospital Admitting RN - PT Varied Shifts…

    Guidehouse (Los Angeles, CA)
    …Required** **:** None **What You Will Do** **:** The **Hospital Admitting Registered Nurse PART** **TIME, varied shiftts** will facilitate patient medical ... to assist in resolving difficulties surrounding patient access and authorization of services. **This position is ONSITE at MLK...prior relevant experience, 2 of the years as RN + Graduation from an accredited school of nursing.… more
    Guidehouse (05/03/25)
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  • UM LVN Delegation Oversight Nurse Remote…

    Molina Healthcare (Long Beach, CA)
    …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in nursing. ... **JOB DESCRIPTION** **Job Summary** The **Delegation Oversight Nurse ** is responsible for ensuring that Molina Healthcare's...be a good fit for this position. Strong UM Prior Authorization experience highly preferred. Further details… more
    Molina Healthcare (05/29/25)
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  • Care Review Clinician, Inpatient Review…

    Molina Healthcare (San Diego, CA)
    …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
    Molina Healthcare (05/07/25)
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  • Case Manager I (Transition Planning) -Case…

    Sharp HealthCare (La Mesa, CA)
    …Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...services are directed to appropriate network providers, and obtains prior authorization for in network and out… more
    Sharp HealthCare (05/30/25)
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  • Tenure track Assistant Professor

    UCLA Fielding School of Public Health (Los Angeles, CA)
    …Requirements: * Current licensure (or eligible for licensure) in California as a registered nurse * Evidence of an established independent research program or ... employment reference checks involve contacting the finalists' current and prior places of employment to ask whether there have...(or eligible for current licensure) in California as a registered nurse * Evidence of an established… more
    UCLA Fielding School of Public Health (04/18/25)
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  • Psychiatric Technician III

    The County of Los Angeles (Los Angeles, CA)
    …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... Psychiatrists in completing and checking for accuracy on Treatment Authorization Request (TAR) and Prior Authorization (PA) forms. + Promptly responds to… more
    The County of Los Angeles (04/07/25)
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  • Patient Services Specialist

    Providence (Anaheim, CA)
    …+ 1 year Home health agency/home infusion experience. + Upon hire: Licensed Vocational Nurse or Registered Nurse License. **Why Join Providence?** Our ... daily new referral patient benefits verification. Obtain all necessary authorization for all services being performed. Notification of financial responsibility… more
    Providence (05/31/25)
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