- 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
- 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
- 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
- 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
- Amergis (Rancho Cordova, CA)
- …Amergis Healthcare Staffing is seeking a Supervisor Utilization Management Prior Authorization responsible for analyzing, developing, monitoring and ... healthy outcomes as well as improving patient experience. Minimum Requirements: + Registered Nurse or Licensed Practical Nursing license required + Certified… more
- 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
- 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
- UCLA Fielding School of Public Health (Los Angeles, CA)
- …in Nursing). Candidates are expected to have an Active license to practice as a registered nurse in California, or ability to obtain licensure by date of hire. ... two pages in length and should summarize the candidate's prior accomplishments and future plans. In addition, candidates may...to have an Active license to practice as a registered nurse in California, or ability to… more
- 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
- 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 ... and care management. Conducts initial and concurrent review for prior authorization of higher levels of care...this role with necessary degrees, LMSW, LCSW, LPC, or RN . Minimum 5 years experience post degree in healthcare,… more
Recent Jobs
-
Mental Health Worker
- Carbon Lehigh Intermediate Unit 21 (Lehigh County, PA)