- CVS Health (Sacramento, CA)
- …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** **Shift schedule is ... of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS...**Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in… more
- Cedars-Sinai (CA)
- …a condition of continued employment. **Req ID** : 11005 **Working Title** : Registered Nurse - Lung Transplant Coordinator - Remote ON CALL **Department** : Lung ... happy to hear from you. With expert surgical and medical proficiency in lung, heart, liver, kidney, and pancreas...hope for a longer, healthier life. **This is a remote on-call position with a 24-hour shift schedule (7:00am… more
- CVS Health (Sacramento, CA)
- …skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and ... Occasional Overtime may be required. This position will be remote working from home anywhere in the US. **Position...Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. +… more
- Centene Corporation (Sacramento, CA)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... competitive benefits including a fresh perspective on workplace flexibility. Job Description Remote position. Must work PST **RN-Must hold a current CA license.**… more
- Centene Corporation (Sacramento, CA)
- …with quality, cost efficiency, and are within compliance. + Performs a clinical review of post-care services by reviewing medical records against guidelines and ... of services, to identify quality of care issues, and if identified, refer to the Medical Director or provider for review and verification + Consults with senior… more
- Cedars-Sinai (Marina Del Rey, CA)
- …given **Req ID** : 11091 **Working Title** : Patient Safety Specialist (Registered Nurse ) - Medical Affairs, Full-time (Hybrid) **Department** : QA Risk ... the role will transition to a **hybrid schedule** , allowing for **1-2 remote workdays per week** , depending on departmental needs. The **Patient Safety… more
- CVS Health (Sacramento, CA)
- …high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key Responsibilities** + ... Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care… more
- Veterans Affairs, Veterans Health Administration (Santa Maria, CA)
- …in providing care to variable patient populations. Completed work needs only a general review by a registered nurse (RN) or physician (ND/DO) for appropriateness ... System is seeking 1 experienced full time Licensed Vocational Nurse (LVN) in Nursing Service for it's CBOC Santa...a hospital, outpatient clinic, nursing home, or other supervised medical , nursing, or patient care facility that provided a… more
- Evolent (Sacramento, CA)
- …mission with a company behind it. **What You'll Be Doing:** As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer, Nurse , you will routinely interact with leadership and management staff,… more
- Veterans Affairs, Veterans Health Administration (Ukiah, CA)
- …store-and-forward) palpitation, auscultation, collecting vital signs. Incumbent performs retrospective medical review of non-VA health care records to ... Refers complex cases to the CCRNs for more in-depth review . Analyzes submitted medical documentation to ensure...unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or Commonwealth (ie, Puerto… more