- Sharp HealthCare (San Diego, CA)
- …+ 3 Years case management, utilization review , care coordination experience. + California Registered Nurse ( RN ) - CA Board of Registered Nursing ... Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA...Cycle/HIM regarding RAC decision to appeal, denials, input into appeals , share findings with providers. Review all cases… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** 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...Cycle/HIM regarding RAC decision to appeal, denials, input into appeals , share findings with providers. Review all cases… more
- The County of Los Angeles (Los Angeles, CA)
- …when needed to carry out job-related essential functions. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing** ... disciplinary problems. Other positions are assigned such functions as: review and analysis of State, Federal and local legislation...Certificate Section of the application is completed for the Registered Nurse License. Provide the title of… more
- Sacramento County (Sacramento, CA)
- …Psychiatrist, Psychologist, Licensed Clinical Social Worker, Marriage and Family Therapist, or Registered Nurse . AND Either: Two years of experience coordinating ... a Psychiatrist, Psychologist, Licensed Clinical Social Worker, Marriage Family Therapist, or Registered Nurse . Note: Failure to maintain a required license may… more
- Sacramento County (Sacramento, CA)
- …the State of California to practice as a: Either: 1. Psychiatric Technician Or: 2. Registered Nurse Or: 3. Vocational Nurse Note: The word "experience" ... improperly rejected may request the Employment Services Division to review its decision to reject the application. If the...hold to practice in: + Psychiatric Technician + Vocational Nurse + Registered Nurse +… more
- Alameda Health System (Oakland, CA)
- …nursing background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Preferred ... development and implementation of quality improvement initiatives. + Oversees the secondary review process; actively appeals denied cases when necessary and… more
- Sacramento County (Sacramento, CA)
- …Employment Qualifications Minimum Qualifications Possession of a current valid license as a Registered Nurse and a Nurse Practitioner certification issued by ... improperly rejected may request the Employment Services Division to review its decision to reject the application. If the...must submit a copy of both my current valid Registered Nurse license AND my Nurse… more
- Actalent (Rancho Cordova, CA)
- Utilization Review Nurse About the Role We're looking for a Utilization Review (UR) Nurse to join our team and support high‑quality, cost‑effective ... clinical information when needed + Support denial management, including appeals and peer‑to‑peer review processes + Ensure...to case management as appropriate Qualifications + Active CA RN license in good standing + 2-3 years of… more
- Sacramento County (Sacramento, CA)
- …status. + None + Basic Life Support (BLS) / Cardiopulmonary Resuscitation (CPR) + Registered Nurse in California + Advanced Cardiac Life Support + Certified ... Licensed Vocational Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448956) Apply Licensed Vocational Nurse D/CF Salary… more
- University of Southern California (Arcadia, CA)
- …impact DRG assignments. + Minimum of three years' experience in clinical disciplines ( RN , MD, FMG) or utilization review /case management in an acute care ... and other clinical staff. + Meets established productivity targets for record review and appropriate query placement. + Demonstrates working knowledge of ICD-10 CM… more