- 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,...procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with… more
- 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
- Elevance Health (Costa Mesa, CA)
- …or case management experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of education ... 5pm PST, this position includes weekends. The Med Mgmt Nurse is responsible for review of the most complex...not be receiving appropriate type, level, or quality of care , eg, if services are not in line with… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …*This position requires prior nursing bedside experience. *Does not require a current RN license. JOB SUMMARY: The Value Analysis Specialist plays a crucial role in ... optimizing cost-efficiency and quality in the procurement and utilization of medical supplies and equipment. This position requires a dedicated professional who can… more