- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light… more
- UCLA Health (Los Angeles, CA)
- …the philosophy and objectives set forth by the Director of Transplant Services, the Nurse Manager for the solid organ transplant program is accountable for the ... QA/PI program. Additional responsibilities include assessing and monitoring medical case management protocols to maintain effective long-term patient management,… more
- Elevance Health (Walnut Creek, CA)
- …**Medical Management Nurse ** is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic ... with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …advise on authorization status and denial risks. + Collaboration: Interact with physicians, case managers and other hospital colleagues in a timely, positive ... TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $31.50-37.50 Per Hour RN /LCSW/LMFT/LPCC $54.00-64.00 Per Hour REPORTS TO: Director of Utilization Review… more
- Edwards Lifesciences (Sacramento, CA)
- …lives. Patients with mitral and tricuspid heart valve disease often have complex conditions with limited treatment options. Our Transcatheter Mitral and Tricuspid ... care + Identify therapy adoption opportunities in collaboration with sales reps and managers in local geographies + Serve as the designated expert on Edwards… more
- J&J Family of Companies (Santa Rosa, CA)
- …Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less ... is a Field Based role reporting to a District Manager . As the OSS you will: + Fulfill sales...+ Experience in hospital and large account sales, understand complex reimbursement and managed care dynamics with a documented… more
- NBC Universal (Universal City, CA)
- …members and vendor partners. Your role, alongside the other team supervisor and manager , is to lead our team of nurses, emergency medical technicians, and ... care to guests and team members of the theme park and entertainment complex . + Support Occupational Health Services: Assist EHS in the implementation and management… more