- Centene Corporation (Sacramento, CA)
- …everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization ... and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization … more
- Dignity Health (Sacramento, CA)
- …and regulations that govern our facility and as may be required by nursing management to ensure that the highest degree of quality care and cost effectiveness is ... be spent at Bruceville Terrace. **Qualifications** **Minimum Qualifications:** + Current California RN license + Minimum one (1) year of experience in SNF/LTC care… more
- Molina Healthcare (Long Beach, CA)
- …or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have ... with adequate caregiving and functional support, as well as medical and medication oversight as required. + Works with...member focusing on seven primary areas (ToC Pillars): medication management , use of personal health record, follow up care,… more
- Amergis (Mission Hills, CA)
- …patients and ensuring optimumutilization of resources, service delivery, and compliance with medical regime. Minimum Requirements: + Current RN licensure in ... weekend Shift Info: Day 5x8-Hour 08:00 - 16:30 The RN Case Manager is responsible for coordinatingcontinuum of care...state practicing + At least one year of Case Management experience preferred + Current CPR if applicable +… more
- UCLA Health (Los Angeles, CA)
- …academic ED setting to multiple patients of all ages with complex medical conditions. Patient populations include adult, pediatric, psych, geriatric, trauma, STEMI ... seeking a highly-skilled, self-motivated nursing professional with: + Current valid California RN license, required + Graduate of an accredited school of nursing… more
- Prime Healthcare (Inglewood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/221091/charge- nurse %2c- rn dou-4/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Overview AtCentinela Hospital Medical Center, our dedicated team of professionals are...status, ie full-time or part-time. Responsibilities The DOU Charge Nurse is responsible and accountable to the Department Director… more
- Valor Health (Escondido, CA)
- …of the medical record within 24 hours of a patient encounter. + Solicits medical management consult or input when appropriate. + Will comply with all VA ... collaborate with the core PACT Team (Primary Care Provider, RN and Medical Assistant) and expanded PACT...time a week. + Great support system through clinic management peers, HR, Recruiting department, all the way up… more
- Dignity Health (Redding, CA)
- …their support systems with an awareness of cost containment and time management . \# RN @DH **Qualifications** **Required Qualifications:** + 1 year recent acute ... + Associates Degree in Nursing from an accredited school of nursing + California RN license + Verbal and written communication skills and computer skills + BLS and… more
- Dignity Health (Redding, CA)
- …review of codes assigned to a clinical episode of care, ensuring that medical codes assigned conform to legal and procedural requirements. Works collaboratively with ... and the goals and direction of the Performance Improvement Plan (PIP). \# RN @DH \#DH-LI **Qualifications** **Required Education and Experience** **At least 5 years… more
- Emanate Health (Covina, CA)
- …and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by ... indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and level… more