- ERP International (Camp Pendleton, CA)
- …and Neonatal Specialties). Licensure:** Current, full, active and unrestricted license as a Registered Nurse Security** : Must possess ability to pass a ... **Overview** ERP International, LLC is seeking a ** Nurse Practitioner** for a full-time position supporting the...and report equipment failures and inadequacies. + Promote economical utilization of equipment, supplies and be cost conscious when… more
- Centene Corporation (Sacramento, CA)
- …perspective on workplace flexibility. Job Description Remote position. Must work PST ** RN -Must hold a current CA license.** **Must have** **2-4 years related** ... taken on member medical records in health management systems according to utilization management policies and guidelines + Works with healthcare providers to approve… more
- Sharp HealthCare (Coronado, CA)
- …nurse for follow up.Asks assistance from Clinical Leads and/or Charge Nurse or their designee for extraordinary room utilization .Informs appropriate ... other area of expertise. **Essential Functions** + Collect and compile utilization dataDocument collection efforts and results in ADT.Follows department guidelines… more
- Actalent (Sacramento, CA)
- Utilization Review Nurse (LVN) - InpatientPrimary...accredited school of nursing. + MUST have LVN or RN ACTIVE CA License + Active and valid California ... (eg, med-surg, telemetry, ICU). + At least 1 year of experience in utilization review, case management, or hospital discharge planning preferred + Familiarity 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
- Humana (Sacramento, CA)
- …supporting provider performance, and coordinating with cross-functional teams to drive quality, utilization , and cost-of-care outcomes. At the core, this is a role ... MRA, chronic condition management, and other efforts to reduce avoidable utilization * Supporting Joint Operating Committees (JOCs) and facilitating implementation… more
- Amergis (Orange, CA)
- …help support a health insurance agency! The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and processing requests for ... Qualifications: + Current California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of clinical experience required;… more
- Veterans Affairs, Veterans Health Administration (Ukiah, CA)
- Summary The Intermittent Licensed Vocational Nurse /Practical Nurse (LVN/LPN) has a broad degree of practical nursing knowledge and skills. The LVN/LPN will care ... elevation of abnormal tests and reporting any deviations from normal to RN or MD/DO. Recognizes deviations from patient's baseline. Demonstrates ability to respond… more
- Veterans Affairs, Veterans Health Administration (Eureka, CA)
- …elevation of abnormal tests and reporting any deviations from normal to RN or MD/DO. Recognizes deviations from patient's baseline. Demonstrates ability to respond ... leadership by involving others in improving care. Identifies and assesses resource utilization and safety issues, taking appropriate action. Work Schedule: Hours may… more
- CenterWell (Sacramento, CA)
- …**Use your skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN ) with no disciplinary ... our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical… more