- 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
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …a team may include Lead Medical Support Assistants, Program Support Assistants (PSA), Registered Nurses ( RN ) and AMSAs. Responsibilities Care in the Community ... co-workers and hospital staff. The duties of this position vary widely requiring utilization of different processes and methods to accomplish this work. The work… more
- Elevance Health (Costa Mesa, CA)
- …Wednesday - Sunday 8am - 5pm PST, this position includes weekends. The Med Mgmt Nurse is responsible for review of the most complex or challenging cases that require ... Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate...experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination… more
- Dignity Health (Santa Maria, CA)
- …consultation on complex cases; appropriateness of care or level of care / utilization activities; liaison to internal and external contacts / committees / programs; ... + Experience with Palliative care and/or Hospice programs is highly desirable. + RN RN Ability to relate and maintain a rapport with all levels of professional… more
- Dignity Health (Woodland, CA)
- …with the RN Care Coordinator to coordinate care plans based on the utilization review activities performed by the RN Care Coordinator with compliance of ... federal state and third party payers. The Social Worker will be required to participate in performance improvement initiatives related to appropriate patient care management and perform other departmental duties as assigned. The care team program improves the… more
- Banner Health (Susanville, CA)
- …progressive leadership development and competency. Must possess licensure as a professional nurse ( RN ) in the state of practice. Proven experience and ... Articulates and models an emphasis on patient quality and safety. Understands utilization management and case management and their importance to the organization.… more
- Sedgwick (Sacramento, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Quality Review Nurse **PRIMARY PURPOSE** : To monitor team and colleague technical and quality ... degree in Nursing (BSN) from an accredited college or university preferred. RN license required. Professional certification such as CCM or CDMS preferred.… more
- Dignity Health (Bakersfield, CA)
- …nursing care to patients on an as needed basis. **Qualifications** **Minimum Requirements:** + Registered Nursing License ( RN ) in state of practice. + Basic Life ... + Schedules nursing staff to specific shifts, taking into account past utilization trends. Measures employee performance. Assists in the training of new staff… more
- HCA Healthcare (Los Gatos, CA)
- …support our colleagues in their positions. Join our Team as an Operating Room Nurse and access programs to assist with every stage of your career. **Benefits** ... and job skills. Apply today for our Operating Room Nurse opening and continue to learn! **Job Summary and...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more