- Alameda Health System (Oakland, CA)
- …nursing background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Preferred ... Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + FTE:1 +… more
- CVS Health (Sacramento, CA)
- …demonstrated ability to make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted license in their state ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- Actalent (Santa Barbara, CA)
- …or holidays) We're seeking a detail-oriented and compassionate Registered Nurse to join a high-performing Utilization Management team supporting outpatient ... Utilization Management Nurse ( RN ) - Santa Barbara, CA Hourly Rate: $50-$53/hr Location: On-site in Santa Barbara, CA Schedule: Full-time, Monday-Friday (no… more
- Centene Corporation (Sacramento, CA)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...to members and their families regrading ABA and BH utilization process + Provides feedback to leadership on opportunities… more
- CVS Health (Sacramento, CA)
- …without personal distractions to meet quality and metric expectations. **Required Qualifications** + Registered Nurse ( RN ) - active license. + 3+ Years ... referral as needed. + Assists management with training new nurse reviewers/business partners or vendors to include initial and...of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must… more
- The County of Los Angeles (Los Angeles, CA)
- …degree in psychiatric nursing. LICENSE: A copy of a current, active, valid, and unrestricted Registered Nurse license issued by the State of California Board of ... whose qualifying experience had been acquired outside of California must provide their registered nurse license information from that state in the License… more
- Sharp HealthCare (La Mesa, CA)
- …**Job Status** Regular **Shift** Night **FTE** 0.9 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered ... clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA...standards. May participate in the process of evidence-based research utilization . Demonstrates critical thinking skills. Serves as a role… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure and/or Compact ... seasoned, here is your opportunity to work with a unique and supportive team. Our RN Case Managers work with multidisciplinary teams. You can become part of a team… more
- HCA Healthcare (Thousand Oaks, CA)
- …our RN Case Manager II opportunity. **Job Summary and Qualifications** The Registered Nurse ( RN ) Case Manager is responsible for promoting ... from any other healthcare provider. We are seeking an RN Case Manager II to join our healthcare family....Diploma required. BSN preferred. + Currently licensed as a Registered Nurse in the state of California… more
- CenterWell (Sacramento, CA)
- …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... a team that focuses on excellent service to others. **Required Qualifications** + Active RN license + Possession of or ability to obtain Compact Nursing License + A… more