- Fresenius Medical Center (Moreno Valley, CA)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Ventura County (Ventura, CA)
- Senior Registered Nurse - QAPI Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4925952) Apply Senior Registered Nurse - QAPI Salary ... with healthcare standards and regulations. Distinguishing Characteristics: The Senior Registered Nurse -Hospital is distinguished from other staff nursing… more
- Cedars-Sinai (Los Angeles, CA)
- …required Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review , Coding, or Case Management required Working knowledge of ... care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician… more
- CVS Health (Sacramento, CA)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... is URAC accredited in Case Management , Disease Management and Utilization Management . AHH...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Sutter Health (Burlingame, CA)
- …: **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire CCM certification ... case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… more
- Sutter Health (Vallejo, CA)
- …+ Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** + ... case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of… more
- Sutter Health (Tracy, CA)
- …+ Other: Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... **Organization:** STCH-Sutter Tracy Community Hosp **Position Overview:** Coordinates the utilization management , resource management , discharge planning,… more
- VNA Health (Santa Barbara, CA)
- …58/hr PLUS a $5,000 sign on BONUS! Job Description: VNA Health is looking for compassionate Registered Nurse Case Managers ( RN CM) to join our Home Health ... care team. The RN CM plans, organizes and directs home care services....directs home care services. Responsibilities: + Responsible for continuous review of all aspects of every patient on his/her… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …nursing degree preferred. + Experience: A minimum of two years of clinical experience in Utilization Review or Case Management is preferred. + Per Diem ... systems required. Must demonstrate knowledge of current utilization management principles, third party payor review requirements, age-specific principles,… more
- Providence (Napa, CA)
- **Description** Care Manager RN - Utilization Review ...case management setting + Upon hire: California Registered Nurse License + 2 years Case ... the utilization of appropriate health care services. Position may require Utilization Management and Discharge Planning, Chronic Disease Case Management … more