- Sharp HealthCare (La Mesa, CA)
- …3 Years Recent acute care nursing experience or case management experience. + California Registered Nurse ( RN ) - CA Board of Registered Nursing ... Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA...the department head as indicated. + Utilization review and utilization managementThe RN … more
- Actalent (Rancho Cordova, CA)
- Utilization Review Nurse About the...Identify care coordination needs and refer cases to case management as appropriate Qualifications + Active CA RN ... Role We're looking for a Utilization Review (UR) Nurse to join our team...2-3 years of clinical experience in prior authorization, case management , or utilization management +… more
- Stanford Health Care (Palo Alto, CA)
- …experience. + ICU/ED and Academic Medical Center experience preferred. + Case management , utilization review and/or direct provider interaction experience, ... Health Care **What you will do** + Responsibility for management and optimization of the positive relationships between CDI...Document Spec . + CCDS-O or CDIP . + Nursing\ RN - Registered Nurse -… more
- The County of Los Angeles (Los Angeles, CA)
- …the following: + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT ... CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board...of staff, and evaluating employee performance. For this examination, Utilization Review is defined as provides technical… more
- Cedars-Sinai (CA)
- …us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic ...like family. **Req ID** : 10481 **Working Title** : RN Case Manager - Case Management (ED)… more
- Cedars-Sinai (Marina Del Rey, CA)
- …for a $5,000 Employee Referral Bonus **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic ...\#LI-On-site \#Jobs-Indeed **Req ID** : 14043 **Working Title** : RN Case Manager - Case Management -… more
- University of Southern California (Arcadia, CA)
- …Education: Bachelors Degree Nursing Minimum Skills: Possess basic computer skills. Required Certifications: Registered Nurse - RN (CA Board of Registered ... outside referring physicians andmedical groups.* Communicates with insurance company utilization review and authorization personnel.* Gathers and...RN experience in assigned area of Nursing. A registered nurse with current RN … more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + CA- RN ( Registered Nurse ) required **These principles apply to ALL ... responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** As a Utilization Management RN , you will be crucial in ensuring accurate and compliant medical necessity decisions. Your ... . You'll work closely with both Pre-Service and In-Patient Utilization Management teams to ensure appropriate and... RN Program. - Clear and current CA Registered Nurse ( RN ) license. -… more
- Dignity Health (Northridge, CA)
- …Customer Service: A commitment to providing excellent customer service. **Job Requirements** + CA Registered Nurse ( RN ) License required. + Minimum of 3 ... **Job Summary and Responsibilities** Are you a passionate and dedicated Registered Nurse looking to truly impact patients' lives? As an ** RN Care… more