- CVS Health (Sacramento, CA)
- …years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + Must have experience using MS Office + Must be willing ... a successful level. The Associate Manager is also responsible for oversight of utilization management nurses including the organization and development of high… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …system and treatment methods, with specific knowledge and skills in areas of risk management , infection control, and utilization review . + Current knowledge ... an accredited school of professional nursing. Must maintain current license as a Registered Nurse , Master's degree preferred. + Minimum of 3 years' experience… more
- Magellan Health Services (San Diego, CA)
- …Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... manage and oversee activities of assigned care support teams. Experience with Care Management flows. Knowledge of utilization management procedures, mental… more
- Veterans Affairs, Veterans Health Administration (Santa Rosa, CA)
- …programs. The AMSA works with multiple Integrative Health providers, including physicians, registered nurse care managers, mental health providers, and allied ... Advanced MSA coordinates with the patient care team to review the clinic utilization by using various...ensure patients are scheduled appropriately. The AMSA coordinates consult management with the RN Care Managers Work… more
- 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... Practitioner** for a full-time position supporting the **Pain Management Clinic** at **Camp Pendleton, CA.** **Be the Best!**… more
- Evolent (Sacramento, CA)
- …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... + Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current,… more
- HCA Healthcare (Thousand Oaks, CA)
- …Care role today!** **Job Summary and Qualifications** The Clinical Nursing Manager is a registered nurse who reports directly to the unit Director or Chief ... review , direct observation, and other methods of quality management . **What qualifications you will need:** + Graduate from...of nursing; BSN desired, MSN preferred. + Current California Registered Nurse License. + Current BCLS and… more
- Molina Healthcare (Oakland, CA)
- …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in Nursing. ... Practical Nurse (LPN) Program **Required Experience** + Minimum two years Utilization Review experience. + Knowledge of audit processes and applicable state… more
- Cedars-Sinai (Los Angeles, CA)
- …approved by the California Board of Registered + Current State of California Registered Nurse and Nurse Practitioner License + National Certification as ... in the inpatient and/or ambulatory setting. + Works with Inpatient Case Management and Inpatient Nursing to support and coordinate hospital discharge by working… more
- Parexel (San Francisco, CA)
- …mitigations and drive resolution with cross-functional stakeholders as part of the Risk Management Plan. + Review and analyze metrics to derive meaningful ... practices like version control and literate programming. + BSN, RN , RPh, Pharm D, PA, MPH, or other applicable...project-level resourcing of staff and staff assignments. + Regularly review and update Data Management resources to… more