- Fresenius Medical Center (Rancho Cucamonga, CA)
- …related field preferred or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality ... barriers to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders,… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... line operation responsible for the delivery of psychological rehabilitation, case management and/or Psychiatric Emergency Service of the Department of Mental Health… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... to a line operation responsible for delivering psychological rehabilitation, case management , and/or psychiatric emergency services in the Department of Mental… more
- Elevance Health (Walnut Creek, CA)
- …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or ... ** Nurse Reviewer I** Location: Virtual: This role enables...Skills, Capabilities, and Experiences :** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding,… more
- Amergis (Orange, CA)
- …to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and processing requests for ... as those listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral… more
- e CancerCare (Fresno, CA)
- …and up to date and reflect current operations, utilizing PowerDMS for SOP management . Review , negotiate, and approve all study budgets with the assistance ... is responsible and accountable for the daily operations and management of staff, of the research program. Responsible for...execution of the clinical trial development strategy, study contract review , study budget review , negotiation, and in… 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 ... coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules… more
- Dignity Health (Woodland, CA)
- …RN Care Coordinator to coordinate care plans based on the utilization review activities performed by the RN Care Coordinator with compliance of federal ... to participate in performance improvement initiatives related to appropriate patient care management and perform other departmental duties as assigned. The care team… more
- Banner Health (Susanville, CA)
- …initiatives. Articulates and models an emphasis on patient quality and safety. Understands utilization management and case management and their importance to ... progressive leadership development and competency. Must possess licensure as a professional nurse ( RN ) in the state of practice. Proven experience and… more
- Dignity Health (Carmichael, CA)
- …efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality ... ** Nurse Manager of Care Coordination / Case Management ** **Sign On / Relocation Options** As our **...in Nursing or experience equivalent required. + Current CA RN licensure **Sign On / Relocation Options** **Overview** Dignity… more