- LA Care Health Plan (Los Angeles, CA)
- …the ability to manage multiple training initiatives simultaneously. Licenses/Certifications Required Licensed Registered Nurse ( RN ) - Active, current and ... performance to department management . Work closely with management to review performance and quality standards...clinical appeals and grievances experience in a managed care, utilization management and/or case management … more
- Evolent (Sacramento, CA)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators...Be Doing:** + Practices and maintains the principles of utilization management and appeals management … more
- Insight Global (Los Angeles, CA)
- …2+ years in a lead or supervisor role EMR system experience valid California Registered Nurse ( RN ) license Current Basic Cardiac Life Support (BLS/CPR) ... Job Description Insight Global is seeking a skilled Registered Nurse Supervisor for a community...preferred. Experience in chronic disease management , case management , utilization management and quality… more
- Sutter Health (San Francisco, 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 (Roseville, CA)
- …**EDUCATION:** 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
- ERP International (San Diego, CA)
- **Overview** ERP International is seeking a temporary ** Registered Nurse ( RN ) Health Educators** supporting **Naval Medical Center San Diego, CA ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- VNA Health (Solvang, CA)
- …+ Competitive Compensation: $56 - 58/hr 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
- ERP International (San Diego, CA)
- …essential. Licensure:** Possess and maintain a current unrestricted license to practice as a registered nurse in any of the 50 States, the District of Columbia, ... **Overview** ERP International is seeking temporary **Perioperative Registered Nurses** in support of the Operating Room at **Naval Medical Center San Diego, CA… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/ rn -case-manager utilization - ... and service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the...an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April… more
- The County of Los Angeles (Los Angeles, CA)
- …squatting. Considerable ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management ... Nurse ? In the County of Los Angeles, a Utilization Review Nurse is an RN that has Case Management experience whose primary charge is to ensure… more