- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Dignity Health (Rancho Cordova, CA)
- …Summary:** Under the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable ... Guidelines InterQual Health Plan Benefit Interpretation Guidelines and Medical Management Policies and DHMF Utilization Management...or experience equivalent required. - Clear and current CA Registered Nurse ( RN ) license. -… 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...Supervisor Pay - $4.00 per hour + Charge Nurse Premium Pay - $2.50 per hour + Float… 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
- Fresenius Medical Center (Los Angeles, CA)
- …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... Sign On Bonus + This is a Full Time RN need in our Los Angeles, CA surgery center....adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other… more
- Cedars-Sinai (Los Angeles, CA)
- …care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician ... of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required...for Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist -… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print...An Utilization Review Nurse is an RN that has Case Management experience whose primary ... ? In the County of Los Angeles, a Utilization Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that the care… more
- Sharp HealthCare (Coronado, CA)
- …Certification (Advanced Cardiac Life Support) - American Heart Association; Bachelor's Degree; California Registered Nurse ( RN ) - CA Board of Registered ... as needed **What You Will Do** To provide effective management of operations for the hospital and administration during...Qualifications** + Three years recent clinical experience + California Registered Nurse ( RN ) - CA… more
- Sutter Health (Tracy, CA)
- …+ Graduate of an accredited school of nursing. **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... STCH-Sutter Tracy Community Hosp **Position Overview:** Provides leadership and management support in planning, organizing, staffing and controlling the operational… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …to the Director of Case Management + Plan, organize and deliver utilization management activities for BOP patients through the LVCHO including authorization ... of services + Deliver utilization management services and social service activities...visitors. Position Qualifications: + Education: Current California license as Registered Nurse . Bachelors in nursing degree preferred.… more