- Molina Healthcare (Sacramento, CA)
- …relevant education and experience or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), * Ability to manage conflict and ... California Registered Nurse .** JOB DESCRIPTION Job Summary...in some or all of the following functions: care management , utilization management , behavioral health,… more
- Dignity Health (Rancho Cordova, CA)
- …of Nursing degree. - Clear and current CA Registered Nurse ( RN ) license. - Comprehensive knowledge of care management and discharge planning, Medicare ... Joint Commission standards. **Preferred Qualifications:** - Accredited Case Manager, Case Management Nurse , and/or Certified Case Manager preferred. - Bachelors… more
- Sharp HealthCare (San Diego, CA)
- …Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... RN experience in related clinical area. + California Registered Nurse ( RN ) - CA...related to front desk responsibilities including scheduling and telephone management . Acts as a positive role model and ensures… more
- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... populations. The role integrates the functions of complex case management , utilization management , quality ...status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning… more
- 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 ... Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Department: CSC Appeals &...clinical appeals and grievances experience in a managed care, utilization management and/or case management … more
- Sutter Health (Saratoga, CA)
- …+ Other: Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... Care at Home - Bay **Position Overview:** An experienced RN who is responsible for the overall management...the established plan of patient care and ensuring effective management of visit utilization and control of… more
- Sutter Health (Santa Rosa, CA)
- …**EDUCATION:** Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California BLS-Basic Life Support Healthcare ... at Home - Outer Bay **Position Overview:** An experienced RN who is responsible for the overall management...the established plan of patient care and ensuring effective management of visit utilization and control of… more
- CommonSpirit Health (Rancho Cordova, CA)
- …leading up to or including supervisory role highly preferred + Experience in Utilization Management , Case Management or Care Coordination, Managed Care ... **Job Summary and Responsibilities** **I** **CU** ** RN , Emergency Room RN or Level...Logistics Clinical Coordinator, also known as the Patient Logistics Supervisor , supervises the transfer center and patient placement activities… more
- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, Managed ... **Job Summary and Responsibilities** **ICU RN , Emergency Room RN or Level...for Dignity Health Facilities. The position functions as the supervisor during their assigned shift to support the department… more
- Sutter Health (Roseville, CA)
- …+ Other: Graduate of an accredited school of nursing. **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... maintained at all times in alignment with mission, goals and objectives. Management and leadership skills needed include conflict management , negotiation, team… more
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