- Cedars-Sinai (CA)
- …Southern California! We would be happy to hear from you. With expert surgical and medical proficiency in lung, heart, liver, kidney, and pancreas transplantation, ... team, you will screen initial calls from the OPO, review and manage the EHR candidate wait list, ...as well as interpersonal skills + Demonstrated knowledge of case management required + Experience in data management required… more
- Prime Healthcare (Victorville, CA)
- …community including heart care, emergency services, labor and delivery, surgical services and more. For more information visitwww.DesertValleyHospital.com. Join an ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum… more
- Stanford Health Care (Palo Alto, CA)
- …Position Overview: We are seeking a dedicated Pediatric Emergency Department Nurse Practitioner/Physician Assistant to join our dynamic team at Stanford Health ... Conduct thorough medical screening exams to determine the acuity of each case . o Independently manage lower acuity pediatric patients, providing treatment and… more
- Molina Healthcare (Long Beach, CA)
- …implementation of proactive approaches to improve and standardize overall retrospective claims review . * Ensures core system is updated correctly to process claim.. ... **Job Qualifications** **Required Education** Licensed Vocational Nurse / Licensed Practical Nurse . **Required Experience** Minimum three years clinical nursing… more
- Cedars-Sinai (Beverly Hills, CA)
- …+ For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for continued ... Little More About What You Will be Doing** The Case Manager is responsible for the case ...needs, coordinating care, communicating with health plans, including concurrent review to determine the appropriateness of services rendered and… more
- Stanford Health Care (Palo Alto, CA)
- …APPs. + Ensure clinical competency and adherence to policy through practice analysis and case review of APPs with physicians. + Investigate and respond to ... surgical specialty as a Physician Assistant (PA) or Nurse Practitioner (NP), with a preference for at least...initiatives are completed (eg, C-I-CARE rounds). + Administration: + Review and participate in financial planning and issues for… more
- Dignity Health (San Luis Obispo, CA)
- …+ Must be able to perform case reviews for medical staff peer review and medical and/or surgical Registry Abstraction + One (1) year healthcare-related ... patient experience, efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review , OPPE, FPPE). + Participates… more
- Sharp HealthCare (San Diego, CA)
- …in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for operational ... **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours** **:**… more
- Sutter Health (Oakland, CA)
- …school of nursing Required + BSN Preferred **CERTIFICATION & LICENSURE** + RN-Registered Nurse of California Required + Certified Case Manager (CCM) Preferred. ... team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted… more
- Dignity Health (Santa Cruz, CA)
- …+ Must be able to perform case reviews for medical staff peer review and medical and/or surgical Registry Abstraction + One (1) year healthcare-related ... patient experience, efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review , OPPE, FPPE). + Participates… more