- CCHP Public Portal (San Francisco, CA)
- …Performs other duties as assigned by the Medical Director. Qualifications An active CA Registered Nurse license with a minimum of a Bachelor's degree or ... regulatory agencies as well as audits for several health plans for delegated UM functions and develops and monitors corrective action plans. Essential Duties and… more
- Ami Network (Pasadena, CA)
- …at this time. Requirements: Healthplan Experience + Medicare Advantage 3-5 years Management Experience RN in CA Daily audits of UM until they are in full ... you'll oversee 4 direct reports on the IPA side ( UM supervisors + coordinator), and play a crucial role...a crucial role in providing operational leadership to the UM /Prior Authorization and Inpatient Teams (50 FTEs in total).… more
- Dignity Health (Bakersfield, CA)
- …experience. - Graduate of an accredited RN Program. - Clear and current CA Registered Nurse ( RN ) license. - Knowledge of nursing theory and ability to ... **Job Summary and Responsibilities** As a Utilization Management RN , you will be crucial in ensuring accurate...line with CommonSpirit's values. You will function as a UM nurse reviewer, applying clinical expertise to… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management ( UM ) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. This ... clinical documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and… more
- Elevance Health (Cerritos, CA)
- **Behavioral Health Care Manager II, UM ** **Location:** California **Virtual:** This role enables associates to work virtually full-time, with the exception of ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to...equivalent background. + Current active unrestricted license such as RN LCSW LMHC LPC LMFT or Clinical Psychologist to… more
- Cedars-Sinai (Los Angeles, CA)
- …one of America's Best Hospitals. Summary of Essential Duties: + The Utilization Management ( UM ) Registered Nurse - Medicare Short Stay & Concurrent Denials ... in accordance with CMS requirements and payer timelines. The UM RN collaborates with physicians, revenue integrity,...Eye/Hand/Foot Coordination **Req ID** : 14355 **Working Title** : Registered Nurse -Utilization Review Case Manager -… more
- ERP International (Twentynine Palms, CA)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers** for full-time positions in support of the **Naval Hospital Twentynine ... Management Specialist (CDMS) o Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) o American Board for Occupational Health… more
- Cedars-Sinai (CA)
- …why US News & World Report has named us one of America's Best Hospitals. As a Registered Nurse , Care Coordinator at Cedars-Sinai you will; + You will serve as a ... Science degree in Nursing required **License/Certifications:** + Valid CA RN license required + Certified Case Management preferred or...continued employment. **Req ID** : 14082 **Working Title** : Registered Nurse - Care Coordinator - 8… more
- Cedars-Sinai (CA)
- …as a condition of continued employment. **Req ID** : 13443 **Working Title** : Registered Nurse Care Coordinator- Inpatient Specialty Program - 8 Hour Days $5K ... + For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for continued review and… more
- Cedars-Sinai (CA)
- …Los Angeles Fair Chance Initiative for Hiring. **Req ID** : 12784 **Working Title** : Registered Nurse - Care Coordinator - 8 Hour Days **Department** : Case ... **Education:** + BSN required **License/Certification:** + Current, unrestricted California RN license + American Heart Association BLS + Case Management… more
Recent Searches
- Java Full Stack Entwickler (United States)
- Associate Merchant Intimate Apparel (Arkansas)
- Associate Client Service Transfer (Iowa)
Recent Jobs
-
Electronic Trading Software Engineer, Vice President
- PowerToFly (New York, NY)