- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The expected pay… more
- Ventura County (Ventura, CA)
- Per Diem Registered Nurse II/III - Utilization Management ... II + Six (6) months of experience in Utilization Management Per Diem RN III ... VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply Per Diem Registered Nurse II/III - Utilization Management VCMC… more
- Evolent (Sacramento, CA)
- …and as an RN - **Required** + Minimum of 5 years in Utilization Management , health care Appeals, compliance and/or grievances/complaints in a quality ... appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and...part of the application process. This is collected for compliance and security purposes and only reviewed if an… more
- Banner Health (Susanville, CA)
- …(https://youtu.be/sTPoc9EbJ\_Y) Banner Lassen Medical Center is looking for a full-time Registered Nurse Associate Director to lead the emergency department ... the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and… more
- Fresenius Medical Center (San Bernardino, CA)
- …Classification of Disease (ICD) coding. *Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. ... payroll. PHYSICIANS: Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. * Responsible for… more
- Fresenius Medical Center (Moreno Valley, CA)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... PHYSICIANS: + Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. + Responsible for… 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 nursing… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply REGISTERED NURSE II - NORTH ... 1. Three years of full-time experience* at the level of Los Angeles County classification Registered Nurse I**. -AND- 2. A license to practice as a Registered… 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
- Sutter Health (Burlingame, CA)
- …: **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire CCM certification ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the… more