- CenterWell (Sacramento, CA)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous… more
- Stanford Health Care (Palo Alto, CA)
- …the processes and outcomes of patient health care **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State ... Department at its inception. You can put your bedside RN experience to great use in case management...as required; collects, analyzes and reports on data for utilization , quality improvement, compliance , and other areas… more
- Dignity Health (Rancho Cordova, CA)
- …of nursing. - BS degree or experience equivalent required. - Clear and current CA Registered Nurse ( RN ) license. - Knowledge of all applicable federal and ... the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable for coordination of… more
- Sharp HealthCare (San Diego, CA)
- …End Time** ACLS Certification (Advanced Cardiac Life Support) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... nursing expert for assigned areas. **Required Qualifications** + California Registered Nurse ( RN ) - CA...related to front desk responsibilities including scheduling and telephone management . Acts as a positive role model and ensures… more
- CenterWell (San Diego, CA)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... (POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers....School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Sutter Health (Modesto, CA)
- …**EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the… 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 (San Jose, CA)
- …Other: Graduate of an accredited school of nursing. **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... laws, standards and regulations. Establishes protocols and practices, ensuring compliance with department, affiliate, operating unit, and/or system standards,… more
- CVS Health (Sacramento, CA)
- … states. This role is a blended role doing both Case Management and Utilization Management . The RN Case Manager is responsible for telephonically and/or ... benefit overall claim management . - Utilizes case management processes in compliance with regulatory and...years' experience in critical care - 6+ months Case Management or Utilization Management experience… more
- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, Managed ... **Responsibilities** **ICU RN , Emergency Room RN or Level...Compiles data for the purpose of quality assurance and compliance with organizational and department policies, work aids, and… more