- Dignity Health (Merced, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... effectively with multiple stakeholders + Professional communication skills + Understand how utilization management and case management programs integrate. +… more
- Molina Healthcare (Los Angeles, CA)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of InterQual ... / MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina… more
- Centene Corporation (Sacramento, CA)
- …Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** + For Health ... + Collects, documents, and maintains all member's clinical information in health management systems to ensure compliance with regulatory guidelines + Assists… more
- Hospice Of San Joaquin (Stockton, CA)
- …of everything we do. We are seeking a Dynamic, self-motivated Full - Time RN Team Lead who thrives in a fast-paced environment and supports our mission. POSITION ... PURPOSE/SUMMARY: Responsible for the management and delivery of clinical care to patients and...laws. Directly supervises and schedules the assignments of the RN nursing staff. Under the direction of the Chief… more
- Fresenius Medical Center (Simi Valley, CA)
- …to ensure quality service while maintaining a high level of efficiency management . **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Manages the tactical execution of ... facilities. Ensures efficient staff/ patient scheduling and efficient staffing utilization following company policy while maintaining a safe environment. +… more
- The County of Los Angeles (Los Angeles, CA)
- …-AND- 2. Two years of experience at the level of LA County classification of Registered Nurse II . -AND- 3. One year of professional teaching experience. -AND- ... Collaborates with medical providers, patient care staff, and unit management in the design, delivery, and evaluation of educational...4. A license to practice as a Registered Nurse issued by the California Board… more
- Wellpath (Placerville, CA)
- …of care support. **How you make a difference** As a Health Services Administrator RN , you'll oversee and assess the Health Care Delivery Program, adhering closely to ... also meeting ACA, NCCHC, and State accreditation standards for comprehensive compliance . With your expertise, you'll navigate the complex landscape of healthcare… more
- The County of Los Angeles (Los Angeles, CA)
- …programs, or educational programs -AND- a current active license to practice as a Registered Nurse issued by the California Board of Registered Nursing. ... for the shared decision-making process and provides leadership for utilization of best practice evidence in nurse ...applicants must have a license to practice as a Registered Nurse issued by the California Board… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge… more
- Sharp HealthCare (San Diego, CA)
- …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... in-patient care management and the Director of Utilization Management . **Required Qualifications** + 3 Years...experience, preferably in a managed care setting + California Registered Nurse ( RN ) - CA… more