- Sutter Health (San Francisco, CA)
- …Pacific Med Center - Mission Bernal **Position Overview:** Coordinates the utilization management , resource management , discharge planning, post-acute ... care referrals and care facilitation. Oversees the management of acute patient populations across the care continuum with a focus to provide coordinated and… more
- Sutter Health (Modesto, CA)
- …care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely ... of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across the continuum through… more
- Alameda Health System (San Leandro, CA)
- … Management issues; other issues including concerns involving under/over utilization , avoidable days and quality issues. Coordinate daily with interdisciplinary ... Minimum Experience: Varied clinical experience or experience in case management /community health preferred. Preferred Licenses/Certification: Public Health Nurse… more
- The County of Los Angeles (Los Angeles, CA)
- …scope of practice. + Participates in the development, negotiation, implementation, and management of the budget for the program support service operations, clinic, ... and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in...A valid, current license to practice as a registered nurse issued by the appropriate State of California licensing… more
- Molina Healthcare (San Diego, 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
- HCA Healthcare (Riverside, CA)
- …+ Registered Nurse (RN) with current California license required, Case Management Certification or utilization review preferred + Associate's Degree minimum ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...be an evening shift position. The Coordinator of Case Management (RN CM) is responsible for promoting patient-centered care… more
- Sharp HealthCare (San Diego, CA)
- …(AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians; ... a designated patient population. **Required Qualifications** + California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians… more
- Amergis (French Camp, CA)
- …+ Current RN licensure in state practicing + At least one year of Case Management experience preferred + Current CPR if applicable + TB questionnaire, PPD or chest ... week RNs will be doing denials, discharge planning, and utilization review Hiring points for a perfect candidate: Current...Clinical critical thinking Clinical experience x 2 years Denials nurse : We need someone that is current with Denials,… more
- Sutter Health (Tracy, CA)
- …STCH-Sutter Tracy Community Hosp **Position Overview:** Provides leadership and management support in planning, organizing, staffing and controlling the operational ... to direct facility operations, and supervises personnel in all departments when leadership/ management staff is not present in the facility. During that time, serves… more
- Sharp HealthCare (San Diego, CA)
- …**FTE** 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians; Vocational ... Nurse IV Therapy/Blood Withdrawal Certification - Various-Employee provides certificate;...related to front desk responsibilities including scheduling and telephone management . Acts as a positive role model and ensures… more