- Sharecare (Sacramento, CA)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
- Alameda Health System (San Leandro, CA)
- Clinical Nurse V + San Leandro, CA + John George...Crisis JGP Psych + Full Time - Day + Management + $64.00-$96.00 + Req #:42750-31741 + FTE:1 + Posted:August ... nursing unit for which responsible. Promotes effective and economic utilization of personnel and supplies. Monitors utilization ...Three years full time continuous experience as a Clinical Nurse III with AHS. (2) Two years of full-time… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- Summary The VA Central California Health Care System (VACCHCS) Nurse Manager in the Operating Room is a professional nurse who provides leadership and assumes ... issues, providing necessary training and supporting performance improvement. Responsibilities The Nurse Manager - Operating Room is part of the team responsible… more
- LA Care Health Plan (Los Angeles, CA)
- …the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department:...inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management , Medical Directors, and other internal… more
- Centene Corporation (Sacramento, CA)
- …**Ideal Experience:** Minimum of 2 years in acute care and managed care, with utilization management experience This is a great opportunity to join the ... findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and… more
- Evolent (Sacramento, CA)
- …Doing:** As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Clinical Reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + Reviews charts and analyzes clinical… more
- Evolent (Sacramento, CA)
- …Doing:** As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Clinical Reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + Reviews charts and analyzes clinical… more
- The County of Los Angeles (Los Angeles, CA)
- NURSE PRACTITIONER Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1814364) Apply NURSE PRACTITIONER Salary $137,323.92 - $205,556.40 ... are assigned principal responsibility for primary health care of patients. The Nurse Practitioner is assigned full-time to this role and receives professional… more
- The County of Los Angeles (Los Angeles, CA)
- NURSE PRACTITIONER- PEDIATRIC HUB CLINICS/NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2588395) Apply NURSE PRACTITIONER- ... REQUIRED: + A license to practice as a Registered Nurse and a certificate to practice as a ...Administration + Nursing Education + Health Science + Healthcare Management + Healthcare Education + Healthcare Administration + Public… more
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- …knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care ... evidence-based-practice culture. Preferred Experience: 5 years of current registered nurse experience Case Management /Discharge Planner experience PACT… more