- Alameda Health System (Oakland, CA)
- …is required. + Preferred Experience: N/A Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California or valid license as ... of financial analyses including cost of care to reimbursement, denials management , and non-reimbursed services, promoting effective resource utilization ,… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness… more
- Magellan Health Services (San Diego, CA)
- …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community… more
- Banner Health (Susanville, CA)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality ... 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing...process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate… more
- Hospice Of San Joaquin (Stockton, CA)
- …of the patient and family. + Follows the treatment plan established by the Registered Nurse /Case Manager. + Follows the scope of practice when providing nursing ... do. We are seeking a Dynamic, skilled, self-motivated LVN Nurse who thrives in a fast-paced environment to support...of Home Care Services and the direction of the RN Case Manager, according to the policies and procedures… more
- Ventura County (Ventura, CA)
- …every stage of their journey. THE POSITION: Under direction of a physician or registered nurse , the Field Based Psychiatric Technician performs a variety of ... practice as a licensed Psychiatric Technician or Licensed Vocational Nurse (LVN) in the state of California. This is...Utilization review: + Uses professional skills in quality management activities such as utilization review, monitoring… more
- Magellan Health Services (San Diego, CA)
- …Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... this role with necessary degrees, LMSW, LCSW, LPC, or RN . Minimum 5 years experience post degree in healthcare,...activities of assigned care support teams. Experience with Care Management flows. Knowledge of utilization management… more
- Sutter Health (San Francisco, CA)
- …Other: Graduate of an accredited school of nursing. **CERTIFICATION & LICENSURE** RN - Registered Nurse of California BLS-Basic Life Support Healthcare ... manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid… more
- STG International (Corona, CA)
- … management /coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. ... to ensure compliance and patient safety. *Participates in quality improvement, care management , risk management , peer review, utilization review, clinical… more
- HCA Healthcare (Thousand Oaks, CA)
- …Care role today!** **Job Summary and Qualifications** The Clinical Nursing Manager is a registered nurse who reports directly to the unit Director or Chief ... for monitoring the delivery of patient care through the utilization of the nursing process, physicians' orders, established policies...of nursing; BSN desired, MSN preferred. + Current California Registered Nurse License. + Current BCLS and… more