- Molina Healthcare (Bakersfield, CA)
- …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …*This position requires prior nursing bedside experience. *Does not require a current RN license. JOB SUMMARY: The Value Analysis Specialist plays a crucial role in ... optimizing cost-efficiency and quality in the procurement and utilization of medical supplies and equipment. This position requires a dedicated professional who can… more
- Humana (Sacramento, CA)
- …provider population health programs focused on Stars, HEDIS, MRA, chronic condition management , and other efforts to reduce avoidable utilization * Supporting ... supporting provider performance, and coordinating with cross-functional teams to drive quality, utilization , and cost-of-care outcomes. At the core, this is a role… more
- Elevance Health (Costa Mesa, CA)
- …Wednesday - Sunday 8am - 5pm PST, this position includes weekends. The Med Mgmt Nurse is responsible for review of the most complex or challenging cases that require ... consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate types, places, or… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …a team may include Lead Medical Support Assistants, Program Support Assistants (PSA), Registered Nurses ( RN ) and AMSAs. Responsibilities Care in the Community ... co-workers and hospital staff. The duties of this position vary widely requiring utilization of different processes and methods to accomplish this work. The work… more
- Dignity Health (Woodland, CA)
- …with the RN Care Coordinator to coordinate care plans based on the utilization review activities performed by the RN Care Coordinator with compliance of ... to participate in performance improvement initiatives related to appropriate patient care management and perform other departmental duties as assigned. The care team… more
- Dignity Health (Santa Maria, CA)
- …consultation on complex cases; appropriateness of care or level of care / utilization activities; liaison to internal and external contacts / committees / programs; ... working with patients' and families' hospital liaison and case management staff and physicians in assisting with decision making...Palliative care and/or Hospice programs is highly desirable. + RN RN Ability to relate and maintain… more
- Dignity Health (Carmichael, CA)
- **Responsibilities** ** Nurse Manager of Care Coordination / Case Management ** **Sign On / Relocation Options** As our ** Nurse Manager Care Coordination ... goals and key performance metrics. These duties include: staff performance management , reviewing or gathering of data to promote performance improvement,… more