- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, Managed ... **Job Summary and Responsibilities** **ICU RN , Emergency Room RN or Level...prioritize patient transfers based on urgency of patient's condition, utilization of available beds. + Communicate effectively with hospital… more
- CommonSpirit Health (Rancho Cordova, CA)
- …leading up to or including supervisory role highly preferred + Experience in Utilization Management , Case Management or Care Coordination, Managed Care ... **Job Summary and Responsibilities** **I** **CU** ** RN , Emergency Room RN or Level...prioritize patient transfers based on urgency of patient's condition, utilization of available beds. + Communicate effectively with hospital… more
- Cedars-Sinai (CA)
- …as a condition of continued employment. **Req ID** : 13443 **Working Title** : Registered Nurse Care Coordinator- Inpatient Specialty Program - 8 Hour Days $5K ... TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of...Science degree in Nursing required **License/Certifications:** + Valid CA RN license required + Certified Case Management … more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply REGISTERED NURSE II - NORTH ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...experience* at the level of Los Angeles County classification Registered Nurse I**. -AND- 2. A license… more
- Humana (Sacramento, CA)
- …support the design, implementation, and advancement of strategic initiatives within the Utilization Management (UM) function. This role is responsible for ... knowledge of industry regulations, accreditation standards, and emerging trends in utilization management . Support the organization's commitment to talent… more
- Elevance Health (Los Angeles, CA)
- …preferred. + BA/BS degree preferred. + Previous utilization and/or quality management and/or call center experience preferred. + RN Compact License is ... CST, with a comp day during the week) The ** Nurse Reviewer I** is responsible for conducting preauthorization, out...hospital setting or minimum of 1 year of prior utilization management , medical management and/or… more
- Cedars-Sinai (Beverly Hills, CA)
- …care assessments, and a variety of medically related tasks. The Supervisor is a registered nurse who works in an administrative role in an ambulatory care ... You Will be Doing The Supervisor of Clinical Operations RN supports the physician and clinical staff in the...as a liaison, for administrative support activities including facilities management , pharmacy, utilization management , quality… more
- LA Care Health Plan (Los Angeles, CA)
- …the ability to manage multiple training initiatives simultaneously. Licenses/Certifications Required Licensed Registered Nurse ( RN ) - Active, current and ... Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Department: CSC Appeals &...clinical appeals and grievances experience in a managed care, utilization management and/or case management … more
- Evolent (Sacramento, CA)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management ...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
- Insight Global (Los Angeles, CA)
- …2+ years in a lead or supervisor role EMR system experience valid California Registered Nurse ( RN ) license Current Basic Cardiac Life Support (BLS/CPR) ... Job Description Insight Global is seeking a skilled Registered Nurse Supervisor for a community...preferred. Experience in chronic disease management , case management , utilization management and quality… more
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