- 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
- Sutter Health (San Francisco, CA)
- …+ Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** + ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the… more
- Sutter Health (Roseville, CA)
- …**EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the… 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
- Providence (Santa Monica, CA)
- …best people, we must empower them. **Required Qualifications:** + Bachelor's Degree + California Registered Nurse License upon hire + 2 years of experience in ... **Description** **Care Manager RN at Providence Saint John's Health Center in...Post-Acute). + 2 years of experience in Acute Care Management (Care Coordination or Utilization Management… more
- VNA Health (Solvang, CA)
- …+ Competitive Compensation: $56 - 58/hr Job Description: VNA Health is looking for compassionate Registered Nurse Case Managers ( RN CM) to join our Home ... Health care team. The RN CM plans, organizes and directs home care services....of every patient on his/her caseload to include: appropriate utilization of services; ensuring continued skilled need; monitoring of… more
- ERP International (San Diego, CA)
- **Overview** ERP International is seeking a temporary ** Registered Nurse ( RN ) Certified Diabetes Educator** supporting **Naval Medical Center San Diego, CA ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- ERP International (San Diego, CA)
- …essential. Licensure:** Possess and maintain a current unrestricted license to practice as a registered nurse in any of the 50 States, the District of Columbia, ... **Overview** ERP International is seeking temporary **Perioperative Registered Nurses** in support of the Operating Room at **Naval Medical Center San Diego, CA… more
- Providence (Mission Hills, CA)
- …we must empower them. **Required Qualifications:** + Bachelor's Degree + Upon hire: California Registered Nurse License + California Fire and Life Safety Card - ... or Post-Acute). + 2 years experience in Acute Care Management (Care Coordination or Utilization Management ) or successful completion of the Transitions… more
- Providence (Fullerton, CA)
- …Qualifications:** + Graduate of an accredited school of nursing. + Upon hire: California Registered Nurse License + 3 years clinical experience in an HMO, ... Rehab, Pediatrics, Transplant, or Wound Care + 3 years experience in utilization management or case management . **Why Join Providence?** Our best-in-class… more
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