- Elevance Health (Walnut Creek, CA)
- **Medical Management Nurse ** **Work schedule: M-F 11am-8pm PST.** **Location** : This role enables associates to work virtually full-time, with the exception of ... accommodation is granted as required by law._** The **Medical Management Nurse ** is responsible for review of...in multiple states. **Preferred Skills, Capabilities & Experiences:** + Utilization management experience. + Strong of computer… more
- The County of Los Angeles (Los Angeles, CA)
- …SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that ... OPTION II: Two (2) years of experience as a registered nurse , of which one year must... Utilization Review Nurse is an RN that has Case Management experience whose… more
- HCA Healthcare (Riverside, CA)
- …a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse ( RN ) with current California license required, Case ... be an evening shift position. The Coordinator of Case Management ( RN CM) is responsible for promoting...Management Certification or utilization review preferred + Associate's Degree minimum required +… more
- CenterWell (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's… more
- HCA Healthcare (Riverside, CA)
- …a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse ( RN ) with current California license required, Case ... Hospital! **Job Summary and Qualifications** The Coordinator of Case Management ( RN CM) is responsible for promoting...Management Certification or utilization review preferred + Associate's Degree minimum required +… more
- Amergis (Orange, CA)
- …to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and processing requests for ... California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of...listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care… more
- CommonSpirit Health (Rancho Cordova, CA)
- …large multi-hospital system + 10+ years overall care coordination experience + Current Registered Nurse ( RN ) license. **Overview** Inspired by faith. Driven ... within multiple markets in a region. Oversees the centralized functions of Utilization Management Services, including but not limited to medical necessity… more
- Banner Health (Susanville, CA)
- …initiatives. Articulates and models an emphasis on patient quality and safety. Understands utilization management and case management and their importance to ... progressive leadership development and competency. Must possess licensure as a professional nurse ( RN ) in the state of practice. Proven experience and… more
- HCA Healthcare (Thousand Oaks, CA)
- …our RN Case Manager II opportunity. **Job Summary and Qualifications** The Registered Nurse ( RN ) Case Manager is responsible for promoting ... supporting a balance of optimal care and appropriate resource utilization . + You will provide case management ...Diploma required. BSN preferred. + Currently licensed as a Registered Nurse in the state of California… more
- Dignity Health (Grass Valley, CA)
- …three (3) years progressive supervisory or management experience in a Case Management , Care Coordination or Utilization Management department in an acute ... physicians administration and community based healthcare workers regarding care management issues identified through corporate or facility initiatives and...care hospital. + Bachelor's Degree + California RN license (if a nurse ) or LCSW… more