- KBR (San Diego, CA)
- …a clearance. * Current RN license; full, active, and unrestricted license as a Registered Nurse in one of any US State, the District of Columbia, Guam, ... and services. We are seeking a stellar Special Operations Nurse Case Manager that will provide a...care goals. * Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... team leaders reporting to a mental health clinical program manager or a physician manager . Positions allocable...resources. + Provides consultation to community agencies in the utilization of mental health and support services provided by… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... team leaders reporting to a mental health clinical program manager or a physician manager . Positions allocable...others. + Provides consultation to community agencies on the utilization of mental health and support services provided by… more
- Alameda Health System (Alameda, CA)
- …OBRA assessments. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Required Licenses/Certifications: ... as required by OBRA and PPS. 3. Assists Case Manager with the transfer of patients to other health...resolution is initiated and presented weekly at Medicare or Utilization Review meetings. **MININUM QUALIFICATIONS** : Education: Graduate of… more
- Elevance Health (Los Angeles, CA)
- …(Sat & Sun 8am-12pm CST, with a comp day during the week) The ** Nurse Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness ... ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or… more
- University of Southern California (Arcadia, CA)
- …nursing unit is responsible for the day-to-day operations, direct supervision of the RN staff, and assists the Director and/or Manager with the operational ... of the patients during hospitalization to obtain the best utilization of resources so that patient outcomes are optimized....preferred. Licenses and Certifications Minimum (Required) * A current RN license in the State of California is required.… more
- UCLA Health (Los Angeles, CA)
- …As our Nurse Supervisor you will partner with the Cardiovascular Manager to oversee daily clinic operations, provide leadership to clinical staff and ensure ... You will independently manage workflow, staffing, regulatory compliance and resource utilization while fostering a culture of teamwork, continuous improvement, and… more
- Fresenius Medical Center (Walnut Creek, CA)
- …dialysis clinic. You will collaborate with the Medical Director and the Charge Nurse regarding the provision of quality patient care in the dialysis clinic. ... Quality, and Technical Services departments. + Collaborates with the Home Therapies Manager to oversee the facility's Home Therapies Program. + Maintains integrity… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …crucial role in optimizing cost-efficiency and quality in the procurement and utilization of medical supplies and equipment. This position requires a dedicated ... 4 years prior bedside nursing experience (Does not require a current RN license) Excellent communication and interpersonal skills to collaborate with various… more
- Fresenius Medical Center (Anaheim, CA)
- …areas for improvement eg Compliance, Billing, and Quality Indicators. + Utilization of data to better understand their business unit(s) opportunities, develop ... on occasion. **EDUCATION** **:** Bachelor's Degree required; Advanced Degree preferred RN degree desired. **EXPERIENCE AND REQUIRED SKILLS:** + 6+ years' related… more