- Sharp HealthCare (San Diego, CA)
- …(AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians; ... + HS Diploma or Equivalent + California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing &...Follows policy and procedure for entering of OCM and utilization of IDX. Completes work within assigned hours.Able to… more
- Magellan Health Services (San Diego, CA)
- …collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or ... outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination....Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt… more
- LA Care Health Plan (Los Angeles, CA)
- …care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and Support (MLTSS), Social Services, ... Worker (LCSW); Current and unrestricted California License or Registered Nurse (RN); current and unrestrited California License. Licenses/Certifications Preferred… more
- Sharp HealthCare (San Diego, CA)
- …**FTE** 1 **Shift Start Time** **Shift End Time** Other; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians; AHA ... + Other : Successful completion of LVN/LPN program. + California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians -REQUIRED… more
- J&J Family of Companies (San Francisco, CA)
- …the way. Learn more at https://www.jnj.com/innovative-medicine Advanced Practice Providers ( Nurse Practitioners /Physician Assistants) are a growing and critical ... disease state and product education, and to support HCPs in appropriate utilization of JJIM access and fulfilment resources. The APP-Specialist will compliantly… more
- Dignity Health (Bakersfield, CA)
- …as part of the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the adverse ... The position partners with both the Pre-Service and In-Patient Utilization Management teams. Ensures to monitor and assure the...- Ensures that there is evidence that the UM nurse reviewer documented communications with the requesting provider to… more
- CenterWell (San Diego, CA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts ... identifies and evaluates alternative courses of action through the utilization of Performance Improvement principles. + Responsible for review...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
- Sharp HealthCare (La Mesa, CA)
- …**Shift** Night **FTE** 0.9 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; NIH Stroke Scale (NIHSS) - ... experience as defined by the CBA. + California Registered Nurse (RN) - CA Board of Registered Nursing +...standards. May participate in the process of evidence-based research utilization . Demonstrates critical thinking skills. Serves as a role… more
- Elevance Health (CA)
- …complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior clinicians. **How you will make an impact:** ... improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and applies… more
- Amergis (French Camp, CA)
- …40 hours per week RNs will be doing denials, discharge planning, and utilization review Hiring points for a perfect candidate: Current Discharge Planning experience ... Utilization review InterQual experience Working with multidisciplinary teams Knowledge...Clinical critical thinking Clinical experience x 2 years Denials nurse : We need someone that is current with Denials,… more