- Molina Healthcare (San Diego, CA)
- California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 DAY SHIFT 7:30AM - 08:30PM PACIFIC HOURS NON EXEMPT, 3 days a week will ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of InterQual / MCG guidelines. **Preferred… more
- Sutter Health (Modesto, CA)
- …care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Sutter Health (Modesto, CA)
- …care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- UCLA Health (Santa Monica, CA)
- Description The clinical nurse is a professional Registered Nurse who assumes responsibility and accountability for a group of patients for a designated time ... process in accordance with the standards of professional nursing practice. The clinical nurse performs in the professional role as described by the American Nurses… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …rules, Joint Commission requirements, and legal regulations; participating in utilization reviews; and remaining available for emergency consultations. + Improves ... to job accomplishments. + Supervise the work of Psychiatric Mental Health Nurse Practitioners. Skills and Abilities: + Documentation skills + Analyzing information +… more
- The County of Los Angeles (Los Angeles, CA)
- …and administrative direction of a clinical program manager or higher-level nurse or psychiatrist. Within scope-of-practice guidelines, positions supervise members of ... rehabilitation counselor, or social worker; referral to a psychiatrist or nurse practitioner for medication; or referral to another agency. Administers psychotropic… more
- Sharp HealthCare (San Diego, CA)
- …Professional (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians ... a designated patient population. **Required Qualifications** + California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians… more
- Select Medical (Los Angeles, CA)
- …Angeles, CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) **Pay Rate: $50 - $58.65 depends on ... time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate… more
- Sharp HealthCare (San Diego, CA)
- …**FTE** 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians; Vocational ... Nurse IV Therapy/Blood Withdrawal Certification - Various-Employee provides certificate;...Follows policy and procedure for entering of OCM and utilization of IDX. Completes work within assigned hours.Able to… more
- Alameda Health System (San Leandro, CA)
- …resource Management issues; other issues including concerns involving under/over utilization , avoidable days and quality issues. Coordinate daily with ... Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or experience in… more