- Sedgwick (Sacramento, CA)
- …for evaluating the following: + Conducting reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or ... required to include one (1) to three (3) years utilization review experience and three (3) years clinical quality...+ Knowledge of ADAA and FMLA + Knowledge of utilization review procedures + Knowledge of clinical quality systems… more
- Select Medical (Los Angeles, CA)
- …of care necessary to ensure care plan delivery. Delegates and supervises the utilization of PTAs, as well as support personnel to maximize patient outcomes and ... ensure effective utilization of services. **Qualifications** **Minimum Qualifications** + Current state...but not limited to: + Rehabilitation Assistant/Nursing Assistant + Nurse + Physical, Occupational and Speech Therapy + Environmental… more
- Providence (Apple Valley, CA)
- …the achievement of optimal health, access to services, advocacy, appropriate utilization of resources and collaboration with post-acute care providers to ensure ... not be a condition of employment. + California Registered Nurse License upon hire. + 2 years of experience...years of experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in… more
- Magellan Health Services (San Diego, CA)
- …care support teams. Experience with Care Management flows. Knowledge of utilization management procedures, mental health and substance abuse community resources and ... of DSM V or most current diagnostic edition. Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.… more
- Providence (Tarzana, CA)
- …along a continuum through effective transitional care management and utilization management. Recognizing the patient's right to self-determination, the significance ... 30 days of hire + Upon hire: California Registered Nurse License + 2 years Experience in Healthcare related...2 years Experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in… more
- Sutter Health (San Francisco, CA)
- …manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid ... capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. * Monitors department productivity,… more
- ZOLL Medical Corporation (Santa Rosa, CA)
- …include: Physicians (Cardiologists, Electrophysiologists, Hospitalists, CT Surgeons etc.), Nurse Practitioners, Physician Assistants, nurses, case managers and ... with relevant clinical, reporting, and technical information that supports the utilization of ZOLL Cardiac Diagnostic products for appropriate patients. +… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …co-workers and hospital staff. The duties of this position vary widely requiring utilization of different processes and methods to accomplish this work. The work ... of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical… more
- Sharp HealthCare (San Diego, CA)
- …Time** Bachelor's Degree in Nursing; Bachelor's Degree; Master's Degree; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Professional in ... Or + Bachelor's Degree in Healthcare Administration. + California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED **Preferred Qualifications**… more
- Sharp HealthCare (La Mesa, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Neonatal Resuscitation Program (NRP) ... + 3 Years RN experience in related clinical area. + California Registered Nurse (RN) -REQUIRED + AHA Basic Life Support for Healthcare Professional (AHA BLS… more