- Elevance Health (Walnut Creek, CA)
- …will make an impact:** + Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive care. + Perform ... physician-level case review, following initial nurse review, of chemotherapy regimens. + Determine medical necessity of requests using guidelines and client-specific… more
- The County of Los Angeles (Los Angeles, CA)
- …work under the technical and administrative direction of a clinical program manager or higher-level nurse or psychiatrist. Within scope-of-practice guidelines, ... 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)
- …Sterile Product Certification) - Various-Employee provides certificate; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric ... a designated patient population. **Required Qualifications** + California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians… more
- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 0 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians; IV ... a designated patient population. **Required Qualifications** + California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians… more
- Sharp HealthCare (San Diego, CA)
- …Sigma Green Belt Certification - Various-No accreditation board; Certified Perioperative Nurse (CNOR) - Competency & Credentialing Institute (CCI); AHA Basic Life ... Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse (RN) - CA Board of Registered Nursing; Lean Certification -… more
- KBR (San Diego, CA)
- …clients with cutting-edge solutions and services. We are seeking a stellar Special Operations Nurse Case Manager that will provide a full range of professional ... care goals. * Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential...license; full, active, and unrestricted license as a Registered Nurse in one of any US State, the District… more
- STG International (Victorville, CA)
- …management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse (RN)/CBOC Manager and VA Program's philosophy. *Comply with ... in the orientation of clinical staff physicians, physician assistants and nurse practitioners. *Provide leadership to CBOC clinicians. *Evaluate the effectiveness of… more
- LA Care Health Plan (Los Angeles, CA)
- …License. Licenses/Certifications Preferred Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board Certified ... clinical skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating… more
- Actalent (Sacramento, CA)
- Remote Licensed Vocational Nurse (LVN) Fully remote but MUST reside within 50 miles of the Sacramento area Job Duties + Perform timely utilization reviews for ... ICU) + At least 1 year of experience in utilization review, case management, or hospital discharge planning +...EZ-CAP, EZ-Net, InterQual, and MCG preferred. + Certified Case Manager (CCM), CPUR, or CPHM credential preferred. + Background… more
- Sharecare (Sacramento, CA)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and ... 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex pharmacy inquiries + Complex spending… more