- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... (AHA BLS Healthcare) - American Heart Association; California Registered Nurse (RN) - CA Board of Registered Nursing; ACLS...RN experience in related clinic area. + California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED… more
- Dignity Health (Carmichael, CA)
- …efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality ... **Job Summary and Responsibilities** ** Nurse Manager of Care Coordination / Case Management**...Case Management** **Sign On / Relocation Options** As our ** Nurse Manager Care Coordination Manager at Mercy San Juan… more
- LA Care Health Plan (Los Angeles, CA)
- …by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health ... Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse (RN);current and unrestricted California License OR Licensed Clinical… more
- Deloitte (Los Angeles, CA)
- …nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, Quality, DRG Validation and health ... in nursing, medical degree, or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist - CCDS… more
- HCA Healthcare (Thousand Oaks, CA)
- …today!** **Job Summary and Qualifications** The Clinical Nursing Manager is a registered nurse who reports directly to the unit Director or Chief Nursing Officer. ... and accountable for monitoring the delivery of patient care through the utilization of the nursing process, physicians' orders, established policies and procedures,… more
- LA Care Health Plan (Los Angeles, CA)
- …and Grievance (A&G) clinical unit. This position is responsible for the quality review of complex and/or escalated clinical A&G cases for all line of business ... on performance of staff. Ensure team effectiveness and project completion. Duties Review and process complex and/or escalated clinical A&G cases. Analyze the patient… more
- GE Vernova (Concord, CA)
- …for scheduling, compliance to standards and specifications, value engineering, design review planning, and ensuring quality assurance and control. + Develop and ... cross-discipline coordination to deliver fully integrated substation solutions. + Review and contribute to ITO (Inquiry-to-Order) process deliverables, including: +… more
- Cedars-Sinai (CA)
- …the established/communicated timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for ... America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization… more
- Cedars-Sinai (Marina Del Rey, CA)
- …the established/communicated timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for ... Employee Referral Bonus **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization through… more
- Sharp HealthCare (San Diego, CA)
- …correct billing codes and modifiers as appropriate.Demonstrate competency in utilization of computer applications including RIS, PACS, voice recognition, ... prescription).* Accurately associate the patient to their images and ordered procedure. Review the reason for the procedure and appropriateness of exam.* Escalate… more