- 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 ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- HCA Healthcare (Riverside, CA)
- …a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse ( RN ) with current California license required, Case ... **Introduction** Do you have the career opportunities as an RN Case Manager you want in your current role?...Management Certification or utilization review preferred + Associate's Degree minimum… more
- Evolent (Sacramento, CA)
- …Registered Nurse + Associate or Bachelors in Nursing (Must be a Registered Nurse ) + Experience as an RN in a Pain MNGT setting is preferred. + Strong ... it. **What You'll Be Doing:** As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer you a meaningful way… more
- Select Medical (Los Angeles, CA)
- …City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) **Pay Rate: $50 ... + Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure positive fiscal… more
- Sutter Health (Modesto, CA)
- …+ Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California **TYPICAL EXPERIENCE:** + 2 years ... and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of… more
- Sutter Health (Modesto, CA)
- …**EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** ... and case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …members and visitors. Position Qualifications: + Education: Current California license as Registered Nurse . Bachelors in nursing degree preferred. + Experience: ... A minimum of two years of clinical experience in Utilization Review or Case Management is preferred. + Per Diem Positions: Case Management experience with a… more
- Centene Corporation (Sacramento, CA)
- …a fresh perspective on workplace flexibility. Remote position. Must work PST ** RN -Must hold a current CA license.** **Must have** **2-4 years related** **experience ... in UM-Concurrent Review . 2+ years of acute care experience required. 10%...member medical records in health management systems according to utilization management policies and guidelines + Works with healthcare… more
- Alameda Health System (San Leandro, CA)
- …preferred. Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or ... SLH Case Manager RN + San Leandro, CA + San Leandro...Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
- Sutter Health (San Francisco, CA)
- …+ Other: Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + CCM - Certified Case Manager ... management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Working knowledge of… more