- Molina Healthcare (Los Angeles, CA)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 NIGHT SHIFT 7:30PM...in the USA if they have a valid CALIFORNIA RN license and must work the Pacific Time Zone… more
- Molina Healthcare (CA)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Centene Corporation (San Diego, CA)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... abuse is preferred. + Experience working with providers and healthcare teams to review care services, precertification, concurrent review , discharge reviews… more
- Centene Corporation (Sacramento, CA)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $31.50-37.50 Per Hour RN /LCSW/LMFT/LPCC $54.00-64.00 ... and optimize reimbursement for external reviewers/third party payers. The Utilization Review Clinician maintains knowledge of, participates in further training… more
- Mendocino County Sheriff's Office (Ukiah, CA)
- …Psychology or related field; or Bachelor's degree when also possessing a Psychiatric Registered Nurse certification, and Two to three years of progressively ... Therapist (or) Licensed Clinical Social Worker (or) Licensed Psychologist (or) Psychiatric Registered Nurse Knowledge, Skills, and Abilities Knowledge of: +… more
- CVS Health (Sacramento, CA)
- …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... with behavioral health background. **Preferred Qualifications** + 3 years Managed care /utilization review experience preferred. + Crisis intervention skills and… more
- Sutter Health (Los Banos, CA)
- …business administration, organizational leadership or related field. **CERTIFICATION & LICENSURE:** + ** RN ** - Registered Nurse of California + (OR) **MD** ... on Accreditation of Healthcare Organizations and operates as a non-profit, general care medical center with 26 active physicians on staff. A mission answers… more
- Valor Health (Escondido, CA)
- … registered nursing, graduate degree preferred. + Current license or certification as a registered nurse from the state in which the clinic is located. + ... clinician , and business leaders dedicated to providing exceptional care and a world-class patient experience for our nation's...Minimum four years' experience as a registered nurse + Excellent written and verbal… more
- Aveanna Healthcare (Fresno, CA)
- …enhance the level of clinical expertise of staff to provide safe and quality nursing care for our patients + Review physicians' orders and update the plans of ... Healthcare is one of the nation's largest home health care companies in the United States and growing! We... Case Manager: + Must have good standing license ( RN ) in the state in which the clinician… more
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