- Centene Corporation (Sacramento, CA)
- …needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member ... approve medical determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to… more
- Dignity Health (Carmichael, CA)
- **Responsibilities** **Day Per Diem Utilization Review Registered Nurse - Onsite Campus Position** The **Utilization Review RN** is responsible for the ... Utilization Review product(s) used + Proficient in application of clinical guidelines (MCG/InterQual) preferred + Knowledge of managed care and payer environment… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …the monitoring and evaluation of processes for clinical performance improvement and peer review . The QA nurse supports concurrent oversight and review ... quality department management in the implementation and monitoring of the Hospitals' clinical quality improvement efforts. This may include concurrent oversight… more
- LA Care Health Plan (Los Angeles, CA)
- …in any inpatient setting. Performs telephonic and/or onsite admission and concurrent review , and collaborates with onsite staff, physicians, providers, ... Utilization Management Nurse Specialist RN II Job Category: Clinical...productive workplace environment. Perform telephonic and/or onsite admission and concurrent review , and collaborates with onsite staff,… more
- CVS Health (Sacramento, CA)
- …+ 1 year of varied UM (utilization management) experience within an **outpatient** setting, concurrent review or prior authorization. + 5 years of a variety ... + 1 year of varied UM (utilization management) experience within an inpatient, concurrent review or prior authorization. + Remote work experience. **Education**… more
- Sacramento County (Sacramento, CA)
- Nurse Practitioner Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/1780920) Apply Nurse Practitioner Salary $127,576.80 - $155,096.64 ... pm on: 3/28/2025, 4/25/2025, 5/23/2025, 6/20/2025, 7/25/2025, 8/22/2025, 9/26/2025, 10/24/2025 Nurse Practitioners provide a range of health care services involving… more
- Sacramento County (Sacramento, CA)
- Registered Nurse D/CF (Level I/II) Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/454059) Apply Registered Nurse D/CF (Level I/II) ... at 5:00 pm on: 5/8/2025, 7/3/2025, 9/4/2025, 11/6/2025 Registered Nurse D/CF Level I: $61.27 - $74.48 hourly Registered...+ Use and care of medical equipment used in clinical and infirmary settings + Basic medical indications of… more
- Sacramento County (Sacramento, CA)
- Licensed Vocational Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448956) Apply Licensed Vocational Nurse D/CF Salary ... 7/3/2025, 10/3/2025 In a detention/correctional facility, the Licensed Vocational Nurse D/CF performs a wide variety of vocational nursing...+ Use and care of medical equipment used in clinical and infirmary settings + Basic medical indications of… more
- Dignity Health (Oxnard, CA)
- …daily rounding and monitoring on our patients during hospitalization. The NP will review all medical record documentation on a concurrent basis to ensure ... Manager. In keeping with Dignity Health Core Values, the Neuro Nurse Practitioner works with the neurointerventionalists, neurosurgeons, neurologists and stroke team… more
- Dignity Health (Camarillo, CA)
- …daily rounding and monitoring on our patients during hospitalization. The NP will review all medical record documentation on a concurrent basis to ensure ... In keeping with Dignity Health Core Values, the Electrophysiology (EP) Nurse Practitioner works with the Electrophysiologists to ensure our patients receive… more
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