- Centene Corporation (Sacramento, CA)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... Pacific Standard Hours with rotating weekends.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and… more
- UCLA Health (Los Angeles, CA)
- …related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and established ... Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role...and efficient utilization of resources. Key Responsibilities: + Conducts clinical reviews of prior authorization requests to… more
- WelbeHealth (North Hollywood, CA)
- …communities by providing comprehensive medical care and community-based services. The WelbeHealth Clinical Nurse Manager is accountable for the delivery of ... the Clinical Services Director (CSD), the WelbeHealth Clinical Nurse Manager organizes and directs the...Quality Improvement Director, serve as the audit lead for clinical and nursing elements during CMS/DHCS audit review… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... service are met and is subject to closure without prior notice. ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH...medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services… more
- HCA Healthcare (Riverside, CA)
- …CNC Cardiac Cath Lab opening and continue to learn! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) serves as a key member of the Cardiac ... the hospitals vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. Our team… more
- Molina Healthcare (Long Beach, CA)
- …or master's degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** ... Nurse (LPN) license in good standing OR a clinical license in good standing, such as LCSW, LPCC...Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management… more
- The County of Los Angeles (Los Angeles, CA)
- …Please include the exam number and exam title. + Yes + No 08 NURSE PRACTITIONER CANDIDATE ASSESSMENT RATING FORMINSTRUCTIONS Review the four competency areas and ... service are met and is subject to closure without prior notice. REBULLETIN INFORMATION: THIS ANNOUNCEMENT IS A REBULLETIN...to perform as based on core competencies for the nurse practitioner disciplines. Review and consider your… more
- The County of Los Angeles (Los Angeles, CA)
- …Please include the exam number and exam title. + Yes + No 08 NURSE PRACTITIONER CANDIDATE ASSESSMENT RATING FORMINSTRUCTIONS Review the four competency areas and ... services are met and is subject to closure without prior notice. EXAM NUMBER - Y5121T TYPE OF RECRUITMENT...to perform as based on core competencies for the nurse practitioner disciplines. Review and consider your… 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
- The County of Los Angeles (Los Angeles, CA)
- …an individual's ability to perform as based on core competencies for the nurse practitioner disciplines. Review and consider your resume, education, experience, ... NURSE PRACTITIONER- PEDIATRIC HUB CLINICS/NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2588395) Apply NURSE PRACTITIONER-… more