- Centene Corporation (Sacramento, CA)
- …with interdepartmental teams on projects within utilization management as part of the clinical review team + Partners and works with Medical Affairs and/or ... 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,… more
- Cedars-Sinai (Los Angeles, CA)
- …across the Consortium. + Maintains close coordination between the home department and Clinical Efficiency & Value team to review outcomes of the programs, ... + Current DEA license + BLS certification **Req ID** : 9385 **Working Title** : Clinical Value Nurse Practitioner (NP) - Department of Medicine - 8 Hour Day… more
- WelbeHealth (La Quinta, CA)
- …with CSD and Quality Improvement Director, serve as the audit lead for clinical and nursing elements during CMS/DHCS audit review + Develop and monitor ... communities by providing comprehensive medical care and community-based services. The WelbeHealth Clinical Nurse Manager is accountable for the delivery of… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse (RN) Manager, Appeals and Grievances General Operations ( Clinical ) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... that purpose. Job Summary The Manager, Appeals & Grievances (A&G) & General Operations ( Clinical ) is responsible for the daily oversight of clinical appeals and… more
- HCA Healthcare (Riverside, CA)
- …this opportunity compelling, we encourage you to apply for our Clinical Nurse Coordinator SICU opening. We promptly review all applications. Highly qualified ... individual is recognized. Submit your application for the opportunity below: Clinical Nurse Coordinator SICURiverside Community Hospital **Benefits** Riverside… more
- HCA Healthcare (Riverside, CA)
- …your career path, we encourage you to apply for our Clinical Nurse Coordinator Labor Delivery opening. We review all applications. Qualified candidates will ... **Introduction** Do you have the career opportunities as a(an) Clinical Nurse Coordinator Labor Delivery you want... nursing experience preferred + 2+ years in a lead role with demonstrated leadership and management proficiency preferred.… more
- Cedars-Sinai (Los Angeles, CA)
- …Oncology Certified Nurse highly preferred. **Req ID** : 10724 **Working Title** : Lead Nurse Practitioner - Hematology and Cellular Therapy - Full Time - ... Hospitals! Do you have a passion for the highest clinical quality and patient happiness? Would you like to...doing: Under the leadership of the Associate Director the Lead of the Nurse Practitioner is responsible… more
- Wolters Kluwer (Torrance, CA)
- …seeking a strategic and results-driven Manager, Clinical Content - Nursing to lead a high-performing team of Integration Nurse Educators. This role is ... excellence and client success. This role will report to the Associate Director, Clinical Content. **RESPONSIBILITIES** + Lead and manage a team to integrate… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …health and co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Clinical Nurse Educator PAY RANGE: $135,200-$170,690 Annually REPORTS TO: ... in-service training, annual competency requirements, and professional development activities. The Clinical Nurse Educator maintains knowledge of, participates in… more
- Elevance Health (Costa Mesa, CA)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or… more