- ERP International (Twentynine Palms, CA)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers** for full-time positions in support of the **Naval Hospital Twentynine ... Management Specialist (CDMS) o Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) o American Board for Occupational Health… more
- Stanford Health Care (Palo Alto, CA)
- …to identify trends and make recommendations for improvement. **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... CPT, HCPCS, ASA + Knowledge of medical management statistics relating to UM /CM and prior authorization process management. + Extensive knowledge of risk… more
- Alameda Health System (Oakland, CA)
- …background. Required Licenses/Certifications : Valid license to practice as a Registered Nurse in the State of California. Preferred Licenses/Certifications ... of utilization practices; assists physicians and hospital personnel in understanding UM matters. Perform all other duties as assigned. Prepares cost analysis… more
- Dignity Health (Bakersfield, CA)
- …experience. - Graduate of an accredited RN Program. - Clear and current CA Registered Nurse ( RN ) license. - Knowledge of nursing theory and ability to ... **Job Summary and Responsibilities** As a Utilization Management RN , you will be crucial in ensuring accurate...line with CommonSpirit's values. You will function as a UM nurse reviewer, applying clinical expertise to… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management ( UM ) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. This ... clinical documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and… more
- Cedars-Sinai (CA)
- …as a condition of continued employment. **Req ID** : 13841 **Working Title** : Registered Nurse - Care Coordinator - Per Diem 8 Hour Days **Department** ... Science degree in Nursing required **License/Certifications:** + Valid CA RN license required + Certified Case Management preferred or...with 2 or more year of care management experience ( UM or DC Planning). + 1 year of previous… more
- Cedars-Sinai (Beverly Hills, CA)
- …Angeles Fair Chance Initiative for Hiring. **Req ID** : 12949 **Working Title** : Registered Nurse - ISP Care Coordinator - PER_DIEM 8 Hour Days **Department** ... + For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for continued review and… more
- CVS Health (Sacramento, CA)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… more
- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... the status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning needs and documents is computer system… more
- Providence (Santa Rosa, CA)
- **Description** RN Manager - Case Management unit at Santa Rosa Memorial Hospital, CA. This position is Full-time and will work 8-hour Day Shifts. Providence Santa ... department direction and has daily operations oversight of the RN Case Managers in the Care Management Department. The...- Nursing Preferred. + Bachelor's degree for Case Management/ UM Review: Nursing or related field. + 2 years… more
