- Actalent (Santa Barbara, CA)
- …Nurse Coordinator - REMOTE POSITION Non-profit healthcare network is looking for a utilization management registered nurse to join their team on a ... 3-month contract + Medi-Cal Experience + Utilization Management WHAT'S IN IT FOR YOU: + Remote...Health Plan Nurse Coordinator (HPNC) is a Registered Nurse assigned to one of several… more
- Cognizant (Sacramento, CA)
- …have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with ... **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Utilization Management ** for a temporary contract position in support ... AFB, CA (https://www.airforcemedicine.af.mil/MTF/Vandenberg/About-Us/) . **NOTE: This is NOT a Tele-Health/ Remote Practice Opportunity.** **Be the Best!** Join our team… more
- CVS Health (Sacramento, CA)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
- Providence (Mission Hills, CA)
- … Utilization Management , medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently manage a ... **Description** ** RN Utilization Review at Providence Holy...Qualifications:** + Associate's Degree Nursing. + Upon hire: California Registered Nurse License. + 2 years Experience… more
- Providence (Mission Hills, CA)
- … Utilization Management , medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently manage a ... **Description** ** RN Utilization Review at Providence Holy...**Required Qualifications:** + Associate's Degree - Nursing. + California Registered Nurse License upon hire. + 2… more
- Centene Corporation (Sacramento, CA)
- …and 4+ years of related experience. Knowledge of utilization management principles preferred. 25% Travel CA RN License Required **License/Certification:** ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks...+ RN - Registered Nurse - State Licensure and/or Compact… more
- CVS Health (Sacramento, CA)
- …for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key Responsibilities** + Apply critical ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… 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 ... 6 pm (PST)/ 1130 am - 8 pm (CST)** ** Remote - CA or Remote - TX**...addiction disorders experience is required. + Direct experience with Utilization Review or Utilization Management … more
- Providence (Fullerton, CA)
- … Registered Nurse License + 3 years of experience in Utilization Management . + Experience working with InterQual and MCG guidelines. **Preferred ... **Description** **Clinical Program Manager RN at Providence St. Jude Medical Center, Fullerton,...in Nursing. + 5 years in experience as a utilization /case manager in an acute care setting. + Experience… more