- Universal Health Services (Temecula, CA)
- …Summary: The Southwest Healthcare Regional office in Temecula, CA is seeking Two (2) Full-Time RN Central Utilization Review Nurses who will be ... correct payer source for hospitalization and communication. + Ensures compliance of utilization review practices as required by payers, external regulatory… more
- Universal Health Services (Madera, CA)
- …Outpatient programs including, but not limited to: administrative functions, utilization review , assessment, discharge planning, group/individual therapy, case ... behavioral health services to residents and visitors in the Central Valley. The new hospital will employ more than...of accredited School of Nursing; Current licensure as a Registered nurse thorough the State of California.… more
- Universal Health Services (Temecula, CA)
- …etc. Qualifications + Two (2) years experience in an acute care hospital or Utilization Review environment. + Utilization Review experience preferred. ... monitoring and identifies dysrhythmias and treats appropriately. The ER RN must be able to accurately assign triage categories...accredited Registered Nursing program. + Current California Registered Nurse license. + CCM and/or CPUR… more
- Dignity Health (Santa Cruz, CA)
- …of patient satisfaction. The RN Care Coordinator consistently conducts the utilization review process and discharge planning process per hospital policies ... a wide range of services to residents of California's Central Coast. With 24/7 emergency care, comprehensive care in...other federal or state regulatory requirements as specific to Utilization Review and Discharge Planning. + Fluent… more
- Scripps Health (San Diego, CA)
- …and Cardiologists to review data for related projects. As a Specialty Nurse Navigator, you will be responsible for: * Formulating custom care plans from ... RN * **Organization:** **Scripps La Jolla Hospital* **Title:** *Specialty Nurse Navigator - RN - Structural Heart...RN - Structural Heart - La Jolla* **Location:** * Central San Diego County-LA JOLLA-SCRIPPS MEMORIAL HOSPITAL LA JOLLA*… more
- Universal Health Services (Madera, CA)
- …including clinicians, nurses, mental health technicians, support staff and administration. The Admissions/Intake RN is a registered professional nurse who is ... behavioral health services to residents and visitors in the Central Valley. The new hospital will employ more than...data, as assigned. + Maintains good communication with the Utilization Review , Business Office, and other staff… more
- Scripps Health (San Diego, CA)
- …experience in a variety of environments. This is the ideal role for a registered nurse who is self-motivated, results-oriented, and able to effectively work both ... of utilization management including experience managing prior-authorization and concurrent review . * Knowledge of Medicare and Commercial health plans. * 3 years… more