- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Dignity Health (Rancho Cordova, CA)
- …Summary:** Under the guidance and supervision of the department Manager/Director, the Supervisor of Utilization Management is responsible and accountable ... Guidelines, InterQual, Health Plan Benefit Interpretation Guidelines and Medical Management Policies, and DHMF Utilization Management...accredited school of nursing. - Clear and current CA Registered Nurse ( RN ) license. **Preferred… more
- WelbeHealth (Los Angeles, CA)
- …quality, compliant, and cost-effective care to our participants. By guiding this team, the Utilization Management RN Supervisor drives the continuous ... a critical role in our participant's journey and our Utilization Management team ensures we can provide...external), clinical staff, and others to timely resolve any utilization management issues **Job Requirements:** + Minimum… more
- Fresenius Medical Center (Garden Grove, CA)
- …and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... **POSITION FEATURES:** This is a full time RN role for our surgery center in Garden...adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other… more
- Sutter Health (Sacramento, CA)
- …+ Other: Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... Care at Home - Valley **Position Overview:** An experienced RN who is responsible for the overall management...the established plan of patient care and ensuring effective management of visit utilization and control of… more
- Ventura County (Ventura, CA)
- …Diem Unit MOA (Sec. 809). APPROXIMATE SALARY: Per Diem Nurse Extern: $29.54 per hour Registered Nurse I ( RN I): $41.60 - $43.72 per hour Registered ... II): $48.60 - $58.11 per hour Per Diem Registered Nurse I (PD RN ...(PACU) + Post-Operative Services + Public Health + Quality Management + Telemetry + Trauma + Utilization … more
- ERP International (San Diego, CA)
- **Overview** ERP International is seeking full-time ** Registered Nurse ( RN ) Health Educators** supporting **Naval Medical Center San Diego, CA ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- LA Care Health Plan (Los Angeles, CA)
- …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Supervisor , Appeals and Grievances Clinical Operations RN...Required: Knowledge of state, federal and regulatory requirements in Appeals/Care/Case/ Utilization Management /Quality. Strong verbal and written communication… more
- Cedars-Sinai (Beverly Hills, CA)
- …as well as patient care assessments, and a variety of medically related tasks. The Supervisor is a registered nurse who works in an administrative role ... **Job Description** The Supervisor of Clinical Operations RN supports...as a liaison for administrative support activities including facilities management , pharmacy, utilization management , quality… more
- Sharp HealthCare (Coronado, CA)
- …Diem **Shift** Night **FTE** 0 **Shift Start Time** **Shift End Time** Bachelor's Degree; California Registered Nurse ( RN ) - CA Board of Registered ... business practices. **What You Will Do** To provide effective management of operations for the hospital and administration during...Qualifications** + 3 Years recent clinical experience. + California Registered Nurse ( RN ) - CA… more
- Sharp HealthCare (La Mesa, CA)
- …Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... RN experience in related clinical area. + California Registered Nurse ( RN ) - CA...related to front desk responsibilities including scheduling and telephone management . Acts as a positive role model and ensures… more
- Universal Health Services (Madera, CA)
- …QUALIFICATIONS Education : Graduate of accredited School of Nursing; Current licensure as a Registered nurse thorough the State of California. + Minimum two (2) ... required. License : Must possess licensure in the State of CA as Registered Nurse Additional Requirements: Thorough knowledge of The Joint Commission, OSHA, and… more
- Universal Health Services (Corona, CA)
- …values the nursing profession. One of the most rewarding aspects of working as a Registered Nurse ( RN ) is providing excellent care, comfort, and security to ... learn, and advance in your career through our Charge, Supervisor and Nurse Manager-in-training programs and nursing...opportunities for skills diversification and career advancement as a Registered Nurse ( RN ) with UHS.… more
- LA Care Health Plan (Los Angeles, CA)
- …Computer ease & literacy with Word, Excel, PowerPoint Skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Executive Services...is responsible for ensuring that delegates contracted to perform Utilization Management (UM) functions on behalf of… more
- Sutter Health (San Francisco, CA)
- …in nursing, case management or related field. **CERTIFICATION & LICENSURE** + RN - Registered Nurse of California (required) + CCM-Certified Case Manager ... Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The … more
- Sutter Health (Lakeport, CA)
- …**EDUCATION:** Graduate of an accredited School of Nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California BLS-Basic Life Support Healthcare ... Care at Home - Lakeside **Position Overview:** An experienced RN who is responsible for the overall management...the established plan of patient care and ensuring effective management of visit utilization and control of… more
- Alameda Health System (San Leandro, CA)
- …+ FTE:0.01 + Posted:March 13, 2024 **Summary** Must have Inpatient Hospital Adult Psych Unit Nurse supervisor or Nurse Lead or Nurse assistant manager ... Clinical Nurse IV, House Supervisor , Psych Unit,...of the required experience.) Required License/Certifications:CCRN - Critical Care Registered Nurse is desirable. Required Licenses/Certifications:ACLS -… more
- Universal Health Services (Corona, CA)
- …*UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal ... receive care. SUMMARY: Under the direction of the Practice Administrator, the Lead RN is responsible for providing function guidance to clinical staff. Assist … more
- Sutter Health (Novato, CA)
- …months OR Master's: MS in Nursing, Case management **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California **TYPICAL EXPERIENCE:** 5 years of ... Sutter Health philosophies and initiatives. Participates as a member of the utilization Management Committee (UMC). **PHYSICAL ACTIVITIES AND REQUIREMENTS:** See… more
- Sharp HealthCare (La Mesa, CA)
- …**Job Status** Regular **Shift** Variable **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered ... shall have been in a leadership role. + California Registered Nurse ( RN ) - CA...(TNCC) - Various-Employee provides certificate -PREFERRED **Essential Functions** Data Management + Contributes to meeting budgeted salary expense per… more