- Providence (Mission Hills, CA)
- **Description** RN - Utilization Review ...+ Associate's Degree in Nursing. + Upon hire: California Registered Nurse License + 2 years of ... is Remote (Working from Home 100%) and will work Part -Time, 8-hour Day shifts (20 hours per week). Successful... Management, medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently… more
- Select Medical (Los Angeles, CA)
- …Cedars, UCLA and Select Medical Century City / Los Angeles, CA Case Manager (CM) - Registered Nurse ( RN ) or Social Worker (LCSW) **Per Diem** **Pay Rate: ... + Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure positive fiscal… more
- The County of Los Angeles (Los Angeles, CA)
- …Considerable ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management experience ... OPTION II: Two (2) years of experience as a registered nurse , of which one year must...the County of Los Angeles, a Utilization Review Nurse is an RN … more
- Emanate Health (Covina, CA)
- …States, and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical ... affects lives. When you join Emanate Health, you become part of a team that works together to strengthen...protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices.… more
- Prime Healthcare (Montclair, CA)
- …experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 ... offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference....to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,… more
- Emanate Health (Covina, CA)
- …country. **J** **ob Summary** The Director of Revenue Integrity & Clinical Utilization Review provides clinical oversight and operational leadership for clinical ... affects lives. When you join Emanate Health, you become part of a team that works together to strengthen... utilization review , charge capture, and revenue integrity… more
- HCA Healthcare (Riverside, CA)
- …a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse ( RN ) with current California license required, Case ... **Introduction** Do you have the career opportunities as an RN Case Manager you want in your current role?...Management Certification or utilization review preferred + Associate's Degree minimum… more
- Select Medical (Los Angeles, CA)
- …/ Los Angeles, CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) **Schedule: Mon - ... + Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure positive fiscal… more
- Guidehouse (Los Angeles, CA)
- …**Clearance Required** **:** None **What You Will Do** **:** The **Hospital Admitting Registered Nurse PART ** **TIME, varied shiftts** will facilitate ... of prior relevant experience, 2 of the years as RN + Graduation from an accredited school of nursing....Nice To Have** **:** + Two years' experience in utilization review with external payors within a… more
- Dignity Health (Oxnard, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Must have critical thinking and problem-solving ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the...will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... most prone to assaultive behavior or requiring more extensive monitoring and review of their condition and progress. Essential Job Functions + Administers, either… more
- HCA Healthcare (Thousand Oaks, CA)
- …Robles Surgery Center have the opportunity to make a real impact. As an Operating Room Nurse Part -Time you can be a part of change. **Benefits** Los Robles ... positive outcomes for your patients as an Operating Room Nurse Part -Time. We want your knowledge and...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- Fresenius Medical Center (Bellflower, CA)
- …state regulations, and accrediting agency standards where applicable. + Participate in review business and finances of the site, including financial reports, market ... the security and integrity of facility + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply… more