- Molina Healthcare (Sacramento, CA)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- Molina Healthcare (Sacramento, CA)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 NIGHT SHIFT 7:30PM...in the USA if they have a valid CALIFORNIA RN license and must work the Pacific Time Zone… more
- Molina Healthcare (Sacramento, CA)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Centene Corporation (Sacramento, CA)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... are seeking a Licensed Clinical Behavioral Health Professional or RN to join our team! The ideal candidate will...preferred. Experience working with providers and healthcare teams to review care services related to mental health… more
- Highmark Health (Sacramento, CA)
- …of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes… more
- Datavant (Sacramento, CA)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Alameda Health System (Oakland, CA)
- …who share our mission! We are currently recruiting for a Full Time Certified Registered Nurse Anesthetists (CRNA) to work 12-hour, varied shifts at our Highland ... Registered Nurses. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Current participants in an… more
- Alameda Health System (Oakland, CA)
- …We are currently recruiting for 3 (three) Per Diem/Services As Needed (SAN) Certified Registered Nurse Anesthetist (CRNA) to work 12-hour, varied shifts at our ... in California's East Bay Area. As a provider of care to all patients, regardless of their ability to...Required Licenses/Certifications: + Valid license to practice as a Registered Nurse in the State of California… more
- Alameda Health System (Oakland, CA)
- …vulnerable populations and care for poor and underserved patients. 2. Assists clinician in following up on patient needs, including but not limited to inbox ... patients to examination rooms, prepares patients according to procedures, and assists physician/ clinician with the care of the patient as instructed. Assists… more