- Sharp HealthCare (San Diego, CA)
- …Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse ( RN ) - CA Board of Registered ... experience, case management experience or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA Board of Registered … more
- Sharp HealthCare (La Mesa, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Bachelor's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... reviews inpatient medical records while patients are still in-house ( concurrent review) for proper documentation resulting in appropriate reimbursement,...clinical area of an acute care facility + California Registered Nurse ( RN ) - CA… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... + 3 Years Recent acute care nursing experience or case management experience. + California Registered Nurse ( RN ) - CA Board of Registered Nursing… more
- Sharp HealthCare (San Diego, CA)
- …Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... experience + 3 Years recent case management, utilization review, care coordination experience + California Registered Nurse ( RN ) - CA Board of Registered … more
- Sharp HealthCare (San Diego, CA)
- …Degree in Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse ( RN ) - CA Board of Registered ... clinical experience as defined by the CBA + California Registered Nurse ( RN ) - CA...medical necessity and payer considerations are reviewed.Perform initial and concurrent review on intent to bed or bedded patients.… more
- Sharp HealthCare (Chula Vista, CA)
- …in Patient Safety (CPPS) - Certification Board for Professionals in Patient Safety; California Registered Nurse ( RN ) - CA Board of Registered ... Patient Safety (CPPS) - Certification Board for Professionals in Patient Safety -PREFERRED + California Registered Nurse ( RN ) - CA Board of Registered … more
- Magellan Health Services (San Diego, CA)
- …Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of...role with necessary degree: LMSW, LCSW, LMFT, LPC, or RN . Minimum 5 years' experience post degree in healthcare,… 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 ... knowledge of utilization management including experience managing prior-authorization and concurrent review. * Knowledge of Medicare and Commercial health plans.… more
- Magellan Health Services (San Diego, CA)
- …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... triage, crisis intervention and emergency authorizations as assigned. + Performs concurrent reviews for inpatient and/or outpatient care and other levels of… more