- Cedars-Sinai (Los Angeles, CA)
- …Motions, Eye/Hand/Foot Coordination **Req ID** : 1261 **Working Title** : Registered Nurse - Utilization Management - 8 Hour Days **Department** : ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement... Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category**… more
- Dignity Health (Northridge, CA)
- …required. + Current CA Registered Nurse (RN) license + Prior Utilization Management experience in a clinical or insurance setting required. + Previous ... 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for assessing… more
- Actalent (San Diego, CA)
- …admission status and patient classification. Skills: case management , acute care, registered nurse , utilization management , Care management ... service, Rn license Shift: 9PM - 7AM Top Skills Details: case management ,acute care, registered nurse , utilization management Additional Skills &… more
- Actalent (San Diego, CA)
- …admission status and patient classification. Skills: case management , acute care, registered nurse , utilization management , Care management ... care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based...for case management scope of services including: Utilization Management supporting medical necessity and denial… more
- Actalent (San Diego, CA)
- …admission status and patient classification. Skills: case management , acute care, registered nurse , utilization management , Care management ... the scope of services defined by the Registered Nurse RN state licensure requirements. + Utilization Management : Assures the patient is in the… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
- Trinity Health (Fresno, CA)
- …of Acute Care seeking your next adventure?** **Duration:** 13-week Assignment The Interim Utilization Management , RN Manager is responsible for management , ... leadership, and coordination of the Utilization Management Team to ensure payor reimbursement for services rendered...families, and hospital staff **Requirements** + State of California Registered Nurse (RN) License. + Current American… more
- Ventura County (Ventura, CA)
- Registered Nurse I/II and Nurse ...(PACU) + Post-Operative Services + Public Health + Quality Management + Telemetry + Trauma + Utilization Review ... Extern - Regular and Per Diem Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4219899) Apply Registered Nurse I/II and Nurse Extern -… more
- The Arora Group (Twentynine Palms, CA)
- …Possess a minimum of 2 years full-time experience within the last 3 years as a registered nurse providing case management and obtain one of the eight ... Registered Nurse Case Manager Nurse... Registered Nurse Case Manager Nurse Currently recruiting...Psychological Health Transition to Care Initiative in the Case Management / Utilization Management Division at Naval… more
- Sharp HealthCare (San Diego, CA)
- …Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse (RN) - CA ... care and supports other members of the System Centralized Utilization Management team to ensure final status...clinical experience as defined by the CBA + California Registered Nurse (RN) - CA Board of… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply REGISTERED NURSE II - NORTH ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...experience* at the level of Los Angeles County classification Registered Nurse I**. -AND- 2. A license… more
- The Arora Group (Coronado, CA)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager in Coronado, California, to work at Coronado Naval ... - Fri between 7:30AM - 8:00PM. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): + Perform...and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case… more
- Actalent (San Bernardino, CA)
- Description: As a part of the Utilization Management team the Utilization Review RN is a member of the Care Coordination team. The goal of care coordination ... directed to contracted in-network vendors when possible. Must be knowledgable of utilization management criteria, contract vs. non-contracted. - Must be familiar… more
- Centene Corporation (Sacramento, CA)
- …2+ years supervisory experience preferred. Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered ... Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and facilitates… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- Summary The Spinal Cord Injury Registered Nurse is a professional RN who is responsible and accountable for all elements of the nursing process when providing ... supervising direct patient care. Currently there is one vacancy for SCI Outpatient Registered Nurse located in La Jolla, California. Responsibilities The Spinal… more
- Cedars-Sinai (CA)
- … management leadership experience, minimum **Req ID** : 328 **Working Title** : Registered Nurse Case Management Assoc Director **Department** : Case ... management direction to the RN Case Managers/assigned clerical and utilization management staff in the department. *Identifies appropriate staffing levels,… more
- HCA Healthcare (Thousand Oaks, CA)
- …knowledge and expertise! **Job Summary and Qualifications** The **Oncology Registered Nurse ** II performs direct patient care through utilization of the ... Regional Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse -Oncology you can be a part of change. **Benefits** Los Robles… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case...Licensure:** Current, full, active and unrestricted license as a Registered Nurse Security** : Must possess ability… more
- HCA Healthcare (Thousand Oaks, CA)
- …continue to learn! **Job Summary and Qualifications** The **Oncology Registered Nurse ** II performs direct patient care through utilization of the nursing ... Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse -Oncology and access programs to assist with every stage of your… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN (Outpatient) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more