- Elevance Health (Costa Mesa, CA)
- RN Utilization Management Nurse (NICU / Peds) - California (JR169694) **Virtual:** This role enables associates to work virtually full-time, with the ... - 6pm PST. Rotating Weekends and holidays. The **Medical Management Nurse ** is responsible for review of...clinical experience in NICU / Peds strongly preferred. + Utilization management /review within managed care or hospital… more
- Fresenius Medical Center (Newport Beach, CA)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... of education and experience. + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+… more
- Providence (Orange, CA)
- …Degree Nursing. + Bachelor's Degree Nursing. + Upon hire: California Registered Nurse License. + 3 years Experience in Utilization Management . + ... **Description** **Clinical Program RN at Providence St. Joseph Hospital Orange in...Master's Degree Nursing. + 5 years Experience as a utilization /case manager in an acute care setting. + Experience… more
- Providence (Anaheim, CA)
- …**Required qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience in ... Transplant, or Wound Care upon hire. + 3 years Experience in utilization management or case management . **Why Join Providence?** Our best-in-class benefits… more
- Elevance Health (Costa Mesa, CA)
- …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Sign on Bonus: $2000.**...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- STG International (Corona, CA)
- … management /coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. ... to ensure compliance and patient safety. *Participates in quality improvement, care management , risk management , peer review, utilization review, clinical… more