- 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 necessity ... Requirement :** **Minimum Experience Requirement :** Minimum of three years of utilization management experience. Experience in quality - related job preferred.… more
- Cedars-Sinai (Tarzana, CA)
- …patient care standards and requirements, including areas such as safety and quality assurance are being followed. Stays current with applicable standards. ... Responsible for administrative support activities involving facilities management, pharmacy, utilization management, quality management, risk management. +… more
- ICW Group (Woodland Hills, CA)
- …providing direct clinical care required. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational ... with providers through use of medical and disability duration guidelines, adhering to quality assurance standards. + Negotiates and coordinates a prompt return… more