- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Dignity Health (Rancho Cordova, CA)
- …Summary:** Under the guidance and supervision of the department Manager/Director, the Supervisor of Utilization Management is responsible and accountable for ... Ensures UM Physicians are provided the relevant information needed to accurately review a referral. Fosters the relationship between the Pre-Authorization team and… more
- Ventura County (Ventura, CA)
- …and patient care as indicated and required; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; and + ... Registered Nurse I/II and Nurse Extern -...Services + Public Health + Telemetry + Trauma + Utilization Review (UR) + None/Other 05 Please… more
- ERP International (San Diego, CA)
- …that of other individuals performing similar services. Participate in peer review and performance improvement activities. Practice aseptic techniques as necessary. ... events. Anticipate potential problems/emergencies and make appropriate interventions. Notify supervisor , leadership, or other designated person regarding problems that… more
- Fresenius Medical Center (Rialto, CA)
- …or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse , Supervisor or Physician as needed. + Assesses, collaborates, and ... and collaborates with supervisor and Education Department regarding progress of new nurse + Continues to mentor and support new nurses once released to work… more
- Fresenius Medical Center (San Diego, CA)
- …and collaborates with supervisor and Education Department regarding progress of new nurse + Continues to mentor and support new nurses once released to work ... and work hours. **PURPOSE AND SCOPE:** The professional registered nurse Home Therapies RN CAP 2 may be an...Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or… more
- ERP International (San Diego, CA)
- **Overview** ERP International is seeking full-time **Registered Nurse (RN) Health Educators** supporting **Naval Medical Center San Diego, CA ... that of other individuals performing similar services. Participate in peer review and performance improvement activities. Practice aseptic techniques as necessary.… more
- Insight Global (Los Angeles, CA)
- Job Description Insight Global is seeking a skilled Registered Nurse Supervisor for a community health/wellness clinic in LA county. The position incorporates ... or supervisor role EMR system experience valid California Registered Nurse (RN) license Current Basic Cardiac Life Support (BLS/CPR) eClinicalWorks Experience in… more
- Cedars-Sinai (Tarzana, CA)
- **Job Description** The Supervisor , Clinical Operations Oncology RN is responsible for supervising the clinical staff and clinical operations of the Oncology ... the following duties personally or through assigned personnel. The Supervisor is expected to manage the overall unit, is...and complete, appropriate staffing levels. Although not a staff nurse , will be expected to step into direct patient… more
- Highland General Hospital (San Leandro, CA)
- … utilization and an appropriate level of care. 5. Coordinates all utilization review functions, including response to payor requests for concurrent and ... Initiates the appeal process, at the direction of the Supervisor and/or physician advisors, until the case is overturned,...of Case Management experience in an acute setting or utilization review at a medical group or… more
- LA Care Health Plan (Los Angeles, CA)
- …and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), … more
- Sharp HealthCare (San Diego, CA)
- …with the Sharp Extended Care (SEC) provider on site and/or telephonically. Keeps SEC Nurse Supervisor or SEC provider of any adverse development, delay in ... Complies with contracted health plan requirements for documentation of concurrent SNF review and utilization management activities performed in a manner… more
- Cedars-Sinai (Beverly Hills, CA)
- …individualized patient care in support of Medical Center philosophies. The Assistant Nurse Manager functions as the Department Supervisor and an experienced ... **Job Summary: Key Job Responsibilities** Under the leadership of the Nurse Manager/Associate Director/Executive Director ( Nurse Leader) the Assistant … more
- Sharp HealthCare (La Mesa, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse (RN) - CA Board of Registered Nursing **Hours** **:** **Shift… more
- Universal Health Services (Madera, CA)
- …Outcome Study, and other data, as assigned. + Maintains good communication with the Utilization Review , Business Office, and other staff as + Maintains log of ... support staff and administration. The Admissions/Intake RN is a registered professional nurse who is responsible for assessing the medical bond behavioral needs of… more
- Universal Health Services (Corona, CA)
- …opportunity to grow, learn, and advance in your career through our Charge, Supervisor and Nurse Manager-in-training programs and nursing executive tract. We are ... develops, implements and coordinates activities through interdisciplinary collaboration and utilization of wound care guidelines and practice standards. Maintains… more
- Sharp HealthCare (Chula Vista, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; California Licensed Vocational ... Nurse (LVN) - CA Board of Vocational Nursing &...process and Crucial Conversations to resolve identified conflicts.Meets with supervisor on regular basis + LeadershipFacilitates change process as… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …identified and resolved. The Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic ... and only refers to the non-routine and high technical problems to his/her supervisor . The incumbent reports status of projects and tasks to the supervisor… more
- Sutter Health (San Francisco, CA)
- …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some awareness ... is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The RN Case… more
- e CancerCare (Fresno, CA)
- …the creation and execution of the clinical trial development strategy, study contract review , study budget review , negotiation, and in consultation with the ... excellence through applied clinical knowledge, leadership, team recommendations and research utilization . Ensure timely reporting and follow up of all patient… more