- Molina Healthcare (Long Beach, CA)
- …and electronic medical record (EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, ... post-discharge coordination to reduce hospital readmission rates and emergency room utilization . * Performs face-to-face in-person visits in a variety of settings… more
- 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 (Fullerton, CA)
- … Registered Nurse License + 3 years of experience in Utilization Management . + Experience working with InterQual and MCG guidelines. **Preferred ... **Description** **Clinical Program Manager RN at Providence St. Jude Medical Center, Fullerton,...in Nursing. + 5 years in experience as a utilization /case manager in an acute care setting. + Experience… more
- Dignity Health (Northridge, CA)
- …Minimum 2-year recent Emergency Department experience **License/Certifications:** + Valid California Registered Nurse License + Advanced Cardiac Life Support ... **Job Summary and Responsibilities** As an ED Nurse Leader at Dignity Health- Northridge Hospital Medical...our ED team you will partner with board-certified Physicians Registered Nurses Advance Midlevel Providers and other specially trained… 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: $5000.**...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
- Dignity Health (Northridge, CA)
- …and actively participating in time-out procedures under the direction of the Registered Nurse . + Collaborative Environment: Contributes to a positive, ... throughout the procedure. + Aseptic Technique & Sterile Field Management : Adheres rigorously to and monitors others for principles...to the oversight of patient care provided by the Registered Nurse in conjunction with the surgeon… more
- Molina Healthcare (Long Beach, CA)
- …Licensed Vocational Nurse (LVN) license in good standing. **Preferred Education** Registered Nurse . Bachelor's Degree in Nursing or Health Related Field ... correctly to process claim.. **Job Qualifications** **Required Education** Licensed Vocational Nurse / Licensed Practical Nurse . **Required Experience** Minimum… more
