• Care Review Clinician

    Molina Healthcare (Los Angeles, CA)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 DAY SHIFT 7:30AM...in the USA if they have a valid CALIFORNIA RN license and must work the Pacific Time Zone… more
    Molina Healthcare (08/24/25)
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  • Care Review Clinician

    Molina Healthcare (Los Angeles, CA)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... program(s) proficiency. Preferred Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review... Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
    Molina Healthcare (08/24/25)
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  • RN Case Manager - Clinical Supervisor…

    Aveanna Healthcare (Orange, CA)
    …enhance the level of clinical expertise of staff to provide safe and quality nursing care for our patients + Review physicians' orders and update the plans of ... Healthcare is one of the nation's largest home health care companies in the United States and growing! We... Case Manager: + Must have good standing license ( RN ) in the state in which the clinician more
    Aveanna Healthcare (09/10/25)
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  • RN Clinical Supervisor - Sign-On Bonus…

    Aveanna Healthcare (Sherman Oaks, CA)
    …enhance the level of clinical expertise of staff to provide safe and quality nursing care for our patients + Review physicians' orders and update the plans of ... Healthcare is one of the nation's largest home health care companies in the United States and is continuing... Case Manager: + Must have good standing license ( RN ) in the state in which the clinician more
    Aveanna Healthcare (08/28/25)
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  • LVN Clinical Lead Care Manager

    Illumination Foundation (Riverside, CA)
    …and handle multiple complex tasks Preferred Experience/Minimum Qualifications Required: * Valid Registered Nurse ( RN /LVN) license in California, * Experience ... substance use disorders and/or complex medical issues. The ECM RN /LVN will assist in addressing the social determinants of...settings, as needed. Provides clinical oversight and tracking of care pIans . + Participates in the review more
    Illumination Foundation (10/03/25)
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  • CNS Neonatal ICU

    HCA Healthcare (Riverside, CA)
    …our Nurses at Riverside Community Hospital! **Job Summary and Qualifications** The Clinical Nurse Specialist (CNS) is an expert clinician who promotes and ... RN License + Current California Certification of Clinical Nurse Specialist + Current BCLS + Bachelor's of Science...Care experience + Successful work as a Clinical Nurse Specialist in NICU + Experience in the development… more
    HCA Healthcare (10/13/25)
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  • Behavioral Health Clinical Quality Audit Analyst,…

    Elevance Health (Costa Mesa, CA)
    …years experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as well as process ... **Preferred Skills, Capabilities, and Experiences:** + Independently licensed behavioral health clinician preferred (LCSW, LPCC, LMFT, Ph.D., Psy.D., RN ). +… more
    Elevance Health (10/13/25)
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