- Elevance Health (Costa Mesa, CA)
- …across an expanding set of clinical domains, including radiology, cardiology and oncology._ ** Nurse Reviewer I** **Location:** This is a virtual position open to ... in CDT, regardless of your individual time zone. The ** Nurse Reviewer I** is responsible for conducting...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Prime Healthcare (Ontario, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/176615/utilization- review - nurse -lvn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Plan. Qualifications Required qualifications: + Possess an active CA Licensed Vocational Nurse (LVN) license. + Minimum two years of experience in acute hospital… more
- Molina Healthcare (Long Beach, CA)
- **JOB DESCRIPTION** **Job Summary** The **Delegation Oversight Nurse ** is responsible for ensuring that Molina Healthcare's UM delegates are compliant with all ... as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the… more
- Veterans Affairs, Veterans Health Administration (Sepulveda, CA)
- …in providing care to variable patient populations. Completed work needs only a general review by a registered nurse (RN) or physician (ND/DO) for appropriateness ... VA Health Care System is seeking 1 Licensed Vocational Nurse (LVN) in Nursing Service for their Community Living...limited to: Completed work should need only a general review by an RN or physician for appropriateness and… more
- WelbeHealth (North Hollywood, CA)
- …providing comprehensive medical care and community-based services. The WelbeHealth Clinical Nurse Manager is accountable for the delivery of high-quality ambulatory ... the direction of the Clinical Services Director (CSD), the WelbeHealth Clinical Nurse Manager organizes and directs the day-to-day operations within the clinic,… more
- BioLife Plasma Services (Lakewood, CA)
- …Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife Plasma Services is a subsidiary of ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
- Dignity Health (Northridge, CA)
- …protection to help infants thrive. We are seeking a passionate and experienced Clinical Nurse Specialist to join our exceptional NICU team. As a Neonatal Clinical ... Nurse Specialist, you will be a key leader in...findings to the Department Manager. + Participate in the review , development, and implementation of policies and procedures, ensuring… more
- Providence (Mission Viejo, CA)
- **Description** **Clinical Nurse Specialist - Cardiovascular Services - Nursing Magnet in Mission Hospital Regional Medical Center in Mission, Viejo, CA. This is a ... full-time, day shift position.** The Clinical Nurse Specialist is a clinical leader with advanced skills and knowledge in designated clinical areas. Functions… more
- BrightSpring Health Services (Anaheim, CA)
- …ResCare Community Living Overview Works under the supervision of a Registered Nurse . Duties include providing routine care, general observation of client's health ... care and services and reports any changes + Complete a quarterly nursing evaluation/ review of body systems on assigned individuals per program requirements. Refer to… more
- Elevance Health (Costa Mesa, CA)
- **Telephonic Nurse Case Manager I** **Location: Virtual:** **This role enables associates to work virtually full-time, with the exception of required in-person ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager I** is responsible for performing care management within the… more
- Elevance Health (Costa Mesa, CA)
- ** Nurse Appeals (RN)** **Location** : This role requires associates to be in-office **1-2** days per week, fostering collaboration and connectivity, while providing ... may be considered. **Shift: Monday to Friday from 8:00am-5:00pm PST** The ** Nurse Appeals** is responsible for investigating and processing medical necessity appeals… more
- Surgery Care Affiliates (Irvine, CA)
- …you join our team, they will. Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. + Promote the mission, vision, and values of SCA . + ... to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing...with other disciplines as needed. + Participate in quality review and performance improvement projects. + Participate in the… more
- Surgery Care Affiliates (Newport Beach, CA)
- …join our team, they will. Responsibilities We are actively hiring for an Registered Nurse Pre-Assessment Testing. + Promote the mission, vision, and values of SCA . ... to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing...team in planning patient care. + Participate in quality review and performance improvement projects. + Participate in the… more
- Surgery Care Affiliates (Laguna Hills, CA)
- …our team, they will. Responsibilities We are actively hiring for an Registered Nurse (RN) Endoscopy. + Develop an individualized perioperative patient plan of care ... to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing...team in planning patient care. + Participate in quality review and performance improvement projects. + Participate in the… more
- Dignity Health (Northridge, CA)
- **Responsibilities** **Position Summary:** Our ideal candidate will be a Registered Nurse (RN) with experience in patient safety or risk management for a general ... the event reporting process, root cause analyses, and event investigation/ review . + Experience with patient compliant/grievance investigations and prompt resolution.… more
- Prime Healthcare (Chino, CA)
- …for its quality, including as among the 100 Great Community Hospitals by Becker's Hospital Review in 2018 and as among the 100 Top Hospitals by IBM Watson Health. ... credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/194507/cath-lab-registered- nurse -%28rn%29 cardiac-cath/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityChino Valley Medical Center… more
- Molina Healthcare (Long Beach, CA)
- …**Required Education** Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical ... field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or medical clinic… more
- Prime Healthcare (Garden Grove, CA)
- …of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Works with health information management staff, coding ... staff, physicians, financial services, onsite and remote utilization review teams with regards to admission criteria, medical necessity, payment denials, and… more
- Prime Healthcare (Lynwood, CA)
- …effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service ... post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 years post… more
- Amergis (Orange, CA)
- Salary: $20 / Hour LVN Medical Case Manager - Pre-Authorization Nurse Reviewer Amergis Healthcare is seeking an experienced LVN Medical Case Manager to support a ... nursing experience, 1+ year in utilization management, prior authorization, or clinical nurse review + Preferred: LVN degree, Case Management Certification… more