- Magellan Health Services (San Diego, CA)
- …plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity ... be licensed in California. If candidate resides outside of CA , you must be licensed in CA ...community resources. + Provides telephone triage, crisis intervention and prior authorizations as assigned for select members stratified as… more
- Medtronic (Mountain View, CA)
- …Bay, California Territory. This will cover San Jose, Freemont, Santa Cruz, and Palo Alto, CA . The expectation is to be in the field 4 days/week. + Educates patients, ... A valid registered license in one or more of the following fields: + Registered Nurse (RN) + Registered Dietitian (RD) + Physicians Assistant (PA) + Nurse … more
- LA Care Health Plan (Los Angeles, CA)
- …physical health, behavioral health, social services, and MLTSS. Responsible for UM authorization functions for services requiring prior auths. Provides direction ... Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department:...Managed Long Term Services and Supports Location: Los Angeles, CA , US, 90017 Position Type: Full Time Requisition ID:… more
- Actalent (Rancho Cordova, CA)
- …and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision, this position is ... of the file Skills: Utilization review, Case management, Acute care, Prior authorization , Interqual, Concurrent review, Discharge planning, Epic Additional… more
- Mitsubishi Chemical Group (Los Angeles, CA)
- **Overview** **Entrepreneurial Spirit, Rooted in Tradition** . Mitsubishi Tanabe Pharma America , Inc. (MTPA) is a US subsidiary of Mitsubishi Tanabe Pharma ... access to current medical and scientific information on Mitsubishi Tanabe Pharma America 's (MTPA's) products and areas of therapeutic interest. + Gather insights… more
- Sharp HealthCare (La Mesa, CA)
- …referrals for care and services are directed to appropriate network providers, and obtains prior authorization for in network and out of network services as ... 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered...document and initiate discharge plan including early referrals and authorization for LTAC, SNF, Rehab, homecare, DME and infusion… more
- Sharp HealthCare (San Diego, CA)
- …referrals for care and services are directed to appropriate network providers, and obtains prior authorization for in network and out of network services as ... - Commission for Case Manager Certification; Bachelor's Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; Master's Degree… more
- Crawford & Company (San Francisco, CA)
- …home position requiring local field case management travel to cover the San Francisco, CA region. + National Certification such as CCM, CRC, COHN, CRRC preferred. + ... RN degree required. + Prior Workers Compensation Case Management preferred. To provide effective...apprise them of case activity, case direction or secure authorization for services. Maintains contact with all parties involved… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- …and or scholarly activities that enhance instruction, thereby helping to produce the nurse leaders needed both statewide and nationally to work in the rapidly ... two pages in length and should summarize the candidate's prior accomplishments and future plans. In addition, candidates may...positions to complete, sign, and upload the form entitled " Authorization to Release Information" into Recruit as part of… more
- The County of Los Angeles (Los Angeles, CA)
- …response team. + Assists Psychiatrists in completing and checking for accuracy on Treatment Authorization Request (TAR) and Prior Authorization (PA) forms. + ... Salary $54,515.04 - $73,465.20 Annually Location Los Angeles County, CA Job Type Full time Job Number b8163A Department...service are met and is subject to closure without prior notice. TYPE OF RECRUITMENT Open Competitive Job Opportunity… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- …in collaboration with the Program Director for the prelicensure and Master's Entry Clinical Nurse programs as well as primarily teaching in the BS and MECN programs ... articles in chronological order would be helpful. [ ] CURRENT AND PRIOR RESEARCH ACTIVITIES/ PROJECTS/SCHOLARLY ACTIVITY [ ] Funded, intramural and extramural… more
- UCLA Health (Los Angeles, CA)
- …messages, incoming/outgoing phone interactions, relaying physician instructions, medication prior authorization , topical numbing, providing patient instructions ... Required: + Active license issued by the State of CA Board of Vocational Nurse Examiners with Intravenous Therapy and Blood Withdrawal Certification *… more
- GE Vernova (Wilmington, NC)
- …at the GE Hitachi Services Training Facilities in Wilmington, NC and San Jose, CA . + Perform on-site reactor services of systems and equipment during plant outages. ... out** + Interest and aptitude for hands-on work. + Prior internship or co-op in manufacturing, industrial or field...+ Ability to use basic hand tools + Basic computer skills including familiarity with Microsoft Office **Where you… more