- Elevance Health (Los Angeles, CA)
- …an expanding set of clinical domains, including radiology, cardiology and oncology. ** Nurse Reviewer I** **Location:** Although this position is virtual, Our ... from 9:00 am-6:00 pm CST, Rotating weekend shifts. 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
- 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 NURSE ... technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- UCLA Health (Los Angeles, CA)
- Description As the Utilization Management & Quality Review Nurse , you will be responsible for: + Ensuring appropriate, cost-effective, and high-quality care for ... New Century Health Plan members + Conducting utilization management (UM) activities in accordance with health plan policies and regulatory guidelines + Identifying and reporting Potential Quality Issues (PQI) and supporting Provider Dispute Resolution (PDR)… more
- UCLA Health (Los Angeles, CA)
- …and guidelines in the issuance of adverse organization determinations. You will review for appropriate care and setting while working closely with denial ... + Current CA LVN licensure required + Two or more years of utilization review /utilization management experience in an HMO, MSO, IPA, or health plan environment +… more
- Prime Healthcare (Inglewood, CA)
- …Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and files them accordingly or as per facility's procedure. Assists ... and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/185896/discharge-planner-ii%2c-licensed-vocational- nurse %2c-lvn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityCentinela Hospital Medical Center… more
- Cedars-Sinai (Beverly Hills, CA)
- **Job Description** **What will you be doing:** The Lead Nurse Practitioner is responsible for the daily twenty-four (24) hours operation. The Lead shall provide ... leadership, direction, and supervision to Nurse Practitioners within a service-line and provide specialty collaborative patient management under the direction of a… more
- The County of Los Angeles (Los Angeles, CA)
- NURSE -MIDWIFE (CERTIFIED NURSE -MIDWIFE) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1156999) Apply NURSE -MIDWIFE (CERTIFIED ... and Gynecology and work under the administrative direction of supervising nurse -midwives and the medical direction of physicians. These positions are responsible… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …working with children and their families.. **Minimum Qualifications/Work Experience:** Nurse -Practitioners: 2-years experience as a nurse practitioner. ... a physician-assistant. Pediatric clinical experience as NP/PA preferred. **Education/Licensure/Certifications:** Nurse -Practitioners: 1. Master of Science degree in Nursing from… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE I, SHERIFF (CORRECTIONAL HEALTH) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2930992) Apply REGISTERED NURSE I, ... currently offering up to 20% bonus for full-time Registered Nurse I, Sheriff positions hired by Correctional Health Services...in preparing for the test, we advise you to review all related materials that you deem necessary. An… more
- Fresenius Medical Center (Culver City, CA)
- Job Description **PURPOSE AND SCOPE:** A Certified Registered Nurse Anesthetist (CRNA) in an advanced practice registered nurse (APRN) who practices both ... pre anesthesia assessment and evaluation of the patient. + Review , request, and order (as permitted by state law),...None **EDUCATION AND REQUIRED CREDENTIALS:** + Graduate of a nurse anesthesia educational program accredited by the Council on… more
- Cedars-Sinai (Los Angeles, CA)
- …coordination between the home department and Clinical Efficiency & Value team to review outcomes of the programs, address barriers to success, and develop plans for ... Three (3) plus years' Experience as an Advance Practice Nurse . (preferred) + Two (2) plus years' experience in...Science in Nursing (MSN) + Graduate of an accredited Nurse practitioner program approved by the California Board of… more
- University of Southern California (Los Angeles, CA)
- …Nurse )Apply (https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA Health-Sciences-Campus/Protocol-Coordinator--Research- Nurse ... what it is. This position requires a person who is an experienced Registered Nurse and has a strong interest in clinical research. The role of the protocol… more
- Dignity Health (Northridge, CA)
- …for more information. Northridge Hospital Medical Center Clinical Nurse Specialist Neonatal Intensive Care Unit Few expectant parents ... warmth, nutrition and protection to assure proper growth and development. As a Clinical Nurse Specialist you will be responsible for a variety of tasks that lead to… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals… more
- Cedars-Sinai (Los Angeles, CA)
- …and documents the pre-anesthesia assessment and evaluation of the patient. + Review , request and order (as permitted by state law) laboratory/diagnostic studies. + ... Requirements:** + Masters' Degree in Nursing preferred. + Doctorate Degree in Nurse Anesthesia Practice Preferred. **Licenses:** + California registered nurse … more
- ICW Group (Woodland Hills, CA)
- …and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and ... standards. + Interfaces with external agencies in relation to the utilization review process including, Third-Party Payers, Insurance Companies and Providers. + May… more
- Option Care Health (Sun Valley, CA)
- …managing, and reporting nursing operational and financial data to the Regional Nurse Manager, Area Director of Nursing, and/or Director of Operations. Supports the ... Director of Operations, Area Director of Nursing and/or the Nurse Manager in the recruitment, development, and monitoring of...using find and replace, undo, spell check, track changes, review pane and/or print functions). + Basic level skill… more
- Chenega Corporation (Los Angeles, CA)
- **Summary** **CHENEGA TRI-SERVICES, LLC** Los Angeles, CA The ** Nurse Practitioner** shall perform medical histories, physical examinations, as well as reviews of ... medical histories on applicants for the Armed Forces + Review of required medical tests and documents pertaining to...from a program accredited by the American Academy of Nurse Practitioners Certificate Program (ANPCP) or the American Nurses… more
- Elevance Health (Los Angeles, CA)
- The Med Mgmt Nurse CA is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic ... Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations on alternate...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of… more
- Select Medical (Los Angeles, CA)
- …City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) **Pay Rate: $50 - $58.65 depends ... with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure positive fiscal management outcomes… more