- Molina Healthcare (Long Beach, CA)
- **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_PERMANENT SHIFT WILL BE :_** **_12 hour NIGHT SHIFT: 7:30PM (in the evening) - 08:30AM (in the morning) PACIFIC ... Management / Utilization Review is required for this role. Experience with Case Management is a plus._** **_This is a remote role (work from home). Excellent… more
- Dignity Health (Northridge, CA)
- …programs integrate. + Knowledge of CMS standards and requirements **Qualifications** + CA Registered Nurse ( RN ) License required. + Minimum two (2) ... 400 care centers. Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager (Care Coordinator) Case… more
- Elevance Health (Costa Mesa, CA)
- The Nurse Medical Mgmt II responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to ... quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of… more