- Elevance Health (Los Angeles, CA)
- …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception… 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...veteran who served in the Armed Forces of the United States under any of the following… more
- The County of Los Angeles (Los Angeles, CA)
- … Nurse issued by a State Government Board of Registered Nursing, within the United States of America. Applicants who have a license to practice as a ... REGISTERED NURSE I, SHERIFF (CORRECTIONAL HEALTH) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2930992) Apply...a State Government Board of Registered Nursing, within the United States of America, may compete in… more
- The County of Los Angeles (Los Angeles, CA)
- …grade of an honorably discharged veteran who served in the Armed Forces of the United States under any of the following conditions: During a declared war; -or- ... NURSE -MIDWIFE (CERTIFIED NURSE -MIDWIFE) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1156999) Apply...evaluated and deemed to be equivalent to degrees from United States accredited institutions by an academic… 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 ... gender identity, religion, national origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us apart. more
- Elevance Health (Los Angeles, CA)
- …within the scope of licensure in applicable state(s) or territory of the United States required. + Multi-state licensure is required if this individual ... The Med Mgmt Nurse CA is responsible for review ...Med Mgmt Nurse CA is responsible for review of the most complex or challenging cases that...is providing services in multiple states . For candidates working in person or remotely in… 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 ... licensure required + Two or more years of utilization review /utilization management experience in an HMO, MSO, IPA, or...origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us … more
- Option Care Health (Sun Valley, CA)
- …is the largest independent home and alternate site infusion services provider in the United States . With over 6,000 team members including 2,900 clinicians, we ... reporting nursing operational and financial data to the Regional Nurse Manager, Area Director of Nursing, and/or Director of...all patients with acute and chronic conditions across the United States , resulting in high quality outcomes… more
- HCA Healthcare (Thousand Oaks, CA)
- …throughout HCA Healthcare, we are one of the largest employers of nurses in the United States . Education is key to excellence! As a majority owner of Galen ... is you, come be a part of what makes us great and apply today! + You will be...you, we encourage you to apply for our Resource Nurse MedSurg opening. Our team will promptly review… more
- ICW Group (Woodland Hills, CA)
- …experience possible. Headquartered in San Diego with regional offices located throughout the United States , ICW Group has been named for seven consecutive years ... and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and… more
- HCA Healthcare (Thousand Oaks, CA)
- …throughout HCA Healthcare, we are one of the largest employers of nurses in the United States . Education is key to excellence! As a majority owner of Galen ... you to apply for our RN Med Surg Clinical Nurse Coordinator opening. Our team will promptly review... Nurse Coordinator opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- Prime Healthcare (Inglewood, CA)
- …licensure. Connect With Us ! (https://careers-primehealthcare.icims.com/jobs/185896/discharge-planner-ii%2c-licensed-vocational- nurse ... quality , compassion and community ! Why Prime Healthcare? (https://centinelamed.com/about- us /why-prime-healthcare/) Centinela Hospital Medical Center; a member of Prime… more
- Elevance Health (Los Angeles, CA)
- …within the scope of licensure in applicable state(s) or territory of the United States required. **Preferred Skills, Capabilities and Experiences** : + AS ... ** Nurse Appeals - Licensed RN Nurse **...medical information for medical director, consultants and other external review . + Prepares recommendations to either uphold or deny… more
- Cedars-Sinai (Los Angeles, CA)
- …facilities, you'll have everything needed to do something incredible-for yourself, and for others. Join us , and discover why US News & World Report has named ... and documents the pre-anesthesia assessment and evaluation of the patient. + Review , request and order (as permitted by state law) laboratory/diagnostic studies. +… 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 ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals… more
- HCA Healthcare (Thousand Oaks, CA)
- …step in your career path, we encourage you to apply for our Registered Nurse Oncology opening. We review all applications. Qualified candidates will be contacted ... Do you have the career opportunities as a(an) Registered Nurse Oncology you want in your current role? We...is you, come be a part of what makes us great and apply today! + You will demonstrate… more
- HCA Healthcare (Thousand Oaks, CA)
- …next step in your career path, we encourage you to apply for our Registered Nurse OR First Assist opening. We review all applications. Qualified candidates will ... Do you have the career opportunities as a(an) Registered Nurse OR First Assist you want in your current...is you, come be a part of what makes us great and apply today! + Uses nursing process… more
- Chenega Corporation (Los Angeles, CA)
- …Nurses Credentialing Center (ANCC). + Possess current unrestricted license to practice as a Nurse Practitioner in one of the fifty states , the District of ... **Summary** **CHENEGA TRI-SERVICES, LLC** Los Angeles, CA The ** Nurse Practitioner** shall perform medical histories, physical examinations, as well as reviews of… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- Licensed Vocational Nurse Location:Los Angeles, CA Job ID:2878 Salary:$31.11 - $32.75 Per Hour Area of Interest:Clinical Division:Adult Services Shift Type:Day About ... Us : VOALA Helping Our Most Vulnerable Change Their Life...direct supervision of the Program Manager, the Licensed Vocational Nurse (LVN) provides professional nursing services for this residential… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- Licensed Vocational Nurse Detox and MAT Location:Los Angeles, CA Job ID:2819 Salary:$31.11 - $32.75 Per Hour Area of Interest:Clinical Division:SCADP Shift Type:Day ... About Us : VOALA Helping Our Most Vulnerable Change Their Life...Clinical Director and MAT AOD Specialist, the Licensed Vocational Nurse (LVN) provides professional nursing services for this residential… more