- Select Medical (Los Angeles, CA)
- …Medical Century City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) **Pay Rate: ... + Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure positive fiscal… more
- HCA Healthcare (Thousand Oaks, CA)
- …Regional Medical Center! **Job Summary and Qualifications** The **Oncology Registered Nurse ** II performs direct patient care through utilization of the ... of an accredited School of Professional Nursing + Current RN license by the Board of Nurse ...career path, we encourage you to apply for our Registered Nurse Oncology opening. We review… more
- HCA Healthcare (Thousand Oaks, CA)
- …and personal growth, we encourage you to apply for our Registered Nurse Radiology Special Procedures opening. We promptly review all applications. Highly ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse Radiology Special Procedures you want...to join Los Robles Regional Medical Center which is part of the nation's leading provider of healthcare services,… more
- HCA Healthcare (Thousand Oaks, CA)
- …in your career path, we encourage you to apply for our Registered Nurse OR First Assist opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse OR First Assist you want...join Los Robles Regional Medical Center which is a part of the nation's leading provider of healthcare services,… more
- Actalent (Century City, CA)
- Entry Level Registered Nurse Hiring Now! Responsibilities + Responsible for functioning as the liaison among all parties involved with the patient + P ... articipates as part of the interdisciplinary team developing, implementing, reviewing and...Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., - patient… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $118,161.60 -… more
- Dignity Health (Northridge, CA)
- …programs integrate. + Knowledge of CMS standards and requirements. **Qualifications** + CA Registered Nurse ( RN ) License required. + Minimum two (2) ... the nation's five largest health care systems. We are part of a 21-state network of nearly 9,000 physicians,...pertaining to their practice. + Have an understanding of Utilization Review to progress plan of care.… more
- Elevance Health (Los Angeles, CA)
- …care for wound care. + Promotes healing and decrease home care utilization . + Responsible for certification determinations and sending written authorizations to ... do not meet coverage guidelines criteria to Physician for review . + Uses clinical judgment in authorizations that fall...provides an equivalent background. + Current active valid unrestricted RN license to practice as a health professional within… more
- The County of Los Angeles (Los Angeles, CA)
- …practice as a clinical social worker, marriage and family therapist, psychologist, or registered nurse issued by the appropriate State of California licensing ... practice as a clinical social worker, marriage and family therapist, psychologist, or registered nurse issued by the appropriate State of California licensing… more
- The County of Los Angeles (Los Angeles, CA)
- …clinical nursing. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board or Registered ... in a state other than California must provide their Registered Nurse License Number from that state...Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL… more
- Elevance Health (Los Angeles, CA)
- …on relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. **How you will ... **Be Part of an Extraordinary Team** **Medical Management Clinician...a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid… more
- Cedars-Sinai (Los Angeles, CA)
- …approved by the California Board of Registered + Current State of California Registered Nurse and Nurse Practitioner License + National Certification as ... find opportunities to enhance clinical efficiency and appropriateness of care. As part of a multi-disciplinary team, develops and implements interventions to achieve… more
- LA Care Health Plan (Los Angeles, CA)
- …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... most prone to assaultive behavior or requiring more extensive monitoring and review of their condition and progress. Essential Job Functions + Administers, either… more
- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... clients most prone to assaultive behavior or requiring more extensive monitoring and review of their condition and progress. Essential Job Functions + Interviews the… more
- HCA Healthcare (Thousand Oaks, CA)
- …step in your career path, we encourage you to apply for our Operating Room Nurse Part -Time opening. We review all applications. Qualified candidates will be ... you have the career opportunities as an Operating Room Nurse Part -Time you want in your current...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- 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
- Elevance Health (Los Angeles, CA)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education ... The Med Mgmt Nurse CA is responsible for review ...an equivalent background. + Current active, valid and unrestricted RN license and/or certification to practice as a health… more