- Merck & Co. (Orange County, CA)
- …distribution (Oncology group purchasing organizations, wholesalers, and specialty pharmacies). Review and evaluate patterns for products purchased and prescribed ... with the in-scope customer team: Customer Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. -… more
- Alameda Health System (Oakland, CA)
- …all women. Collaborative Team Work alongside passionate colleagues, including Certified Nurse Midwives, Nurse Practitioners, and top-tier sub-specialists in ... Gynecologic Oncology. Teaching Opportunities Help shape the next generation of medical professionals by training students from UCSF and Emergency Department… more
- Alameda Health System (Oakland, CA)
- …in the classification. Lead and manage a team of utilization review professionals providing guidance, training, and performance evaluations. Monitor and evaluate ... the utilization of healthcare services, including appropriateness, efficiency, and medical necessity of treatments and procedures. Analyze data and generate reports… more
- Evolent (Sacramento, CA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- HCA Healthcare (Thousand Oaks, CA)
- …is recognized. Submit your application for the opportunity below: Clinical Nurse Coordinator EmergencyLos Robles Regional Medical Center **Benefits** Los ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...encourage you to apply for our Clinical Nurse Coordinator Emergency opening. We promptly review … more
- Elevance Health (CA)
- ** Nurse Reviewer I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... rotating weekends.** **New Grads are encouraged to apply!** The ** Nurse Reviewer I** will be responsible for...reviews that are routine having limited or no previous medical review experience requiring guidance by more… more
- UCLA Health (Los Angeles, CA)
- …of clinical areas, patient care practices, and administrative processes + Review medical records of services in preparation for health plan and/or ... Description The Quality Management Nurse is responsible for conducting comprehensive facility site...regulatory audits for medical appropriateness by using established clinical protocols… more
- Fresenius Medical Center (Colton, CA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- HCA Healthcare (Thousand Oaks, CA)
- … Center we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator - CCU and access programs to assist with every stage ... of your career. **Benefits** Los Robles Regional Medical Center, offers a total rewards package that supports...gain certifications and job skills. Apply today for our Clinical Nurse Coordinator - CCU opening and… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse (RN) Manager, Appeals and Grievances General Operations ( Clinical ) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... that purpose. Job Summary The Manager, Appeals & Grievances (A&G) & General Operations ( Clinical ) is responsible for the daily oversight of clinical appeals and… more
- Dignity Health (Northridge, CA)
- …and protection to help infants thrive. We are seeking a passionate and experienced Clinical Nurse Specialist to join our exceptional NICU team. As a Neonatal ... **Job Summary and Responsibilities** At Northridge Hospital Medical Center, we understand that the possibility of... Clinical Nurse Specialist, you will be a… more
- HCA Healthcare (Thousand Oaks, CA)
- …Robles Regional Medical Center! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered ... within 30 days of employment start date + Registered Nurse Los Robles Regional Medical Center (https://losrobleshospital.com)...encourage you to apply for our RN Med Surg Clinical Nurse Coordinator opening. We review… more
- HCA Healthcare (San Jose, CA)
- …in your career path, we encourage you to apply for our Clinical Nurse Coordinator NICU opening. We review all applications. Qualified candidates will be ... below midpoint of the range. **Introduction** Do you have the career opportunities as a Clinical Nurse Coordinator NICU you want in your current role? We invest… more
- Cedars-Sinai (Los Angeles, CA)
- …OR CPC, required Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review , Coding, or Case Management required Working knowledge ... interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to support the level of...Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist - 8… more
- University of Southern California (Los Angeles, CA)
- …and staff that make the university what it is. This is a full-time clinical faculty position with an academic appointment in the Department of Psychiatry and the ... Behavioral Sciences at the Keck School of Medicine of USC and clinical service assignments at Psychiatry and Behavioral Health Services at University Park Campus… more
- The Cigna Group (San Francisco, CA)
- …outcomes, client growth and retention, and network performance. **OVERVIEW:** + The Nurse Executive Sales Specialist, trusted Clinical Leader, Educator and ... including medical cost driver analysis and action, complex case review , referral and engagement, account renewal consultation, and recommendations to positively… more
- HCA Healthcare (Riverside, CA)
- …your career path, we encourage you to apply for our Clinical Nurse Coordinator Labor Delivery opening. We review all applications. Qualified candidates will ... **Introduction** Do you have the career opportunities as a(an) Clinical Nurse Coordinator Labor Delivery you want...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Los Gatos, CA)
- …step in your career path, we encourage you to apply for our PreOp PACU Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... of the range. **Introduction** Do you have the career opportunities as a PreOp PACU Clinical Nurse Coordinator you want in your current role? We invest in what… more
- Parexel (Glendale, CA)
- **Parexel Early Phase Clinical Unit** supports the development of innovative new medicines which are vital for public health, improving outcomes, and saving lives. ... (including but not limited):** + Support Standard Operating Procedures (SOPs), Good Clinical Practices (GCP), and all work processes to ensure the efficient and… more
- UCLA Health (Los Angeles, CA)
- …reviewing and evaluating clinical documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical ... Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role...national clinical guidelines (eg, InterQual, Milliman) in review decisions. + Coordinates escalations to medical … more
