• UM LVN Delegation Oversight

    Molina Healthcare (Long Beach, CA)
    …and requirements contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The ** Delegation Oversight Nurse ** is responsible for ensuring ... CMS, and NCQA requirements, as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation more
    Molina Healthcare (03/13/25)
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  • Delegation Oversight Nurse

    Dignity Health (Bakersfield, CA)
    …**Minimum Qualifications:** - 3 years managed care experience - 1 year minimum of UM Delegation Oversight audit experience with Health Plan or large MSO - Case ... an accredited school for Nursing - Clear and current CA Licensed Vocational Nurse (LVN) - Knowledge...regulatory requirements **Preferred Qualifications:** - 3-5 years UM/Case Management delegation oversight audit experience with a Health… more
    Dignity Health (02/04/25)
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  • Outpatient Registered Nurse - RN

    Fresenius Medical Center (Oakland, CA)
    **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position ... for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff...treatment plan as indicated and notifies Team Leader Charge Nurse Supervisor or Physician as needed. + Assesses collaborates… more
    Fresenius Medical Center (02/22/25)
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  • Outpatient Registered Nurse - RN - Dialysis

    Fresenius Medical Center (Oakland, CA)
    **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new ... for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff...treatment plan as indicated and notifies Team Leader Charge Nurse Supervisor or Physician as needed. + Assesses collaborates… more
    Fresenius Medical Center (03/11/25)
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  • Manager Population Health - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …1 **Shift Start Time** **Shift End Time** Master's Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager ... experience. + 5 Years experience in a leadership role. + California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED **Preferred Qualifications**… more
    Sharp HealthCare (01/29/25)
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  • Director, Care Management

    LA Care Health Plan (Los Angeles, CA)
    …programs that improve the provision of services to members. Supports Clinical Assurance/ Delegation Oversight in the measurement and analysis of delegated ... Job Category: Clinical Department: Care Management Location: Los Angeles, CA , US, 90017 Position Type: Full Time Requisition ID:...and provide subject matter expertise in support of the oversight , outreach and training of our Plan Partner Health… more
    LA Care Health Plan (01/18/25)
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