- CVS Health (Sacramento, CA)
- …1 holiday per year). There is no travel expected with this position. As a Utilization Management Nurse Consultant , you will utilize clinical skills ... all with heart, each and every day. **Position Summary** **This Utilization Management (UM) Nurse Consultant role is fully remote but must reside in PST… more
- CVS Health (Sacramento, CA)
- …1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active ... additional Nursing Licenses as business needs require. **Preferred Qualifications** Utilization Management experience preferred **Education** Education: Diploma… more
- CVS Health (Sacramento, CA)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in PST zones **Education**… more
- CVS Health (Sacramento, CA)
- …health outcomes by engaging telephonically with individuals living with diabetes. This nurse will guide members through actionable steps to close gaps in care, ... education, connecting members to resources, and facilitating referrals to care management programs for continued support. This position supports the development and… more
- University of Southern California (Los Angeles, CA)
- The Clinical Nurse Specialist serves as a resource/ consultant for all departments regarding clinical specialty, conducts/ participates in research across varied ... by insuring evidence-based practice and interdisciplinary care delivery. Essential Duties: + Consultant Clinical resource with staff on management of complex… more
- University of Southern California (Los Angeles, CA)
- …patient populations. The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and ... needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in...+ Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within the… more
- University of Southern California (Alhambra, CA)
- …of specific patient populations. The role integrates the functions of complex case management , utilization management , quality management , discharge ... status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning...years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the… more
- KBR (San Diego, CA)
- …referring provider, behavioral health consultant and/or psychiatry consultant ; and Performs case management functions. Required ... case manager by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center. * Demonstrated… more
- Dignity Health (Camarillo, CA)
- …Wound and Ostomy care. + Demonstrates effective problem-solving techniques including conflict management skills. + Knowledge and utilization of CQI and ... preferred. **Special Skills:** + Demonstrates effective problem-solving techniques including conflict management skills. + Knowledge and utilization of CQI and… more
- Deloitte (Los Angeles, CA)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... for this role ends on Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare Practice, you will have the opportunity to… more
- Providence (Mission Hills, CA)
- …with the CNO to maintain fiscal discipline. Prioritize capital needs with Nurse Managers, focusing on safety and regulatory compliance. + **Metrics Maestro:** Define ... Provide insightful reports to executive leadership as needed. + **Change Consultant :** Advise the CNO on operational challenges and implement strategic changes… more