- ERP International (Twentynine Palms, CA)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with ... Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) o Association of Rehabilitation Nurses:… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Licensed Vocational / Practical Nurse ** for a full-time position supporting the **Branch Health Clinics** at ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Stanford Health Care (Palo Alto, CA)
- …and development of their APPs. The Lead APP also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered ... professional growth and development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified… more
- Stanford Health Care (Palo Alto, CA)
- …professional growth and development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified ... (1) year of experience as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered … more
- Stanford Health Care (Palo Alto, CA)
- …(5) years of experience as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered ... Brief Overview** Provides the opportunity to develop and practice management and leadership skills. Includes direction and education for...- Valid state license to practice as a Clinical Nurse Specialist within the United States of… more
- Stanford Health Care (Newark, CA)
- … Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist) + Management experience Preferred **Required Knowledge, Skills and ... meet agreed-upon goals, objectives, and target dates. + Performs management functions by interviewing and hiring staff members; providing... Nurse Practitioner or + CNS - Clinical Nurse Specialist or + CRNA - Certified… 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 ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and… more
- TEKsystems (Los Angeles, CA)
- …Nurse (LVN) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong understanding of HMO/Medicare claims processes. ... LVN or RN license (California) + 2+ years of experience in Utilization Management (UM) + Hands-on experience with HMO/Medicare claims, audits, and denials +… 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 ... Essential Duties: + Consultant Clinical resource with staff on management of complex cases. Makes rounds for the purposes...the hospital and community. Facilitates the training of clinical nurse specialist students and other nursing students… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and...Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board Certified (CMGT-BC) Required… more
- Alameda Health System (San Leandro, CA)
- SLH Care Management Specialist + San Leandro, CA + San...years in a health care field or one year in Utilization Management at a Medical Group or Health ... in-patient and post discharge services. + Per the direction of the Care Management social worker and/or nurse , facilitates, identifies and documents all… more
- Edwards Lifesciences (San Francisco, CA)
- …difference to patients around the world. As a part of the Field Clinical Specialist team, you will be a critical part of delivering our patient focused innovations, ... Quality, Regulatory, and Education. After extensive training, a Field Clinical Specialist will travel frequently within an assigned territory, clinically training… more
- Sharp HealthCare (San Diego, CA)
- …Association for Healthcare Quality; Certified Professional in Healthcare Risk Management (CPHRM) - American Hospital Association; Certified Professional in Patient ... (CPPS) - Certification Board for Professionals in Patient Safety; California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours**… more
- Deloitte (Los Angeles, CA)
- … nurse , physician, physician assistant, case manager, clinical documentation specialist , utilization review, informatics RN, Quality, DRG Validation and ... Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist - CCDS (inpatient) certification required. + A minimum of 3 years of… more
- Philips (San Diego, CA)
- …+ Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, etc. + You must ... **Sales Support, Clinical Specialist - FORS (West/National Travel)** In this role...with clinical experience as Radiologic Technologist (RT) or Registered Nurse (RN) highly preferred. + Experience in healthcare (in… more
- ZOLL Medical Corporation (Irvine, CA)
- …advancing customers across a brand belief continuum.The Clinical Sales Specialist (CSS) is responsible for developing and maintaining account relationships ... and management of those relationships in relation to Itamar Medical...and where possible, identifying and expanding opportunities to increase utilization and revenue.Essential Functions + Work in collaboration with… more
- LA Care Health Plan (Los Angeles, CA)
- …the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter ... can include inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management , Medical Directors, and other internal teams to… more
- Cedars-Sinai (CA)
- …reporting to the TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of medical services within the ... Doing** The Case Manager is responsible for the case management of patient while hospitalized and upon discharge from...of care. Use evidence based review guidelines to conduct utilization review as is appropriate to match the payor… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply REGISTERED NURSE II - NORTH COUNTY ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...practice setting. + Serves as a preceptor: expert or specialist who gives practical experience and training to new… more
- Dignity Health (Camarillo, CA)
- …In keeping with the Dignity Health core values, the Wound Ostomy Nurse Specialist is responsible for, assessing, planning, implementing and evaluating ... Wound and Ostomy care. + Demonstrates effective problem-solving techniques including conflict management skills. + Knowledge and utilization of CQI and… more
