- Molina Healthcare (Long Beach, CA)
- …Management / Utilization Review is required for this role. Experience with Case Management is a plus._** **_This is a remote role (work from home). Excellent ... **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_PERMANENT SHIFT WILL BE :_** **_12...illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses inpatient services for members to ensure optimum outcomes, cost… more
- Molina Healthcare (Long Beach, CA)
- **_JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE_** **_For this position we are seeking a (RN) Registered Nurse with previous ... experience in Acute Care, Concurrent Review / Utilization Review / Utilization Management and...role. Productivity is important with turnaround times._** **_Essential knowledge: Inpatient Reviews with transfers to lower level of care… more
- Prime Healthcare (Garden Grove, CA)
- …an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred + Five years acute care nursing experience preferred. ... credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/170816/registered-nurse-%28rn%29 case - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityGarden Grove Hospital Medical… more
- Prime Healthcare (Anaheim, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/170050/ case - manager ... compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health,… more
- Dignity Health (Northridge, CA)
- …(https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Care Coordinator Case Manager Northridge Hospital Medical Center ... nursing (Bachelor's Degree in Nursing (BSN)) or related healthcare field. preferred + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or… more
- Adecco US, Inc. (Long Beach, CA)
- **Job Title:** RN Case Manager **Location:** Long Beach, CA (Hybrid Role) **Schedule:** Monday to Friday, 8:00 AM - 5:00 PM **No weekends, no on-calls** ... Overview:** We are seeking an experienced and compassionate RN Case Manager to join our small but...including post-discharge follow-ups with partnering providers. - **Census Management:** Review daily censuses, manage inpatient , ER, and… more
- Elevance Health (Costa Mesa, CA)
- …+ Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service ... referrals given. + Processes incoming requests, collection of information needed for review from providers, utilizing scripts to screen basic and complex requests… more
- Elevance Health (Costa Mesa, CA)
- …quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of ... but are not limited to: + Conducts precertification, continued stay review , care coordination, or discharge planning for appropriateness of treatment setting… more