- Molina Healthcare (Long Beach, CA)
- …Association** ** CALIFORNIA LICENSE MUST BE an active, unrestricted State Registered Nursing ( RN ) license in good standing.** **Preferred Education** ... **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_PERMANENT SHIFT WILL BE...anywhere in the USA if they have a valid CALIFORNIA RN license must work the shift… more
- Molina Healthcare (Long Beach, CA)
- **_INPATIENT REVIEW : REGISTERED NURSE_** **_For this position we are seeking a ( RN ) Registered Nurse with previous experience in Hospital Acute ... Care, Concurrent Review / Utilization Review / Utilization Management and...care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Prime Healthcare (Garden Grove, CA)
- …work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license + Grandfathered prior to April 1, 2015. Minimum 5 ... education, 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… more
- Dignity Health (Northridge, CA)
- …excellent time management skills. + Performs other duties as assigned. **Qualifications** + CA Registered Nurse ( RN ) License required. + Minimum two (2) ... is a 394-bed, acute care, nonprofit community hospital located in Northridge, California . The hospital offers a full complement of award winning services, including… more
- Adecco US, Inc. (Long Beach, CA)
- …Responsibilities:** + **Case Management:** Oversee patient care coordination, manage census, and review daily reports from inpatient , ER, and skilled nursing ... ** RN - Field position- Join a Mission-Driven Healthcare Team!**...and/or security clearance requirements, including, as applicable: + The California Fair Chance Act + Los Angeles City Fair… more
- Elevance Health (Costa Mesa, CA)
- ** Nurse Appeals - Licensed RN Nurse ** **Location:** This position will work in a hybrid model (remote and office). Ideal candidates will live in the state of ... California within 50 miles of one of our PulsePoint...**Shift:** Monday to Friday from 8:00-5:00 pm PT The ** Nurse Appeals** is responsible for investigating and processing medical… more
- Elevance Health (Costa Mesa, CA)
- …would provide an equivalent background. + Requires current, active, unrestricted Registered Nurse license in applicable state(s). **Preferred Skills, ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions… more
- Elevance Health (Costa Mesa, CA)
- ** Nurse Appeals (Quality) - California candidates only** **Location: This is a virtual position and prefer candidates reside within 50 miles of an Elevance ... experience, which would provide an equivalent background. + Current active unrestricted RN license from the State of California required. **Preferred… more
- Elevance Health (Costa Mesa, CA)
- The Nurse Medical Mgmt II responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to ... quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of… more
- Elevance Health (Cerritos, CA)
- The ** Nurse Medical Management** **I** is responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize member ... quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of… more