- A-Line Staffing Solutions (San Diego, CA)
- …available for full-time employees with 1 year of service on our eligibility dates Concurrent Review Nurse Qualifications : Active RN license in the state of ... A-Line staffing is hiring a Fully Remote Concurrent Review Nurse in California! Must live...and managed care preferred Knowledge of Medicare and Medicaid Utilization Review processes Must have solid computer… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... transfer requests and direct admission requests. This position supports utilization review functions to ensure appropriate patient...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- Molina Healthcare (San Diego, CA)
- … REVIEW : REGISTERED NURSE_** **_For this position we are seeking a ( RN ) Registered Nurse with previous experience in Hospital Acute Care, Concurrent ... Review / Utilization Review / ...care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Actalent (San Marcos, CA)
- …requirements. This position complies with the scope of services defined by the Registered Nurse RN state licensure requirements. This position integrates ... status and patient classification. Skills: case management, acute care, registered nurse , data entry, utilization ... Rn license Additional Skills & Qualifications: + Registered Nurse - RN NEED… more
- Sharp HealthCare (San Diego, CA)
- …Case Manager (CCM) - Commission for Case Manager Certification; Bachelor's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...the department head as indicated. + Utilization review and utilization managementThe RN … more
- Sharp HealthCare (San Diego, CA)
- …Nurse (CWON) - The Wound, Ostomy, and Continence Nursing Certification Board (WOCNCB); California Registered Nurse ( RN ) - CA Board of Registered ... area. + 1 Year Wound Care experience. + California Registered Nurse ( RN ) - CA...minute with 0-2 errors; proof work.Maintain knowledge of insurance, utilization review , scheduling requirements and support of… more
- Molina Healthcare (San Diego, CA)
- **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_PERMANENT SHIFT WILL BE :_** **_12 hour NIGHT SHIFT: 7:30PM (in the evening) - 08:30AM (in the morning) PACIFIC ... to a 3 day/12 hour shift from then on._** **_Previous experience with Emergency Room Utilization Management / Utilization Review is required for this role.… more
- Sharp HealthCare (San Diego, CA)
- …Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... RN experience in related clinical area. + California Registered Nurse ( RN ) - CA...errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of… more
- Sharp HealthCare (San Diego, CA)
- …Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... RN experience in related clinical area. + California Registered Nurse ( RN ) - CA...errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of… more
- Sharp HealthCare (San Diego, CA)
- …Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... nursing expert for assigned area. **Required Qualifications** + California Registered Nurse ( RN ) - CA...errors; have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of… more
- Defense Health Agency (Oceanside, CA)
- …subcutaneous, intradermal, and intramuscular routes under the supervision of a registered nurse or credentialed provider. Follows established medication ... ICD-9 classification and medical records organization if assigned duties in Utilization Review . Participates in Continuous Improvement activities by identifying… more
- ERP International (Camp Pendleton, CA)
- …and Neonatal Specialties). Licensure:** Current, full, active and unrestricted license as a Registered Nurse Security** : Must possess ability to pass a ... **Overview** ERP International, LLC is seeking a ** Nurse Practitioner** for a full-time position supporting the...and participate in follow-up. + Participate in meetings to review and evaluate the care provided to patients, identify… more
- Scripps Health (San Diego, CA)
- …experience managing care of relevant specialized patient population. **Job:** ** RN * **Organization:** **Scripps Clinic* **Title:** *Specialty Nurse Navigator ... you to join our Hematology/Oncology team as a Specialty Nurse Navigator.* ** *As a Specialty Nurse ...in collaboration with the Healthcare team to track and review data for research projects as well as resource… more
- Sharp HealthCare (San Diego, CA)
- …in Patient Safety (CPPS) - Certification Board for Professionals in Patient Safety; California Registered Nurse ( RN ) - CA Board of Registered ... outcomes including responsibilities relating to leading teams in the utilization of Change Acceleration Process and PI tools and...Board for Professionals in Patient Safety -PREFERRED + California Registered Nurse ( RN ) - CA… more
- Molina Healthcare (San Diego, CA)
- …seeking a LVN (Licensed Vocational Nurse ) with experience in Prior Authorizations, Utilization Review / Utilization Management and knowledge of Interqual ... Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational...social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital… more
- Magellan Health Services (San Diego, CA)
- …Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care...role with necessary degree: LMSW, LCSW, LMFT, LPC, or RN . Minimum 5 years' experience post degree in healthcare,… more
- Scripps Health (San Diego, CA)
- …experience in a variety of environments. This is the ideal role for a registered nurse who is self-motivated, results-oriented, and able to effectively work both ... of utilization management including experience managing prior-authorization and concurrent review . * Knowledge of Medicare and Commercial health plans. * 3 years… more
