- Molina Healthcare (Riverside, 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 ... / Utilization Review is preferred for this role. Experience with Case Management is a plus._** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services… more
- Dignity Health (Northridge, CA)
- …programs integrate. + Knowledge of CMS standards and requirements. **Qualifications** + CA Registered Nurse ( RN ) License required. + Minimum two (2) ... 400 care centers. Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager (Care Coordinator) Case… more
- Elevance Health (Costa Mesa, CA)
- …or 1-hour commute each way of a relevant Elevance Health location. The ** Nurse Medical Management ll** is responsible to collaborate with healthcare providers and ... high quality, cost effective care through assessing the medical necessity of inpatient admissions, out of network services, and appropriateness of treatment setting… more
- HCA Healthcare (Riverside, CA)
- …What you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff ... is responsible for non-clinical, biopsychosocial assessments and interventions for the inpatient floors and the outpatient emergency department. The MSW performs… more