• Inpatient Review Case

    Molina Healthcare (Irvine, CA)
    …of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and ... expected length of stay for requested treatments and/or procedures. + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its… more
    Molina Healthcare (12/12/24)
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  • Registered Nurse (RN) - Case Manager

    Prime Healthcare (Anaheim, CA)
    …accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. ... credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/186175/registered-nurse-%28rn%29 case - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityWest Anaheim Medical Center… more
    Prime Healthcare (12/11/24)
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  • Registered Nurse (RN) - Case Manager

    Prime Healthcare (Garden Grove, CA)
    …accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. ... credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/187133/registered-nurse-%28rn%29 case - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityGarden Grove Hospital Medical… more
    Prime Healthcare (12/20/24)
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  • Medical Management Clinician Senior

    Elevance Health (Costa Mesa, CA)
    …and/or medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or skill of a ... guidelines within scope of licensure. + These reviews may require in-depth review ; however, any deviation from application of benefits plans will require guidance… more
    Elevance Health (01/08/25)
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