• Registered Nurse II - North County

    The County of Los Angeles (Los Angeles, CA)
    REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply  REGISTERED NURSE II - NORTH ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...experience* at the level of Los Angeles County classification Registered Nurse I**. -AND- 2. A license… more
    The County of Los Angeles (09/30/24)
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  • Supervisor, Utilization Management

    LA Care Health Plan (Los Angeles, CA)
    Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
    LA Care Health Plan (08/07/24)
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  • Utilization Management Admissions…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Admissions Liaison RN II (After Hours Evening) Job Category: Clinical Department: Utilization Management Location: Los Angeles, ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
    LA Care Health Plan (10/23/24)
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  • Case Manager Registered Nurse RN…

    Pipeline Health System, LLC (Gardena, CA)
    Case Manager Registered Nurse RN - Per Diem 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety of tasks and functions. These include ... utilization review, discharge planning, care coordination and variance management to assure the delivery of necessary services, efficient patient progression, and… more
    Pipeline Health System, LLC (09/22/24)
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  • RN Case Manager - Registered Nurse

    Pipeline Health System, LLC (Huntington Park, CA)
    RN Case Manager - Registered Nurse Per Diem 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety of tasks and functions. These include ... utilization review, discharge planning, care coordination and variance management to assure the delivery of necessary services, efficient patient progression, and… more
    Pipeline Health System, LLC (10/12/24)
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  • Registered Nurse Oncology PRN

    HCA Healthcare (Thousand Oaks, CA)
    …Regional Medical Center! **Job Summary and Qualifications** The **Oncology Registered Nurse ** II performs direct patient care through utilization of the ... below midpoint of the range. **Introduction** Do you have the career opportunities as a(an) Registered Nurse Oncology you want in your current role? We invest in… more
    HCA Healthcare (10/26/24)
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  • Care Review Clinician, Prior Auth…

    Molina Healthcare (Los Angeles, CA)
    **_For this position we are seeking a (RN) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review/ Utilization Review / ... internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital… more
    Molina Healthcare (10/09/24)
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  • Case Manager (CM) - Registered Nurse

    Select Medical (Los Angeles, CA)
    …Medical Century City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) **Pay Rate: $50 - ... allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and… more
    Select Medical (10/10/24)
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  • Registered Nurse Surgery Center

    Fresenius Medical Center (Los Angeles, CA)
    …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
    Fresenius Medical Center (09/19/24)
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  • Utilization Review RN *Per Diem/Days

    Providence (Mission Hills, CA)
    …strong clinical background combined with well-developed knowledge and skills in Utilization Management , medical necessity, and patient status determination. The ... Utilization Management RN must effectively and efficiently manage a diverse...**Required Qualifications:** + Associate's Degree in Nursing. + California Registered Nurse License upon hire. + 2… more
    Providence (10/24/24)
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  • Nurse Clinician: Prior Authorization:…

    Molina Healthcare (Los Angeles, CA)
    …we are seeking a Nurse with previous experience in Prior Auth Utilization Management and knowledge of Interqual or MCG guidelines. CALIFORNIA LICENSURE IS ... **_JOB TITLE: CARE REVIEW CLINICIAN, PRIOR AUTHORIZATION ( REGISTERED NURSE , OR LVN)_** **For this position… more
    Molina Healthcare (10/17/24)
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  • Managed Long Term Services and Supports…

    LA Care Health Plan (Los Angeles, CA)
    …care coordination functions and must adhere to regulatory mandates that apply to Utilization Management (UM) and Care Management (CM). Collaborate with ... care, such as ambulatory care, home care, or case management . OR experience in Utilization Review or...Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
    LA Care Health Plan (10/25/24)
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  • Clinical Value Nurse Practitioner (NP)…

    Cedars-Sinai (Beverly Hills, CA)
    …approved by the California Board of Registered Current State of California Registered Nurse and Nurse Practitioner License National Certification as a ... in the inpatient and/or ambulatory setting. + Works with Inpatient Case Management and Inpatient Nursing to support and coordinate hospital discharge by working… more
    Cedars-Sinai (09/28/24)
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  • Delegation Oversight Nurse (CA LVN License)

    Molina Healthcare (Los Angeles, CA)
    Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a bachelor's degree in Nursing. **Preferred ... contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM… more
    Molina Healthcare (10/12/24)
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  • Field Family Nurse Practitioner (Los…

    Molina Healthcare (Los Angeles, CA)
    …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home,… more
    Molina Healthcare (09/30/24)
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  • Hospital Admitting Nurse Onsite Part Time…

    Guidehouse (Los Angeles, CA)
    …Required** **:** None **What You Will Do** **:** The **Hospital Admitting Registered Nurse (Day Shift)** will facilitate patient medical and financial ... years' experience in nursing or one-year related nursing experience in utilization review/insurance/case management /medical clearance. * Graduation from an… more
    Guidehouse (08/25/24)
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  • Director Care Management

    Providence (Santa Monica, CA)
    …approval for, implement and monitor a model for integrated coordination function, involving registered nurse , and social work case managers and other relevant ... **Description** **THE ROLE** The Director, Case Management promotes and supports the mission, vision and...goals and outcomes. **QUALIFICATIONS** + Graduate of a recognized registered nurse program + Master's Degree in… more
    Providence (10/09/24)
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  • Assistant Nursing Director, Administration

    The County of Los Angeles (Los Angeles, CA)
    …clinical nursing. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board or Registered ... in a state other than California must provide their Registered Nurse License Number from that state...vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used… more
    The County of Los Angeles (10/20/24)
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  • Nursing Instructor, School Of Nursing

    The County of Los Angeles (Los Angeles, CA)
    …-AND- 2. Two years of experience at the level of LA County classification of Registered Nurse II . -AND- 3. One year of professional teaching experience. -AND- ... Collaborates with medical providers, patient care staff, and unit management in the design, delivery, and evaluation of educational...4. A license to practice as a Registered Nurse issued by the California Board… more
    The County of Los Angeles (10/20/24)
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  • Clinical Nursing Director I

    The County of Los Angeles (Los Angeles, CA)
    …compete in this examination process, applicants must have a license to practice as a Registered Nurse issued by the California Board of Registered Nursing. ... and resolves problems involving grievance and discipline. + Advises nurse managers and other nursing staff on management...other than California must attach a copy of their registered nurse license from that state to… more
    The County of Los Angeles (10/12/24)
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