- Molina Healthcare (Riverside, CA)
- …we are seeking a (RN) Registered Nurse with previous experience in Hospital Acute Care , Concurrent Review / Utilization Review / Utilization Management and ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Molina Healthcare (Long Beach, CA)
- …healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or ... seeking a LVN (Licensed Vocational Nurse) with experience in Prior Authorizations, Utilization Review / Utilization Management...such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able… more
- Edwards Lifesciences (Irvine, CA)
- …etc.). * Review and approve as a licensed or certified clinician . * Obtain and evaluate information from clinical specialists, sales staff, physicians, nurses ... and procedures. * Perform complaint trending analyses, participate in quality metrics review meetings. * May analyze and interpret aggregate complaint data for a… more
- Sevita (Riverside, CA)
- …a member of the Sevita family, you'll provide guidance to individuals through your prior personal experience as a parent or guardian of a child who's been involved ... in the care system. Each day, the connections you make and...served through the system, sharing and relating your own prior experience + Advocacy and liaison services between the… more