- Molina Healthcare (Riverside, CA)
- …Management / Utilization Review is required for this role. Experience with Case Management is a plus._** **_This is a remote role (work from home). Excellent ... **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_PERMANENT SHIFT WILL BE :_** **_12...illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses inpatient services for members to ensure optimum outcomes, cost… more
- Dignity Health (Northridge, CA)
- …(https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Care Coordinator Case Manager Northridge Hospital Medical Center ... nursing (Bachelor's Degree in Nursing (BSN)) or related healthcare field. preferred + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or… more
- Elevance Health (Woodland Hills, CA)
- …+ Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service ... referrals given. + Processes incoming requests, collection of information needed for review from providers, utilizing scripts to screen basic and complex requests… more