- Centene Corporation (Sacramento, CA)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... flexibility. This fully remote position requires a California Licensed RN . Mountain or Pacific Time Zones recommended as well...as 1+ Years of UM Experience. **Position Purpose:** Performs clinical reviews needed to resolve and process appeals by… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …with the CA Board of Behavioral Sciences (AMFT, ACSW, or APCC), or Registered Nurse . Current Cardiopulmonary Resuscitation (CPR) certification, or obtained ... POSITION TITLE: Intake Clinician REPORTS TO (TITLE): Director of Intake PAY...and are based on current chemical dependency and psychiatric nursing/ clinical knowledge and standards; care is evaluated against the… more
- Highmark Health (Sacramento, CA)
- …+ Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed...has a direct impact on the profitabiliy of the company. Review all triaged notices of potential claims and make… more
- Edwards Lifesciences (Sacramento, CA)
- …required. + Clinician experience in intra-operative procedures acquired from Registered Nursing Degree curriculum ( RN ), or Radiologic Technologist (RT), ... boldly pursuing an innovative portfolio of technologies to address a patient's unmet clinical needs. It's our driving force to help patients live longer and… more