- Lincoln Financial Group (Sacramento, CA)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- Elevance Health (Sacramento, CA)
- …years acute care clinical experience is required. **Preferred Qualifications** + Previous utilization review/ utilization management experience in a managed ... Angeles, Rancho Cordova, Sacramento, Walnut Creek, Woodland Hills** The Nurse Medical Management I is responsible to collaborate with healthcare providers and… more
- Elevance Health (Rancho Cordova, CA)
- …equivalent and a minimum of 3 years acute care clinical experience or case management , utilization management or managed care experience; or any combination ... commute each way of a relevant Elevance Health location. The ** Nurse Medical Management ll** is responsible to collaborate with healthcare providers and members… more
- Molina Healthcare (Sacramento, CA)
- **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, ... are most receptive including home, nursing facilities, and "pop up" clinic. The Nurse Practitioner will be required to work primarily in non-clinical settings and… more
- Sutter Health (Sacramento, CA)
- …care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely ... of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across the continuum through… more
- Centene Corporation (Sacramento, CA)
- …Knowledge of Medicare and Medicaid regulations preferred. + Knowledge of utilization management processes preferred. **License/Certification:** **For Health Net ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- Sutter Health (Sacramento, CA)
- …nursing services with overall patient care functions and operations. * Care Management and Utilization review with Finance/ Revenue Cycle partnership. * ... for revenue enhancement and cost containment within nursing operations. * Care Management and Utilization review with Finance/ Revenue Cycle partnership.… more
- Molina Healthcare (Sacramento, CA)
- …to a 3 day/12 hour shift from then on._** **_Previous experience with Emergency Room Utilization Management / Utilization Review is preferred for this role. ... **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_PERMANENT SHIFT WILL BE :_** **_12 hour...or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- … management , group therapy, family & individual sessions. Psychiatrists, nurse practitioners, and internal medicine physicians comprise the provider group with ... rules, Joint Commission requirements, and legal regulations; participating in utilization reviews; and remaining available for emergency consultations. + Improves… more
- Dignity Health (Rancho Cordova, CA)
- …educational training and assessments for orientation of new staff in Utilization Management (UM)/Continuing Care (CC). Additionally, conducts, coordinates, and ... Under the direction of the Manager for Continuing Care, the Registered Nurse (RN) is responsible for planning and conducting needs assessment and evaluating… more
- Edwards Lifesciences (Sacramento, CA)
- …impact by ** + Working independently in the areas of valve crimping, case management , pre-case planning, post-case management , 3 Mensio management , Therapy ... implementing growth strategies within focused accounts in partnership with Sales Management . + Developing clinical champions among current and potential customers… more
- Sutter Health (Sacramento, CA)
- …team to implement the established plan of patient care and ensuring effective management of visit utilization and control of expenses. May assist in ... Valley **Position Overview:** An experienced RN who is responsible for the overall management of patients, including the provision of direct care with a designated… more
- Sutter Health (Sacramento, CA)
- …manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid ... nursing. + **Masters** prepared _preferred_ **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California + BLS-Basic Life Support Healthcare Provider **TYPICAL… more
- Sutter Health (Roseville, CA)
- …manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid ... of nursing. + **MSN** **_preferred_** **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California + BLS-Basic Life Support Healthcare Provider **TYPICAL… more