- 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
- County of El Dorado (Placerville, CA)
- …practice as a Licensed Clinical Social Worker, Marriage and Family Therapist, Registered Nurse , Licensed Clinical Psychologist, or Psychiatrist in the ... State of California, or must be licensed as a Registered Nurse . Mental Health Clinician ...Family Therapist, Licensed Professional Clinical Counselor, Licensed Clinical Psychologist, Psychiatrist or Registered Nurse… more
- County of El Dorado (Placerville, CA)
- …practice as a Licensed Clinical Social Worker, Marriage and Family Therapist, Registered Nurse , Licensed Clinical Psychologist, or Psychiatrist in the ... State of California, or must be licensed as a Registered Nurse . Mental Health Clinician ...Family Therapist, Licensed Professional Clinical Counselor, Licensed Clinical Psychologist, Psychiatrist or Registered Nurse… more
- Elevance Health (Walnut Creek, CA)
- …on relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. **How you will ... **Be Part of an Extraordinary Team** **Medical Management Clinician Senior** **Location: Remote-** Candidates must reside within...equivalent. + Requires a minimum of 6 years of clinical experience and/or utilization review experience. +… 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
- Sutter Health (Concord, CA)
- …Care at Home - Bay **Position Overview:** Under the general direction of a qualified registered nurse , the Licensed Vocational Nurse assists in the nursing ... measures for patient and staff protection * Reports patient progress toward goals to the Clinical Manager or Primary Care Clinician on a regular basis * Reports… more
- County of El Dorado (Placerville, CA)
- …Marriage Family Therapist (LMFT), a Licensed Professional Clinical Counselor (LPCC), a Clinical Psychologist, or Registered Nurse ? Required for IB/II + ... al icensed person who does not need to gain clinical hours; there is little/no regular client contact in...providing SUD services and performing Quality Management and/or Utilization Review activities. They would have excellent written and verbal… 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