- Molina Healthcare (San Francisco, CA)
- ** EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_PERMANENT SHIFT WILL BE :_** **_12 hour NIGHT SHIFT: 7:30PM (in the evening) - 08:30AM (in the morning) ... from then on._** **_Previous experience with Emergency Room Utilization Management / Utilization Review is...Association** **CALIFORNIA LICENSE MUST BE an active, unrestricted State Registered Nursing ( RN ) license in good standing.**… more
- Elevance Health (Walnut Creek, CA)
- ** Nurse Appeals (Quality) - California candidates only** **Location: This is a virtual position and prefer candidates reside within 50 miles of an Elevance Health ... reviews of member and provider quality concerns. + Reviews prospective, inpatient , or retrospective medical records. + Extrapolates and summarizes medical… more