- Molina Healthcare (San Jose, CA)
- **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_PERMANENT SHIFT WILL BE :_** **_12 hour NIGHT SHIFT: 7:30PM (in the evening) - 08:30AM (in the morning) PACIFIC ... / Utilization Review is preferred for this role. Experience with Case Management is a plus._** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services… more
- Alameda Health System (Oakland, CA)
- …is required. + Preferred Experience: N/A Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California or valid license as ... Director, Inpatient System Care Management + Oakland, CA +...+ Accountable for Patient Care Coordination activities including system-wide Case Management, Care Coordination and Discharge Planning. + Aligns… more
- Elevance Health (Walnut Creek, CA)
- …or 1-hour commute each way of a relevant Elevance Health location. The ** Nurse Medical Management ll** is responsible to collaborate with healthcare providers and ... high quality, cost effective care through assessing the medical necessity of inpatient admissions, out of network services, and appropriateness of treatment setting… more