- Elevance Health (Los Angeles, CA)
- …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one...veteran who served in the Armed Forces of the United States under any of the following… more
- The County of Los Angeles (Los Angeles, CA)
- … Nurse issued by a State Government Board of Registered Nursing, within the United States of America. Applicants who have a license to practice as a ... REGISTERED NURSE I, SHERIFF (CORRECTIONAL HEALTH) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2930992) Apply...a State Government Board of Registered Nursing, within the United States of America, may compete in… more
- The County of Los Angeles (Los Angeles, CA)
- …grade of an honorably discharged veteran who served in the Armed Forces of the United States under any of the following conditions: During a declared war; -or- ... NURSE -MIDWIFE (CERTIFIED NURSE -MIDWIFE) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1156999) Apply...evaluated and deemed to be equivalent to degrees from United States accredited institutions by an academic… more
- UCLA Health (Los Angeles, CA)
- …and guidelines in the issuance of adverse organization determinations. You will review for appropriate care and setting while working closely with denial ... licensure required + Two or more years of utilization review /utilization management experience in an HMO, MSO, IPA, or...origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us … more
- Elevance Health (Los Angeles, CA)
- …within the scope of licensure in applicable state(s) or territory of the United States required. + Multi-state licensure is required if this individual ... The Med Mgmt Nurse CA is responsible for review ...Med Mgmt Nurse CA is responsible for review of the most complex or challenging cases that...is providing services in multiple states . For candidates working in person or remotely in… more
- Option Care Health (Sun Valley, CA)
- …is the largest independent home and alternate site infusion services provider in the United States . With over 6,000 team members including 2,900 clinicians, we ... reporting nursing operational and financial data to the Regional Nurse Manager, Area Director of Nursing, and/or Director of...all patients with acute and chronic conditions across the United States , resulting in high quality outcomes… more
- Prime Healthcare (Inglewood, CA)
- …licensure. Connect With Us ! (https://careers-primehealthcare.icims.com/jobs/185896/discharge-planner-ii%2c-licensed-vocational- nurse ... quality , compassion and community ! Why Prime Healthcare? (https://centinelamed.com/about- us /why-prime-healthcare/) Centinela Hospital Medical Center; a member of Prime… more
- Elevance Health (Los Angeles, CA)
- …within the scope of licensure in applicable state(s) or territory of the United States required. **Preferred Skills, Capabilities and Experiences** : + AS ... ** Nurse Appeals - Licensed RN Nurse **...medical information for medical director, consultants and other external review . + Prepares recommendations to either uphold or deny… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …working with children and their families.. **Minimum Qualifications/Work Experience:** Nurse -Practitioners: 2-years experience as a nurse practitioner. ... a physician-assistant. Pediatric clinical experience as NP/PA preferred. **Education/Licensure/Certifications:** Nurse -Practitioners: 1. Master of Science degree in Nursing from… more
- Cedars-Sinai (Beverly Hills, CA)
- …been ranked the #1 hospital in California and #2 hospital in the nation by US News & World Report, 2023- 2024. Beyond an outstanding benefit package and competitive ... home department and Clinical Efficiency & Value team to review outcomes of the programs, address barriers to success,...Three (3) plus years' Experience as an Advance Practice Nurse . (preferred) Two (2) plus years' experience in developing,… more
- Cedars-Sinai (Los Angeles, CA)
- …facilities, you'll have everything needed to do something incredible-for yourself, and for others. Join us , and discover why US News & World Report has named ... and documents the pre-anesthesia assessment and evaluation of the patient. + Review , request and order (as permitted by state law) laboratory/diagnostic studies. +… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US , 90017 Position Type: Full ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals… more
- Chenega Corporation (Los Angeles, CA)
- …Nurses Credentialing Center (ANCC). + Possess current unrestricted license to practice as a Nurse Practitioner in one of the fifty states , the District of ... **Summary** **CHENEGA TRI-SERVICES, LLC** Los Angeles, CA The ** Nurse Practitioner** shall perform medical histories, physical examinations, as well as reviews of… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- Licensed Vocational Nurse Location:Los Angeles, CA Job ID:2878 Salary:$31.11 - $32.75 Per Hour Area of Interest:Clinical Division:Adult Services Shift Type:Day About ... Us : VOALA Helping Our Most Vulnerable Change Their Life...direct supervision of the Program Manager, the Licensed Vocational Nurse (LVN) provides professional nursing services for this residential… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- Licensed Vocational Nurse Detox and MAT Location:Los Angeles, CA Job ID:2819 Salary:$31.11 - $32.75 Per Hour Area of Interest:Clinical Division:SCADP Shift Type:Day ... About Us : VOALA Helping Our Most Vulnerable Change Their Life...Clinical Director and MAT AOD Specialist, the Licensed Vocational Nurse (LVN) provides professional nursing services for this residential… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** The Research Nurse Coordinator III is responsible for all activities associated with clinical study coordination, subject enrollment, data ... logistics of the study, and works in tandem with the Research and/or Clinical Nurse who work to provide hands-on clinical care to the research participants. Utilizes… more
- BrightSpring Health Services (Simi Valley, CA)
- …ResCare Community Living Overview Works under the supervision of a Registered Nurse . Duties include providing routine care, general observation of client's health ... care and services and reports any changes + Complete a quarterly nursing evaluation/ review of body systems on assigned individuals per program requirements. Refer to… more
- Cedars-Sinai (Los Angeles, CA)
- …as your next career move. **The Samuel Oschin Cancer Center** , nationally ranked by US News & World Report, treats more than 60 types of cancer. Its team of ... triage of clinic patients with needs ranging from chemotherapy, results review , symptom management, and medication management + Triage Patient Advice Requests… more
- Select Medical (Los Angeles, CA)
- …City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) **Pay Rate: $50 - $58.65 depends ... a high discharge to home rate. **Benefits of working as a Case Manager with us :** + Excellent Orientation Program + Paid Time Off (PTO) + Extended Illness Days (EID)… more