• RN Utilization Management

    Amergis (Los Angeles, CA)
    …or service + Performs other duties as assigned/necessary Minimum Requirements: + Registered Nurse or Licensed Practical Nursing license required + Certified ... + Audits medical records and monitors performance measures for health care risk management , sentinel events and trends + Oversees and monitors the development and… more
    Amergis (09/11/24)
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  • Care Review Clinician, Prior Auth…

    Molina Healthcare (Los Angeles, CA)
    **_For this position we are seeking a ( RN ) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review/ Utilization Review / ... to work some weekends and holidays. This is a remote position and you may work from home._** **_Further...meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience**… more
    Molina Healthcare (09/15/24)
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  • Registered Nurse - Home Base Primary…

    Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
    …The VA Greater Los Angeles Healthcare (VAGLAHS) is seeking a highly skilled/experienced Registered Nurse to serve as Home Base Primary Care (HBPC) Program ... The Home-Based Primary Care (HBPC) Program Director is an RN and is accountable for the management ,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (08/24/24)
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  • RN Care Manager - Ambulatory Care…

    UCLA Health (Los Angeles, CA)
    …quality outcomes by effectively managing care and resources to reduce unnecessary utilization . The RN Care Manager utilizes clinical expertise and understanding ... development of an individualized care plan with emphasis on promoting patient self - management and family responsibility.The RN Care Manager identifies and ranks… more
    UCLA Health (09/05/24)
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  • Inpatient Review ( RN ) Case Manager,…

    Molina Healthcare (Los Angeles, CA)
    **_INPATIENT REVIEW : REGISTERED NURSE_** **_For this position we are seeking a ( RN ) Registered Nurse with previous experience in Hospital Acute Care, ... Concurrent Review/ Utilization Review / Utilization Management ...care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/15/24)
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  • LVN Clinician: Prior Authorization: California,…

    Molina Healthcare (Los Angeles, CA)
    …seeking a LVN (Licensed Vocational Nurse ) with experience in Prior Authorizations, Utilization Review / Utilization Management and knowledge of Interqual ... **JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN)… more
    Molina Healthcare (08/28/24)
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