- Sharecare (Sacramento, CA)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
- Humana (Sacramento, CA)
- …**Use your skills to make an impact** **Required Qualifications** + Active licensed Registered Nurse (RN) in the state of Virginia or obtain a ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to...to troubleshoot and resolve basic technical difficulties in a remote environment. + Ability to work independently under general… more
- Humana (Sacramento, CA)
- …**Use your skills to make an impact** **Required Qualifications** + Active unrestricted registered nurse license in the state of Virginia or obtain a ... us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to...to troubleshoot and resolve basic technical difficulties in a remote environment. + Ability to work independently under general… more
- Humana (Sacramento, CA)
- …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse (RN) in the state of Virginia or obtain a ... of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following… more
- Humana (Sacramento, CA)
- …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse (RN) in Virginia or enhanced compact license, (eNLC) with ... us put health first** The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of… more
- Centene Corporation (Sacramento, CA)
- …preferred. Knowledge of utilization management processes preferred. **License/Certification:** RN - Registered Nurse license required Pay Range: $26.50 - $47.59 ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Centene Corporation (Sacramento, CA)
- …preferred. Knowledge of utilization management processes preferred. License/Certification: RN - Registered Nurse License required Pay Range: $26.50 - $47.59 ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Veterans Affairs, Veterans Health Administration (Mcclellan, CA)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation… more
- Fujifilm (Sacramento, CA)
- …where appropriate. + Participates in professional organizations. + Provides telephone and remote clinical support for customers, sales, and field service via ... **Position Overview** The Clinical Consultant, MI - I shall be responsible...experience in: + MPI + MUGA + PET + (CV) Registered Nurse Cardiac experience in: + Cath,… more
- Fujifilm (Sacramento, CA)
- … Nuclear Medicine Technologist experience in: + MPI + MUGA + PET + Registered Nurse Cardiac experience in: + Cath, Peripheral Angiography, Electrophysiology Lab ... **Position Overview** The Senior Clinical Consultant, Cardiology shall be responsible for providing...and standards. **Qualifications:** + Advanced Cardiac Sonographer. Technologist or Nurse + 5+ years of progressive experience in medical… more
- Cardinal Health (Sacramento, CA)
- …be needed to perform your duties up to 25%. **_Qualifications_** + Current, unrestricted Registered Nurse license, required. + BA, BS or equivalent experience in ... life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Clinical Operations Supervisor leads program staff performing actions including… more
- Highmark Health (Sacramento, CA)
- …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse (RN) license + Delaware RN license must be ... Master's Degree in Nursing **EXPERIENCE** **Required** + 3 years of related, progressive clinical experience in the area of specialization + Experience in a … more
- Amergis (Sacramento, CA)
- …feedback on noted clinical concerns and considerations Minimum Requirements: + Active Registered Nurse licensure in state of practice; may be required to ... as required by regulation, contract and personnel management associated with the clinical services delivery. This position is a remote opportunity supporting… more
- Humana (Sacramento, CA)
- …required. **Additional Information:** **Workstyle:** Remote work at Home **Location for Registered Nurse :** must reside in the state of Virginia or reside ... **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of...counseling experience required + Minimum one, (1) year of clinical supervisory such as team lead, charge nurse… more
- Highmark Health (Sacramento, CA)
- …+ Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability,… more
- CAI (Sacramento, CA)
- …standards + Perform other duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of Delaware + 2+ years of ... **Job ID Number** R4655 **Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager, RN ready to take… more